Clinical Trial of CBASP for Individuals With Co-occurring Chronic Depression and Alcohol Dependence
Study Details
Study Description
Brief Summary
This study examines the effectiveness of Cognitive Behavioral Analysis System of Psychotherapy (CBASP) in reducing both alcohol consumption and depressive symptoms in adults who are chronically depressed and alcohol dependent.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Detailed Description
This study examines the effectiveness of Cognitive Behavioral Analysis System of Psychotherapy (CBASP) in reducing both alcohol consumption and depressive symptoms in adults who are chronically depressed and alcohol dependent. Participants will receive a 20-session course of CBASP psychotherapy over a period of 21 weeks and will be assessed for severity of pretreatment psychological abuse and trauma as well as pre and posttreatment interpersonal functioning. Two primary hypotheses are to be tested: 1) demonstrate that CBASP is effective in reducing depressive symptoms (Hamilton Rating Scale for Depression-24 ratings) and alcohol consumption (drinks per drinking day) in this chronically depressed alcohol dependent cohort when posttreatment ratings are compared to pretreatment levels; and 2) demonstrate that acquisition of feeling safe with the therapist and acquisition of the ability to perceive the interpersonal consequences of one's behavior will significantly increase from pre to posttreatment levels and will be associated with reductions in drinking and depressive symptoms.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Chronically Depressed, Alcohol Dependent Participants who have been formally diagnosed with a clinical diagnosis of Chronic Depression and Alcohol Dependence. |
Behavioral: Cognitive Behavioral Analysis System of Psychotherapy
Cognitive Behavioral Analysis System of Psychotherapy (CBASP) is a behavioral intervention that addresses the unique behavioral characteristics of chronically depressed individuals, most of which are highly relevant for alcoholics as well. CBASP has a structured, individualized, and collaborative (patient and clinician) design. The intervention emphasizes teaching effective coping strategies and employing motivational, cognitive, behavioral, and interpersonal techniques. Individual therapy (1 hour) sessions occur on a weekly basis for a total of 20 sessions over a period of 21 weeks.
Other Names:
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Outcome Measures
Primary Outcome Measures
- Depression Rating [Baseline and 20 weeks]
Change in depression rating scale over time.
- Drinking behavior [Baseline and 20 weeks]
Change in number of drinks consumed per day over time.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Clinical diagnosis of a current major depressive disorder (e.g., Major Depression, Dysthymic Disorder) for a minimum of two years
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Clinical diagnosis of alcohol dependence during the last thirty days
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Interest in changing one's drinking and alleviating depressive symptoms
Exclusion Criteria:
- Please call study site for additional information
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | University of Virginia Center for Addiction Research & Education (UVa CARE) | Charlottesville | Virginia | United States | 22911 |
Sponsors and Collaborators
- University of Virginia
Investigators
- Principal Investigator: Jennifer K. Penberthy, Ph.D., University of Virginia, School of Medicine, Department of Psychiatry & Neurobehavioral Sciences
Study Documents (Full-Text)
None provided.More Information
Publications
- McCullough JP Jr. Treatment for chronic depression using Cognitive Behavioral Analysis System of Psychotherapy (CBASP). J Clin Psychol. 2003 Aug;59(8):833-46.
- McCullough, Jr., JP. (2000). Treatment for Chronic Depression: Cognitive Behavioral Analysis System of Psychotherapy (CBASP). New York: Guilford Press.
- McCullough, Jr., JP. (2001). Skills Training Manual for Diagnosis and Treating Chronic Depression: Cognitive Behavioral Analysis System of Psychotherapy (CBASP). New York: Guilford Press.
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