F32 F33
Conditions
Interventions
Group 1: The intervention consists of four sessions, which will be conducted on a fortnightly basis, beginning after discharge from inpatient treatment. The psychoeducational part includes information
Sponsors
Universitätsklinikum Freiburg Klinik für Psychiatrie und Psychotherapie AG Psychotherapie und Versorgungsforschung
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients: Primary treatment indication: Diagnosis of an acute depressive episode according to ICD-10 F32.xx or F33.xx; at least 18 years or older; a relative named by the patient is willing to participate in the study. Relatives: Nomination by the index-patient, who meets the inclusion criteria described above; at least 18 years or older; sufficient knowledge of the German language, to ensure that data can be gathered by questionnaire and that the contents of the psychoeducational group intervention can be understood; permanent habitation in the proximity of the particular study center (participating at the Intervention has to be feasible).
Exclusion criteria
Exclusion criteria: Patients with the following comorbidities: dementia (F00.xx, F01.xx, F02.xx, F03.xx); borderline personality disorder (F60.31); schizoaffective disorder (F25.xx); schizophrenia (F20.xx); bipolar disorder (F31.xx); substance disorder (F10.2, F11.2, F12.2, F13.2, F14.2, F15.2, F16.2, F17.2, F18.2, F19.2).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Estimated number of depression free days (DFD) within one year after discharge from inpatient depression treatment measured with the Patient Health Questionnaire (PHQ-9) at five time points (T0 = at discharge from inpatient treatment, T1 = 3, T2 = 6, T3 = 9 and T4 =12 months after discharge from inpatient treatment). | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient-related: level of expressed emotion (German questionnaire on family atmosphere , FEF) T0, T2 & T4; perceived criticism of relative (Hooley & Teasdale, 1989)T0, T2 & T4; health care utilization (self-construction in accordance with the German Health Interview and Examination Survey for Adults (DEGS), a german questionnaire on resource utilization (Fragebogen zur Inanspruchnahme medizinischer und nicht-medizinischer Versorgungsleistungen im Alter, FIMA) and the Client Sociodemographic and Service Receipt Inventory (CSSRI-D)) T1 - T4; state of employment (DEGS, CSSRI-D) T1 - T4; days of inability to work (DEGS, CSSRI-D) T1 - T4; impairment of functional capability, activity and participation (WHO Disability Assessment Schedule, WHODAS 2.0) T0 - T4; adverse events (self-construction) T2 & T4. Relative-realated : problem solving competency (Social Problem-Solving Inventory-Revised, SPSI-R) T0, T2 & T4; level of expressed emotion (Family Questionnaire, FQ) T0, T2 & T4; psychological stress (Symptomcheckliste, SCL-K-9) T0 - T4; level of disease-related burden (Involvement Evaluation Questionnaire, IEQ-EU) T0 - T4; depression literacy (Depression Literacy Test, D-Lit and self-construction) T0 & T2; control attributions (Illness Perception Questionnaire for Schizophrenia, IPQS-R) T0, T2 & T4; adverse events (self-construction) T2 & T4; acceptance (self-construction) T2; subjective benefit (self-construction) T2; appliance of problemsolving (self-construction) T2. Incremental cost-effective-ratio: Cost-effectiveness investigation analyses of the intervention through cost-effectiveness analysis (CEA) based on the perspective of the health insurance funds and the society. Sources of these analyses are (1.) depression-free-days, (2.) prevented days of inability to work and (3.) prevented rehospitalisation. Mediator- and moderator-analysis: Analysis in what way the EE-level both on relative-level and on patient-level, the disease-related and psychosocial burden of | — |
Countries
Germany
Contacts
Public ContactFabian Frank
Universitätsklinikum Freiburg Klinik für Psychiatrie und Psychotherapie AG Psychotherapie- und Versorgungsforschung
Outcome results
None listed