Major Depressive Disorder (Depression) Mental and Behavioural Disorders
Conditions
Interventions
Participants are randomised to two arms: intervention arm and control arm
Clinical procedures in both groups are NICE-recommended treatments routinely delivered in IAPT services i.e. Cognitive Behavio
participants who recover only receive low-intensity therapy. High-intensity psychological therapy comprises between eight and 20 consultations of CBT.
Control arm: Participants in the control arm
Sponsors
University of Exeter (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Age >17 years 2. Fulfilling criteria for DSM Major Depressive Disorder identified by standard clinical interview 3. Willing to receive either stepped care or intensive psychological therapy alone for depression 4. Registered with Improving Access to Psychological Therapies (IAPT)
Exclusion criteria
Exclusion criteria: 1. Alcohol or drug dependence 2. Presenting at acute risk of suicide 3. Cognitively impaired determined by a brief assessment of cognitive function 4. A diagnosis of bipolar disorder, psychosis and/or psychotic symptoms
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| A variety of patient-related data will be collected at baseline and 6 months post randomisation: 1. Severity of depressive symptoms (BDI-I) 2. Health-related quality of life (Short Form Health Survey-36) 3. Worry and anxiety (Generalised Anxiety Disorder-7) In addition, we will collect data on the flow of participants through the trial (i.e., numbers of participants at each step) and patients' pathway through and adherence to treatment. | — |
Secondary
| Measure | Time frame |
|---|---|
| Qualitative data from semi-structured interviews on what people think of our trial methods and procedures and their views of stepped care. | — |
Countries
United Kingdom
Outcome results
None listed