Specialty: Mental Health, Primary sub-specialty: Depression
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged over 18 or over 2. Suffering from a current major depressive episode (MDE) assessed by structured clinical interview for diagnosis (SCID-I) 3. Have a Patient Health Questionnaire (PHQ-9) depression score =>10 4. Present with significant anhedonic symptoms (PHQ-9 item 1 score =>2)
Exclusion criteria
Exclusion criteria: 1. Depression is not the primary presenting problem 2. Alcohol or drug dependent 3. Acutely suicidal or self-harming 4. Cognitively impaired 5. Have bipolar disorder or psychosis/psychotic symptoms ascertained at baseline research interviews 6. Currently receiving another psychological therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Severity of depression and anxiety symptoms are measured using the 9 item Patient Health Questionnaire (PHQ-9; Kroenke et al., 2001) and the 7 item version of the Generalized Anxiety Disorder questionnaire (GAD-7; Spitzer et al., 2006) at baseline, six, 12 and 18 months 2. Wellbeing outcomes are measured using the 14 item version of the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS; Clark et al., 2003) at baseline, six, 12 and 18 months 3. Cost of therapies are measured using records from therapists (including training, preparation, supervision, session, and travel time) using standard micro-costing (bottom-up) approaches at baseline, six, 12 and 18 months 4. Participants views and experiences are assessed with feedback booklets at the end of treatment, with a subset of respondents being invited to take part in interviews between the end of treatment and 12 month follow-up | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Impact of ADepT versus CBT are measured using patient self-report, laboratory experimental and experience sampling data at baseline and six months 2. Health economic analyses are measured using Adult Service Use Schedule (AD-SUS), the Investigating Choice Experiments Capability Measure for Adults (ICECAP-A), the EuroQol Five Dimensions Questionnaire (EQ-5D-5L), and the Absenteeism and Presenteeism items of the World Health Organization Health and Performance Questionnaire (HPQ) at baseline, six, twelve and eighteen months | — |
Countries
England, United Kingdom