depression major depressive disorder
Conditions
Interventions
In the Therap-i module patients will systematically self-monitor their affect
and person specific factors five times a day for two months with an electronic
diary. The diary items are based on patie
Sponsors
Universitair Medisch Centrum Groningen
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - Main diagnosis is Major Depressive Disorder (MDD) according to the DSM-V - Age between 18-65 years - Patients have previously received a primary protocolled psychological/psychotherapeutic intervention for depression, consisting of four months of (cognitive) behavioural therapy, interpersonal therapy or brief psychodynamic therapy, which is evaluated as not effective (enough) to repeat or continue by the clinician responsible for the patient. - Patients start or receive policlinic psychological treatment wherein they have weekly one-on-one consults with a therapist for at least 8 weeks
Exclusion criteria
Exclusion criteria: - A current diagnosis of: * MDD with psychotic features * bipolar disorder * substance-related and addictive disorder * schizophrenia spectrum and other psychotic disorder * neurocognitive disorder - Previous treatment with Electroconvulsive Therapy - Visual impairments that cannot be corrected - Insufficient mastery of the Dutch language - Inability or unwillingness to manage a smartphone
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measures to determine efficacy of the intervention will be the change in depressive symptom severity, as measured by the Inventory of Depressive Symptomatology self-report (IDS-SR). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures to determine efficacy of the Therap-i module are changes in i) psychological functioning as measured by the Outcome Questionnaire (OQ-45), ii) illness perception as measured by the Illness Perception Questionnaire Mental Health (IPQ-MH), iii) therapeutic alliance as measured by the Work Alliance Inventory (WAI). A descriptive outcome measure to determine efficacy of the Therap-i module are differences between the treatment arms in self-management as measured by the Questionnaire Self-Management in Recovery from Depression (Vragenlijst zelfmanagement bij herstel van depressie; QSRD). | — |
Countries
Netherlands
Outcome results
None listed