OBSESSIVE COMPULSIVE DISORDER (OCD)NCT02656784
The Efficacy of TBCT Compared to ERP in the Treatment of OCD Patients, by the Assessment of Magnetic Resonance.
A study testing Cognitive Therapy and Behavioral Therapy in people with OBSESSIVE COMPULSIVE DISORDER (OCD), run by Universidade Estadual do PiauÍ at 1 site in Brazil.
Trial summary
This is a sample made up of ninety-six adult individuals of both sexes to be divided into three groups: the experimental group of thirty-two patients with OCD who will be undergone Trial-Based Cognitive Therapy; the gold standard, with thirty-two people with OCD subject Exposure and Response Prevention and the control… Read more about this study
- Who is it for?
- Ages 18 to 60 yearsHealthy volunteers can take part
- Conditions the study is for
- OBSESSIVE COMPULSIVE DISORDER (OCD)
- What is being tested?
- Cognitive Therapy and Behavioral Therapy
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 96 participants
- Where
- 1 siteBrazil
- Study dates
- Feb 2015to 3 May 2017
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 60 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Will be eligible adults of both sexes with educational level equal to or higher education complete primary, aged between 18 and 60 years with OCD diagnosis confirmed according to criteria DSM-IV
Who cannot join
- It is going to be excluded patients who had previously undergone treatment behavioral psychotherapy or cognitive-behavioral approach.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: The Resonance Assessment in Magnetic Measurement of the Effect of Psychotherapy in Obsessive-compulsive Disorder in a Randomized Clinical Trial
This is a sample made up of ninety-six adult individuals of both sexes to be divided into three groups: the experimental group of thirty-two patients with OCD who will be undergone Trial-Based Cognitive Therapy; the gold standard, with thirty-two people with OCD subject Exposure and Response Prevention and the control group of thirty-two healthy individuals. Interviews and therapeutic intervention occur in private practices researchers or medical schools accredited by UESPI.
Experimental group: Will be eligible adults of both sexes with educational level equal to or higher education complete primary, aged between 18 and 60 years with OCD diagnosis confirmed according to criteria DSM-IV (APA, 1994). It is going to be excluded patients who had previously undergone treatment behavioral psychotherapy or cognitive-behavioral approach.
Read the detailed description
OBJECTIVES
Evaluate the effectiveness of Trial-Based Cognitive Therapy (TBCT) compared to Exposure and Response Prevention (ERP) in the treatment of OCD patients, by neuroimaging tests such as MRI.
- Describe the neuroanatomical profile of the sample participants before and after the psychotherapeutic intervention by MRI;
- Compare the profile neuroanatomical between the experimental group and the control group by MRI;
- Identify possible neuroanatomical differences in the participating sample of pre and post-treatment, both among individuals and among psychotherapeutic intervention groups;
- To investigate associations between the results of MRI scans and indexes the scales currently used to assess severity of OCD.
- Conditions
- OBSESSIVE COMPULSIVE DISORDER (OCD)
- Being tested
- Cognitive Therapy, Behavioral Therapy
- Medical subject headings
- Obsessive-Compulsive Disorder
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Cognitive TherapyBehavioural
Also called Trial-based cognitive therapy
Trial-Based Cognitive Therapy (TBCT) is a three-level, three-phase, case formulation approach. TBCT's foundation is in cognitive therapy (CT); however, it has a unique approach to conceptualization and techniques that make it a distinct intervention in modifying patients' core beliefs, especially those about the self. All the individuals will be submitted to MRI.
Behavioral TherapyBehavioural
Also called Exposure and Response Prevention (ERP)
The Behavioral therapy employs the technique of Exposure and Response Prevention ( ERP ).The technique involves directly exposing patients to recall stimulation of obsessive thoughts and prevent them from performing the compulsive rituals. All the individuals will be submitted to MRI.
| Study group | Role | What they receive |
|---|---|---|
| Trial-Based Cognitive Therapy (TBCT) | Experimental | Trial-Based Cognitive Therapy (TBCT) is a three-level, three-phase, case formulation approach, based on the work of Franz Kafka "The Trial" and developed by Professor Irismar Reis de Oliveira at Federal University of Bahia, Brazil. TBCT's foundation is in cognitive therapy (CT); however, it has a unique approach to conceptualization and techniques that make it a distinct intervention in modifying patients' core beliefs, especially those about the self. All individuals in the group will be submitted to MRI Receives: Behavioral: Behavioral Therapy |
| Behavioral Therapy (ERP) | Experimental | The Behavioral Therapy is an intervention of first choice for treatment of OCD , which employs the technique of Exposure and Response Prevention (ERP) , considered the gold standard to the disorder. The technique involves directly exposing patients to recall stimulation of obsessive thoughts and prevent them from performing the compulsive rituals. All individuals in the group will be submitted to MRI Receives: Behavioral: Cognitive Therapy |
| Control Group | No intervention | The control group consisted of individuals without OCD, matched with the experimental group in terms of gender,age and education. In this group are not included in individuals in psychotherapeutic care and with a history of neurological or psychiatric disorder; however, all them will be submitted to MRI . |
What is being measured
The primary outcome is the main question the study is designed to answer.
