DSM-5: depressive disorder, adaption disorder, anxiety disorder, obsessive-compulsive or related disorder, trauma or stressor-related disorder, somatic symptom or related disorder F32.0 F32.1 F32.8 F32.9 F33.0 F33.1 F33.4 F33.8 F33.9 F34 F38 F40 F41 F42 F43 F45
Conditions
Interventions
Group 1: All patients (N = 80) receive CBT (cognitive behavioural therapy)
the treatment comprises a contingent adjusted to one’s individual clinical symptoms determined by the therapist under supervision.
Sponsors
Professur für Psychotherapie und Systemneurowissenschaften, Justus-Liebig-Universität Gießen
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Patients with one of the following primary disorder: Depressive disorder, anxiety disorder, obsessive compulsive disorder or related disorder, trauma or stressor-related disorder, somatic or related disorder according to DSM-5. Patients are in the pre-therapy phase and plan to begin a cognitive behavioral therapy at the cognitive behavioral outpatient clinic of the Justus Liebig University Giessen. If patients take psychotropic medication the intake has to be stable for at least 4 weeks without any changes. Language skills: German, fluently
Exclusion criteria
Exclusion criteria: Patients who currently meet the criteria of a dependence disorder or substance abuse (with the exception of nicotine), psychotic symptoms (present, in the past), manic episode (present, in the past), meeting criteria of a (recurrent) severe depression, meeting criteria of a borderline personality disorder, bipolar disorder, known/diagnosed intelligence or developmental disorder, severe physical or neurological disease, infectious disorders (present) or injury of the scalp, actual suicidality
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Dichotomous classification into responder and non responder according to a clinical significant improvement in disorder specific questionnaires (Jacobson & Truax, 1991) 1st time of measurement: previous to therapy 2nd time of measurement: end of therapy Disorder specific questionnaires: Depressive mood disorder/ dysthymia: Beck Depression Inventory (BDI-II, German version: Hautziger et al., 2009) Agoraphobia/ panic disorder: Questionnaire about body related fears, cognitions and avoidance (German version: Ehlers et al., 2001) Social anxiety: Social phobia and anxiety inventory (German version: Fydrich, 2002) Generalized anxiety disorder: Penn State Worry Questionnaire (German version: Stöber, 1995) Obsessive-compulsive disorder: Obsessive-Compulsive Inventory-Revised (German version: Huppert et al., 2009) Posttraumatic stress disorder: Impact of Event Scale – revised version (German version: Maercker & Schützwohl, 1998) Adjustment Disorder: Adjustment Disorder - New Module 20 (German version: Lorenz et al., 2015) Somatic symptom disorder: Screening for somatoform disorder (German version: Rief & Hiller, 2007) Illness Anxiety disorder: International scales for hypochondria (German version: Hiller et al., 2004) Predictors: habitual use of emotion regulation assessed by the Emotion Regulation Questionnaire (German version: Abler & Kessler, 2009), and the Heidelberg Form for Emotion Regulation Strategies (Izadpanah et al., 2019), physiological measures (LPP, heart rate, SCL) | — |
Secondary
| Measure | Time frame |
|---|---|
| Symptom reduction (measured as a continuous variable): - Disorder specific questionnaires (see primary outcome) - Multidimensional Emotional Disorder Inventory (MEDI; Rosellini & Brown, 2019) - Beck Anxiety Inventory (German version: Beck & Steer, 2007) - Beck Depression Inventory Scale (German version: Hautziger et al., 2009) - Clinical Global Impression Scale in a patient and therapist version (CGI-P; CGI-T) - Brief Symptom Inventory (German version: Geisheim et al., 2002) - Wohlbefinden (Psychiatric Reserach Unit, WHO, 1998) Times of measurement for the secondary outcome: Previous to therapy (pre-measurement), after the 6th therapy session (begin of therapy), at the 24th therapy session (deviation of up to -4 sessions permitted; corresponds with a short-term therapy in Germany) and at the (regular) end of the therapy | — |
Countries
Germany
Contacts
Public ContactRaphaela Zehtner
Abteilung Klinische Psychologie und Psychotherapie Professur für Psychotherapie und Systemneurowissenschaften Justus-Liebig-Universität Gießen
Outcome results
None listed