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DepressionRECOVERYNCT03917550

RECOVERY: A Transdiagnostic Intervention for Anxiety and Depression

A study testing Recovery (Transdiagnostic & self) and Transdiagnostic in people with Depression and Dysthymic Disorder, run by West University of Timisoara at 1 site in Romania.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

To investigate the efficacy and acceptability of a guided internet delivered transdiagnostic intervention, targeting mild to moderate clinical symptoms of anxiety and depression and emphasizing the changes taking place at the level of the structures of the self. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Depression, Dysthymic Disorder, Panic Disorder
What is being tested?
Recovery (Transdiagnostic & self) and Transdiagnostic
Could I receive a placebo?
No, everyone receives an active treatment
How many people
260 participants
Where
1 siteRomania
Study dates
18 Mar 2019to 27 Mar 2020
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • be fluent in Romanian,
  • be at least 18 years of age,
  • have at least a clinical diagnosis of major depressive disorder/dysthymia, and/or generalized anxiety disorder, and/or social anxiety disorder, panic anxiety disorder and/or Agoraphobia, specific phobia or any combination of these conditions on Structured Clinical Interview for the Diagnostic and Statistical Manual for Mental Disorders 5 (SCID-I 5)

Who cannot join

  • suicidal plans,
  • changes in the dosage if psychotropic medication during the last month (if present),
  • have bipolar disorder or psychosis (according to medication status),
  • have an alcohol/substance abuse and/or dependence disorder,
  • currently take part in other psychological treatment,
  • obvious obstacle to participation (i.e., no current Internet access, long travel plans during the treatment period etc.)

Trial locations and contacts

1 site in 1 country.

Bogdan Tudor Tulbure, PhD contact

0040745753061

btulbure@gmail.com

Romania1 site, 1 recruiting
  • West University of Timisoara

    Timișoara, Timiș County, 300223

    Bogdan Tudor Tulbure, PhD, 0040745753061, btulbure@gmail.com

    Recruiting

Other trials in Romania

About this study

Official title: RECOVERY: An Internet-delivered Transdiagnostic Cognitive Behavior Therapy in Romania

To investigate the efficacy and acceptability of a guided internet delivered transdiagnostic intervention, targeting mild to moderate clinical symptoms of anxiety and depression and emphasizing the changes taking place at the level of the structures of the self.

Read the detailed description

The effectiveness of a Transdiagnostic Cognitive-Behavioral Treatment will be compared with an improved version of it, in which new intervention techniques were added, pointing out the importance of improving some self-concept dimensions in reducing symptoms of anxiety and depression. In order to prove this, the study design will include two active intervention groups; a standard transdiagnostic intervention protocol will be delivered to one group and an improved version of the same transdiagnostic protocol will be delivered to the other group. The new added techniques targets some self-concepts, namely self-compassion, unconditional self-acceptance and self-esteem. The main goal of the study is to concurrently test effectiveness of these two transdiagnostic approaches in reducing symptoms of anxiety and depression and improving the above-mentioned self-concepts. This non-inferiority trial has the power to detect an effect size larger than Cohen's d = .40 (including 20% attrition at post-test and 6 month follow-up)

Being tested
Recovery (Transdiagnostic & self), Transdiagnostic
Keywords
Transdiagnostic, Cognitive behavioural therapy (CBT), Depression, Anxiety
Medical subject headings
Depression, Dysthymic Disorder, Panic Disorder, Phobia, Social, Generalized Anxiety Disorder, Phobia, Specific, Anxiety Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Recovery (Transdiagnostic & self)Behavioural

    This transdiagnostic program is based on the general Cognitive Behavioral Therapy (CBT) principles and targets core higher order factors such as negative affectivity and emotion dysregulation, using common intervention techniques applicable across disorders. The program was designed to directly address the aversive emotional experiences often reported by clients, hoping to reverse participants' maladaptive thinking style and dysfunctional behaviors. In addition, specific intervention designed to improve self-compassion, unconditional self-acceptance, self-esteem and self concept clarity were added.

  • TransdiagnosticBehavioural

    This transdiagnostic program is based on the general Cognitive Behavioral Therapy (CBT) principles and targets core higher order factors such as negative affectivity and emotion dysregulation, using common intervention techniques applicable across disorders. The program was designed to directly address the aversive emotional experiences often reported by clients, hoping to reverse participants' maladaptive thinking style and dysfunctional behaviors.