The severity of OCD (Morphological and physiological changes in the brain)
Data colected at 1st week, 6th week, 12th week. Scales used are Yale-Brown Obssessive Compulsive Scale and Symptoms of Checklist (Y-BOCS), Beck Depression Inventory (BDI), Beck Anxienty Inventory (BAI), Obsessive-Compulsive Beliefs Questionnaire-87 (OBQ-87), The Medical Outcomes Study 36 - Item Short Form Health Survery ( SF-36), Questionnare of Cognitive Distortions (CD-Quest), Subjective Units of Discomfort (SUDS) and MRI.
Measured: 12 weeks (3 months)
Secondary outcomes (13)
Quality of Life
Data colected at 1st week and 12th week and, at follow-up, after three months, six months and one year. The scale used is SF-36
Measured: 12 weeks
Quality of Life
At follow-up, after three months, six months and one year. The scale used is SF-36
Measured: 1 year
Cognitive Distortions
Data colected every week (during 12 weeks). The scale used is CD-Quest
Measured: 12 weeks
Cognitive Distortions
At follow-up, after three months, six months and one year. The scale used is Cognitive Distortions Questionnaire.
Measured: 1 year
Severity of OCD
Data colected at 1st week, 6th week and 12th week and, at follow-up, after three months, six months and one year. The scale used is Y-BOCS
Measured: 12 weeks
Severity of OCD
At follow-up, after three months, six months and one year. The scale used is Y-BOCS.
Measured: 1 year
The Assessment of Depression
Data colected at 1st week, 6th week and 12th week and, at follow-up, after three months, six months and one year. The scale used is BDI
Measured: 12 weeks
The Assessment of Depression
At follow-up, after three months, six months and one year. The scale used is BDI
Measured: 1 year
The Assessment of Anxiety
Data colected at 1st week, 6th week and 12th week and, at follow-up, after three months, six months and one year. The scale used is BAI
Measured: 12 weeks
The Assessment of Anxiety
At follow-up, after three months, six months and one year. The scale used is BAI
Measured: 1 year
The Assessment of Magnetic Resonance (MRI)
Data colected at zero week and 15th week. The scale used is MRI
Measured: 15 weeks
The Assessment of The Obssessive Beliefs
Data colected at zero week and 15th week. The scale used is OBQ-87
Measured: 15 weeks
The level of Anxiety (Obssessive, Compulsive and Evitation Symptoms)
Data colected every week (during 12 weeks). The scale used is SUDS
Measured: 12 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Jan 2016 (estimated)
- Study startFeb 2015
- Primary completionDec 2016
- Study completion3 May 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for OBSESSIVE COMPULSIVE DISORDER (OCD)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Investigator
- Enrolment
- 96 participants (actual)
Sponsor and investigators
- Lead sponsor
- Universidade Estadual do PiauÍ
- Sponsor type
- University, hospital or other
- Collaborators
- Federal University of Bahia
- Responsible party
- Principal investigator, Eleonardo Pereira Rodrigues, Universidade Estadual do PiauÍ
- Investigators
- Eleonardo P Rodrigues, Psy MSc, Principal investigator, Piaui State University - Brazil - UESPI - RecruitingIrismar R De Oliveira, PhD, Study director, Bahia Federal University - Brazil - UFBA
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02656784
- Sponsor's protocol ID
- UESPI
- Status last verified
- Jun 2017
- First submitted
- 5 Dec 2015
- Last updated
- 22 Jun 2017
- Results posted
- No
- Data monitoring committee
- Yes
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 22 Jun 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Resonance Assessment in Magnetic Measurement of the Effect of Psychotherapy in Obsessive-compulsive Disorder in a Randomized Clinical Trial
- ClinicalTrials.gov ID
- NCT02656784
- Acronym / sponsor ID
- UESPI
- Conditions
- OBSESSIVE COMPULSIVE DISORDER (OCD)
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 96 participants (actual)
- Lead sponsor
- Universidade Estadual do PiauÍUniversity, hospital or other
- Collaborators
- Federal University of Bahia
- Study start
- Feb 2015 (actual)
- Primary completion
- Dec 2016 (actual)
- Study completion
- 3 May 2017 (actual)
- First posted
- 15 Jan 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a sample made up of ninety-six adult individuals of both sexes to be divided into three groups: the experimental group of thirty-two patients with OCD who will be undergone Trial-Based Cognitive Therapy; the gold standard, with thirty-two people with OCD subject Exposure and Response Prevention and the control group of thirty-two healthy individuals. Interviews and therapeutic intervention occur in private practices researchers or medical schools accredited by UESPI.
Experimental group: Will be eligible adults of both sexes with educational level equal to or higher education complete primary, aged between 18 and 60 years with OCD diagnosis confirmed according to criteria DSM-IV (APA, 1994). It is going to be excluded patients who had previously undergone treatment behavioral psychotherapy or cognitive-behavioral approach.
