CAMP: Examining Change Mechanisms in Psychotherapy

Sponsor

Modum Bad (Other)

Overall Status

Unknown status

CT.gov ID

NCT03503981

Collaborator

University of Oslo (Other)

520

Enrollment

Location

47.1

Anticipated Duration (Months)

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

This research project seeks to acquire a deeper understanding of the complex influences of common factors and specific ingredients in psychotherapy. By using frequent process-outcome measures, it will address individualized mechanisms of change in psychotherapy by assessing both between and within patient change processes, using a wide spectrum of change indicators.

Condition or Disease	Intervention/Treatment	Phase
Psychological Disorder Anxiety Disorders Depression Eating Disorder Post Traumatic Stress Disorder	Other: Psychotherapy

Detailed Description

The study is a naturalistic study conducted by collecting data from in-patient units at Modum Bad (psychiatric hospital). The sample includes different patient groups with a variety of psychological disorders. Further, sample is gathered from units using different treatment approaches (short-term psychodynamic treatment, cognitive-behavioral treatment, metacognitive therapy, compassion-focused therapy, relational psychodynamic therapy, existential therapy and stabilizing trauma-therapy).

The following specific research questions will be explored:

The role of common factors:
What are the relative influences of different common factors such as agreement on task and goals, treatment credibility and 'the real relationship', across treatments and diagnoses?
Do some common factor variables stand out regarding ability to explain variance in outcome and across outcomes?
Do measures of common factors have a consistent effect on outcome across treatment models and diagnoses, or does the explanatory value of common factors vary across diagnose and treatment model?
The role of specific change mechanisms (affective, cognitive and meta-cognitive):
To what extent do specific change mechanisms predict change in various outcome domains?
Are these specific change mechanisms equally important predictors, or do they vary across treatment or diagnose?
Are there interaction effects between common factors and specific factors across treatment models, patient diagnoses and outcome domain?

Self-report data will be collected three times a week on mechanisms of change and symptoms, established by psychotherapy theory and research evidence as important for psychological change. The data collection consists of three different forms administered once per week on different days. The forms are separated by topic; symptoms, contextual factors, and change processes. The questions in the forms are selected from short instruments with good psychometric qualities. The data collection procedure has at present been tested on five patient cohorts with good results.

Study Design

Study Type:

Observational

Anticipated Enrollment :

520 participants

Observational Model:

Cohort

Time Perspective:

Prospective

Official Title:

Examining Change Mechanisms in Psychotherapy: Relationship Between Specific Ingredients and Common Factors in Promoting Change.

Actual Study Start Date :

Sep 15, 2017

Anticipated Primary Completion Date :

Aug 20, 2020

Anticipated Study Completion Date :

Aug 20, 2021

Arms and Interventions

Arm	Intervention/Treatment
Anxiety unit Patients have anxiety as a primary diagnose. Receive treatment for anxiety (CBT and MCT).	Other: Psychotherapy There are different psychotherapy models offered across the units. All patients receive individual treatment and group therapy or psychoeducative groups.
Eating disorder unit Patients have eating disorder as primary diagnose. Receive treatment for their eating disorder (CBT and compassion-focused therapy).	Other: Psychotherapy There are different psychotherapy models offered across the units. All patients receive individual treatment and group therapy or psychoeducative groups.
Depression unit Patients have depression as primary disorder. Receive treatment for their depression (Short-term dynamic therapy, existential therapy and relational psychodynamic therapy).	Other: Psychotherapy There are different psychotherapy models offered across the units. All patients receive individual treatment and group therapy or psychoeducative groups.
Family unit One of the members of the family has a psychological disorder. The treatment is focused towards the family and family dynamics.	Other: Psychotherapy There are different psychotherapy models offered across the units. All patients receive individual treatment and group therapy or psychoeducative groups.
Trauma unit Patients have PTSD and relational trauma as primary diagnosis. Receive stabilizing treatment and exposure therapy.	Other: Psychotherapy There are different psychotherapy models offered across the units. All patients receive individual treatment and group therapy or psychoeducative groups.

Outcome Measures

Primary Outcome Measures

Symptom checklist revised (SCL-90-R) [Change measure (baseline, 14 weeks, and 12 months).]
A general measure of symptoms distress

Secondary Outcome Measures

Inventory of interpersonal problems [Change measure (baseline, 14 weeks, and 12 months).]
Self-report questionnaire of interpersonal problems
Beck's depression inventory [Change measure (baseline, 14 weeks, and 12 months).]
Measure of depressive symptoms
PTSD checklist for Diagnostic and Statistical Manual 5 (PCL-5) [Change measure (baseline, 14 weeks, and 12 months).]
PTSD symptom measure
M-POQ outcome, anxiety [Change measure (baseline, 1 week, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks, 7 weeks, 8 weeks, 9 weeks, 10 weeks, 11 weeks, 12 weeks, 13 weeks and 14 weeks).]
Measures anxiety symptoms
M-POQ outcome, depression [Change measure (baseline, 1 week, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks, 7 weeks, 8 weeks, 9 weeks, 10 weeks, 11 weeks, 12 weeks, 13 weeks and 14 weeks).]
Measures depression symptoms
M-POQ outcome, loneliness [Change measure (baseline, 1 week, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks, 7 weeks, 8 weeks, 9 weeks, 10 weeks, 11 weeks, 12 weeks, 13 weeks and 14 weeks).]
Measures experienced loneliness
M-POQ outcome, resilience [Change measure (baseline, 1 week, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks, 7 weeks, 8 weeks, 9 weeks, 10 weeks, 11 weeks, 12 weeks, 13 weeks and 14 weeks).]
Measures experienced recilience
M-POQ outcome, well-being [Change measure (baseline, 1 week, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks, 7 weeks, 8 weeks, 9 weeks, 10 weeks, 11 weeks, 12 weeks, 13 weeks and 14 weeks).]
Measures experienced well-being

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Must be a patient at Modum Bad
Have a psychological disorder
Must have rights to treatment according to the rules of specialist health care in

Norway. Includes the following:

Patient is expected to have poorer prognosis of life quality if not given treatment
It is expected that the patient will benefit from treatment
It is expected that there is a reasonable cost-effect balance regarding the treatment given and the patient's benefit from treatment.