About this trial
150 patients with moderate to severe depression, recently discharged from a psychiatric ward and now recieving treatment at an outpatient unit at Mental Health Center Copenhagen, will be randomised in to two groups. A treatment ad usual (TAU) group and an Advance-group. The Advance-group will receive a psychotherapeutic intervention focusing on advancing sleep timing to improve depression.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Moderate to major depression (DSM-V)
Discharge from psychiatric ward within last 30 days
Sleep onset and/or sleep off-set delayed minimum 1 hour based on the last three days, comparred to sleep in the last week of admittance at the psychiatric ward.
Disqualifiers
Psychotic depression.
Cognitive problems making participation difficult.
Substance abuse (e.g. alcohol).
Increased suicidal risk.
Trial design
Parallel
Treatments tested in this trial
CRT-Advance
BehavioralPsychotherapy with focus on advancing sleep timing, using diaries on sleep and zeitgebers.
Treatment as usual
BehavioralTreatment as usual in the outpatient psychiatric unit.
Treatment groups
Trial outcomes
Primary outcomes
Beck Depression Inventory II (BDI-II)
Patients will do af self-rating with the Beck Depression IInventory-II self-rating scale. Minimum score is 0, maximum score is 63. A higher score indicates a worsening of depression symptoms
Secondary outcomes
Changes in sleep-midpoint
Measured both with sleep diaries and with actigraphy
Changes in time for sleep onset
Measured both with sleep diaries and with actigraphy
Changes in time for sleep wake-up
Measured both with sleep diaries and with actigraphy
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