Detailed description
OBJECTIVES
Evaluate the effectiveness of Trial-Based Cognitive Therapy (TBCT) compared to Exposure and Response Prevention (ERP) in the treatment of OCD patients, by neuroimaging tests such as MRI.
- Describe the neuroanatomical profile of the sample participants before and after the psychotherapeutic intervention by MRI;
- Compare the profile neuroanatomical between the experimental group and the control group by MRI;
- Identify possible neuroanatomical differences in the participating sample of pre and post-treatment, both among individuals and among psychotherapeutic intervention groups;
- To investigate associations between the results of MRI scans and indexes the scales currently used to assess severity of OCD.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Trial-Based Cognitive Therapy (TBCT) | Experimental | Behavioral: Behavioral TherapyTrial-Based Cognitive Therapy (TBCT) is a three-level, three-phase, case formulation approach, based on the work of Franz Kafka "The Trial" and developed by Professor Irismar Reis de Oliveira at Federal University of Bahia, Brazil. TBCT's foundation is in cognitive therapy (CT); however, it has a unique approach to conceptualization and techniques that make it a distinct intervention in modifying patients' core beliefs, especially those about the self. All individuals in the group will be submitted to MRI |
| Behavioral Therapy (ERP) | Experimental | Behavioral: Cognitive TherapyThe Behavioral Therapy is an intervention of first choice for treatment of OCD , which employs the technique of Exposure and Response Prevention (ERP) , considered the gold standard to the disorder. The technique involves directly exposing patients to recall stimulation of obsessive thoughts and prevent them from performing the compulsive rituals. All individuals in the group will be submitted to MRI |
| Control Group | No intervention | –The control group consisted of individuals without OCD, matched with the experimental group in terms of gender,age and education. In this group are not included in individuals in psychotherapeutic care and with a history of neurological or psychiatric disorder; however, all them will be submitted to MRI . |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (1 listed)
- Will be eligible adults of both sexes with educational level equal to or higher education complete primary, aged between 18 and 60 years with OCD diagnosis confirmed according to criteria DSM-IV
Key exclusion criteria (1 listed)
- It is going to be excluded patients who had previously undergone treatment behavioral psychotherapy or cognitive-behavioral approach.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Cognitive TherapyAlso: Trial-based cognitive therapyTrial-Based Cognitive Therapy (TBCT) is a three-level, three-phase, case formulation approach. TBCT's foundation is in cognitive therapy (CT); however, it has a unique approach to conceptualization and techniques that make it a distinct intervention in modifying patients' core beliefs, especially those about the self. All the individuals will be submitted to MRI. | Behavioural | Behavioral Therapy (ERP) |
| Behavioral TherapyAlso: Exposure and Response Prevention (ERP)The Behavioral therapy employs the technique of Exposure and Response Prevention ( ERP ).The technique involves directly exposing patients to recall stimulation of obsessive thoughts and prevent them from performing the compulsive rituals. All the individuals will be submitted to MRI. | Behavioural | Trial-Based Cognitive Therapy (TBCT) |
Primary outcome
The severity of OCD (Morphological and physiological changes in the brain)
Time frame: 12 weeks (3 months)
Data colected at 1st week, 6th week, 12th week. Scales used are Yale-Brown Obssessive Compulsive Scale and Symptoms of Checklist (Y-BOCS), Beck Depression Inventory (BDI), Beck Anxienty Inventory (BAI), Obsessive-Compulsive Beliefs Questionnaire-87 (OBQ-87), The Medical Outcomes Study 36 - Item Short Form Health Survery ( SF-36), Questionnare of Cognitive Distortions (CD-Quest), Subjective Units of Discomfort (SUDS) and MRI.
13 secondary outcomes
Quality of Life
Time frame: 12 weeks
Quality of Life
Time frame: 1 year
Cognitive Distortions
Time frame: 12 weeks
Cognitive Distortions
Time frame: 1 year
Severity of OCD
Time frame: 12 weeks
Severity of OCD
Time frame: 1 year
The Assessment of Depression
Time frame: 12 weeks
The Assessment of Depression
Time frame: 1 year
The Assessment of Anxiety
Time frame: 12 weeks
The Assessment of Anxiety
Time frame: 1 year
The Assessment of Magnetic Resonance (MRI)
Time frame: 15 weeks
The Assessment of The Obssessive Beliefs
Time frame: 15 weeks
The level of Anxiety (Obssessive, Compulsive and Evitation Symptoms)
Time frame: 12 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Jun 2017.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Eleonardo P Rodrigues, Psy MSc principal investigator
Piaui State University - Brazil - UESPI - Recruiting
Irismar R De Oliveira, PhD study director
Bahia Federal University - Brazil - UFBA
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Cognitive Therapy and Behavioral Therapy in people with OBSESSIVE COMPULSIVE DISORDER (OCD), run by Universidade Estadual do PiauÍ at 1 site in Brazil.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 22 Jun 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Brazil. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The severity of OCD (Morphological and physiological changes in the brain) (time frame: 12 weeks (3 months)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Jun 2017.