Efficacy of Cognitive-Behavioral Therapy Approach for Adherence and Depression (CBT-AD) on Depression and Non-Adherence to treatment

Efficacy of Cognitive-Behavioral Therapy Approach for Adherence and Depression (CBT-AD) on improving Illness Representations, Non-Adherence and Depression in women with Rheumatoid Arthritis

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT20141012019511N3

Enrollment

Registered

2018-04-08

Start date

2017-01-21

Completion date

Unknown

Last updated

2018-05-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Rheumatoid Arthritis. Seropositive Rheumatoid Arthritis

Interventions

Intervention 1: Intervention group: The main modules for CBT-AD are (1) psychoeducation and motivational interviewing regarding treating depression and being adherent to one's medical regimen

(2) adherence training

(3) activity scheduling

(4) cognitive restructuring

(5) problem solving

(6) relaxation training/diaphragmatic breathing

and (7) review, maintenance, and relapse prevention.The treatment follows a modular approach so that core CBT skills can be learned, followed by focused work on problems specific to the individual. To

CES-D), a review of adherence and of homework and ongoing progress from previous modules, and setting an agenda for the session. This should be done at the start of every session, regardless of whethe

Eligibility

Sex/Gender

Female

Age

18 Years to 60 Years

Inclusion criteria

Inclusion criteria: Aged 18 to 65 years old Disease Activity based on DAS score <2.4; a score of disease activity in 28 joints, using the website www.das-score.nl Body Mass Index (BMI) <35 At least 12 class education (diploma certificate) Participants haven't use any other psychotherapy during six months before entering the study Mild to Moderate Depression without Suicidal Thoughts (diagnosis by clinical psychologist and severity determination by Beck Depression Inventory) Poor follow-up from medical recommendations (based on GAS scale scores)

Exclusion criteria

Exclusion criteria: Severe Psychological Damage in the Axis I and the diagnosis of Personality Disorder in the Psychiatric Axis II . Significant Cognitive Impairment Finding social support problems (such as family and nurse) Medication or Current Substance Abuse.

Design outcomes

Primary

Measure	Time frame
Depression. Timepoint: Before and after the intervention. Method of measurement: Beck Depression Inventory (BDI).	—

Secondary

Measure	Time frame
Medical Adherence. Timepoint: Before and after the intervention. Method of measurement: General Adherence Scale (GAS).	—

Countries

Iran (Islamic Republic of)

Contacts

Public ContactSara Namjoo

Islamic Azad University of Alborz, Iran

namjoopsy@gmail.com+98 26 3418 2580

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026