Treatment of patients with complex emotional or relationship difficulties using psychotherapy Mental and Behavioural Disorders
Conditions
Interventions
This study will examine whether it is feasible to incorporate dyad grids (a psychometric test) into routine cognitive analytic therapy (CAT). The duration of the study is approximately 18 months and i
Sponsors
University of Sheffield
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients suitable for 24 sessions of CAT 2. 18 years old and over 3. Agree to undertake the dyad grid as part of their therapy 4. Agree to undertake the study measures as outlined in the protocol 5. Their therapist consents to attempt to undertake the dyad grids as outlined in the study protocol
Exclusion criteria
Exclusion criteria: 1. Active psychotic, hypomanic or manic episode 2. Actively suicidal 3. Active and problematic substance dependence 4. Poor literacy 5. CAT sessions needing an interpreter
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The following primary outcome measures are assessed at 24 weeks: 1. Participant retention in therapy measured using the number of sessions recorded as attended and whether the participant completed or not 2. Therapist adherence to protocol measured by assessing whether the dyad grids are completed and feed into the reformulatory and termination phases) 3. Difficulties in adhering to the protocol measured using Therapist feedback 4. The resources required to implement dyad grids into routine cognitive analytic therapy measured using a support and supervision log | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Participant feedback on the perceived benefits measured using a follow-up adapted change interview and the Helpful Aspects of Therapy questionnaire within 6 weeks of completing their therapy 2. Pre- and post-grid implementation in the reformulatory stage measured using by session monitoring tool CORE-10 on a weekly basis from weeks 1-24 of the study 3. Analysis of the sessional outcomes measured using CORE10 and the Helpful Aspects of Therapy Questionnaires comparing the reformulation phase (sessions 1-5) and the termination phase (sessions 19-24 in a 24-session CAT) 4. Any change in the patient’s relationships measured using an analysis of dyad grid data during therapy 5. Reasons for patients missing sessions or terminating therapy prematurely measured using Therapist feedback 24 sessions 6. Therapist feedback on perceived benefits measured using a follow-up adapted change interview within 6 weeks of completing the therapy | — |
Countries
England, United Kingdom
Contacts
Public ContactStephen Kellett
Outcome results
None listed