Plain English Summary
Background and study aims
Depression is considered the second leading cause of disability caused by illness affecting about 121 million people around the world. Cognitive behaviour therapy (CBT) is an evidence-based treatment for depression. However, only approximately 5 out of 10 of patients respond and only a third remain recovered at follow-up. Initial studies show that meta-cognitive therapy (MCT) might optimize effectiveness. The present study intents to compare 128 depressed Danish outpatients randomly assigned to up to 24 weekly sessions of either CBT or MCT. The approach of the data-analysis consists of a mixed-model analysis of variance and analysis of co-variance to assess relative treatment effects. The results of the trial will have significant impact on enhancing treatment methods for depression.
Who can participate?
Participants are patients referred from their general practitioner (GP) to get psychological treatment at the CEKTOS center for their depression who want treatment within 2 weeks and are willing to participate in a trial.
What does the study involve?
After screening and diagnosis the participants are randomly allocated to receive either treatment as usual - CBT or MCT.
Patients who are suitable for the trial receive either up to 24 sessions of CBT or MCT.
What are the possible benefits and risks of participating?
No known risks or side effects from either CBT or MCT.
Where is the study run from?
It takes place at CEKTOS Center for Kognitiv Terapi og Supervision in Næstved. Supervision is given at Manchester University where the manager of the trial is a PhD student.
When is the study starting and how long is it expected to run for?
The trial started in 2010 and is expected to run for at least 4 years.
Who is funding the study?
It is a privately funded study sponsored by CEKTOS- Center for Kognitiv Terapi og Supervision.
Who is the main contact?
Pia Callesen
pcallesen@gmail.com
Pia.callesen@cektos.dk
Trial website
http://www.cektos.dk/cektos/index.php?option=com_content&view=article&id=130&Itemid=157
Contact information
Type
Scientific
Primary contact
Ms Pia Callesen
ORCID ID
Contact details
Riddergade 7
1
Næstved
4700
Denmark
+4522684281
Pia.callesen@cektos.dk
Additional identifiers
EudraCT number
ClinicalTrials.gov number
Protocol/serial number
N/A
Study information
Scientific title
Meta-cognitive Therapy (MCT) versus Cognitive Behaviour Therapy (CBT) for Depression: A randomised clinical trial
Acronym
MetaDep
Study hypothesis
The null hypothesis is that MCT is just as effective as CBT.
Ethics approval
Danish Ethical Committee, 13 December 2010
Study design
Randomised parallel between-groups design. Groups are stratified for gender and level of depression.
Primary study design
Interventional
Secondary study design
Randomised controlled trial
Trial setting
GP practices
Trial type
Screening
Patient information sheet
See additional files
Condition
Depression
Intervention
Cognitive behaviour therapy versus metacognitive behaviour therapy.
The two therapists in the trial give both treatment. Patients are referred according to therapist availability. They are offered up to 24 sessions of 50-60 mins. once a week. Treatment is terminated when they score below depressive threshold on the BDI-II in two consecutive sessions. Patients symptoms are evaluated before, mid, post and at 6 months follow-up.
Intervention type
Other
Phase
Not Applicable
Drug names
Primary outcome measures
1. Depressive symptoms (Hamilton Depression Inventory administered by blind assessor)
2. Depressive symptoms on self report questionnaire (Beck Depression Inventory BDI-II
Measured before, mid, post and at 6 months follow-up.
Secondary outcome measures
1. Anxiety related symptoms (Beck Anxiety Inventory - BAI)
2. Co-morbidity (SCID I)
3. Patients expectancies about treatment outcome
4. Meta-cognitive scales (Meta-cognitive Questionnaire - MCQ-30, negative and positive beliefs about rumination scales (NBRS PBRS), Rumination Response Scale (RRS)
5. CBT specific scales (Dysfunctional Attitude Scale DAS and Youngs Schema Inventory - short version)
6. Patient-therapist alliance (Havarth Aliance Inventory HAI)
7. Objective measure (Concentration and attention subtests from the WAIS)
Measured before, mid, post and at 6 months follow-up.
Overall trial start date
01/11/2010
Overall trial end date
01/06/2017
Reason abandoned
Eligibility
Participant inclusion criteria
1. Patients (male and female, aged 18-68 years) who have a main or primary diagnosis of major depressive disorder (MDD) according to Structured Clinical Interview for DSM-IV Disorders (SCID) I.
2. Patients who only attend therapy in this trial and have not received other psychological treatments for the current episode.
3. Patients in combined medical treatment as long as they are stable or willing to remain stable on their medication for the period of the trial.
4. Patients who sign informed consent
Participant type
Patient
Age group
Adult
Gender
Both
Target number of participants
128
Participant exclusion criteria
1. Patients suffering from psychosis or bipolar disorder as screened by SCID I
2. Patients suffering from substance and alcohol-abuse as screened by SCID I
3. Patients suffering from borderline personality disorder as screened by SCID II
4. Patients with organic brain syndrome or mental retardation
5. Female patients who are pregnant or lactating
6. Participants who had not responded favorably to an earlier adequate trial of either CBT or MCT
Recruitment start date
01/11/2010
Recruitment end date
01/11/2015
Locations
Countries of recruitment
Denmark
Trial participating centre
University of Manchester
School of Psychological Sciences
Section of Clinical and Health Psychology
Rawnsley Building
MRI
Manchester
M13 9WL
United Kingdom
Trial participating centre
Cektos
Amagerbrogade 114
1 sal
København S
2300
Denmark
Sponsor information
Organisation
University of Manchester (UK)
Sponsor details
c/o Adrian Wells
Ph.D
Professor of Clinical and Experimental Psychopathology
School of Psychological Sciences
Division of Clinical Psychology
Rawnsley Building
MRI
Manchester
M13 9WL
United Kingdom
+44 161 276 5399
adrian.wells@manchester.ac.uk
Sponsor type
University/education
Website
Funders
Funder type
Other
Funder name
Investigator initiated and funded (UK)
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Results and Publications
Publication and dissemination plan
Publication is planned in a high-impact peer reviewed journal at the start of 2017
IPD Sharing plan:
The datasets generated during and/or analysed during the current study will be stored in a non-publically available repository in Manchester university/Cektos
Intention to publish date
31/03/2017
Participant level data
Stored in repository
Results - basic reporting
Publication summary
Publication citations
Additional files
- ISRCTN82799488_PIS_29Dec16.docx Uploaded 29/12/2016