Study groups in NCT03917550
Study groupRoleWhat they receive
Recovery (Transdiagnostic & self)ExperimentalA longitudinal study conducted before has shown that self-compassion, unconditional self-acceptance, self-esteem and self concept clarity could be considered risk factors for the severity of the clinical symptoms in anxiety and depression. This is the main reason why this arm consists of the Transdiagnostic intervention program for emotional disorders plus a number of intervention techniques targeting the self-concepts mentioned before. The intervention, based on the Cognitive Behavioral Therapy (CBT) principles, is designed to encourage participants to confront and experience uncomfortable emotions, and use adaptive coping mechanisms. Moreover, additional intervention techniques targeting self-concepts will be used to improve participants' self.
Receives: Behavioral: Recovery (Transdiagnostic & self)
TransdiagnosticActive comparatorThis arm represents the Transdiagnostic intervention program for emotional disorders. The intervention, based on the Cognitive Behavioral Therapy (CBT) principles, is designed to encourage participants to confront and experience uncomfortable emotions, and use adaptive coping mechanisms.
Receives: Behavioral: Transdiagnostic

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Patient Health Questionnaire 9 (PHQ9)

    The Patient Health Questionnaire 9 (PHQ9) was designed to measure participant's level of depression. The scale is unidimensional and the total score ranges from 0 to 27. Low scores are associated with low levels of depression, while high scores are associated with high levels of depression.

    Measured: Absolute values (average score) of PHQ9 at 10 weeks (post-intervention)

  2. Generalized Anxiety Disorder 7 (GAD7)

    Generalized Anxiety Disorder 7 (GAD7) was designed to measure participant's level of generalized anxiety or worry. The scale is unidimensional and the total score ranges from 0 to 21. Low scores are associated with low levels of worry, while high scores are associated with high levels of worry.

    Measured: Absolute values (average score) of GAD7 at 10 weeks (post-intervention)

  3. Social Phobia Inventory (SPIN)

    The SPIN was designed to measure participant's level of social phobia. The scale is unidimensional and the total score ranges from 0 to 68. Low scores are associated with low levels of social phobia, while high scores are associated with high levels of social phobia.

    Measured: Absolute values (average score) of SPIN at 10 weeks (post-intervention)

  4. Panic Disorder Severity Scale-Self Report (PDSS-SR)

    The PDSS-SR was designed to measure participant's level of panic. The scale is unidimensional and the total score rages from 0 to 28. Low scores are associated with low levels of panic, while high scores are associated with high levels of panic.

    Measured: Absolute values (average score) of PDSS-SR at 10 weeks (post-intervention)

Secondary outcomes (13)
  1. Work and Social Adjustment Scale (WSAS)

    Work and Social Adjustment Scale (WSAS) was designed to measure symptom interference. The scale is unidimensional and the total score ranges from 0 to 40. Low scores are associated with higher levels of functioning (less interference of clinical symptoms) while high scores are associated with lower levels of functioning (or high interference of clinical symptoms).

    Measured: Absolute values (average score) of WSAS at 10 weeks (post-intervention)

  2. Beck Depression Inventory-II (BDI-II)

    The Beck Depression Inventory-II (BDI-II) was designed to measure participant's level of depression. The scale is unidimensional and the total score ranges from 0 to 63. Low scores are associated with low levels of depression, while high scores are associated with high levels of depression.

    Measured: Absolute values (average score) of BDI-II at 10 weeks (post-intervention)

  3. Penn State Worry Questionnaire (PSWQ)

    The PSWQ was designed to measure participant's level of generalized anxiety or worry. The scale is unidimensional and the total score ranges from 16 to 80. Low scores are associated with low levels of worry, while high scores are associated with high levels of worry.

    Measured: Absolute values (average score) of PSWQ at 10 weeks (post-intervention)

  4. Anxiety Sensitivity Index 16 (ASI16)

    The ASI was designed to measure participant's level of anxiety sensitivity. The scale is unidimensional and the total score rages from 0 to 64. Low scores are associated with low levels of anxiety sensitivity, while high scores are associated with high levels of anxiety sensitivity.

    Measured: Absolute values (average score) of ASI at 10 weeks (post-intervention)

  5. Self-Concept Clarity Scale (SCCS)

    SCCS was designed to measure participant's level of their Self-Concept Clarity. The scale is unidimensional and the total score rages from 12 to 60. Low scores are associated with low levels of Self-Clarity, while high scores are associated with high levels of Self-Clarity.

    Measured: Absolute values (average score) of SCCS at 10 weeks (post-intervention)

  6. New General Self-Efficacy Scale (NGSE)

    NGSE was designed to measure participant's level of Self-Efficacy. The scale is unidimensional and the total score rages from 8 to 40. Low scores are associated with low levels of Self-Efficacy, while high scores are associated with high levels of Self-Efficacy.

    Measured: Absolute values (average score) of NGSE at 10 weeks (post-intervention)

  7. Unconditional Self-Acceptance Questionnaire (USAQ)

    USAQ was designed to measure participant's level of unconditional Self-Acceptance. The scale is unidimensional and the total score rages from 20 to 140. Low scores are associated with low levels of unconditional Self-Acceptance, while high scores are associated with high levels of unconditional Self-Acceptance.

    Measured: Absolute values (average score) of USAQ at 10 weeks (post-intervention)

  8. Overall Anxiety Severity and Impairment Scale (OASIS)

    The OASIS was designed to measure participant's level of overall anxiety level. The scale is unidimensional and the total score rages from 0 to 20. Low scores are associated with low levels of anxiety, while high scores are associated with high levels of anxiety.

    Measured: Absolute values (average score) of OASIS at 10 weeks (post-intervention)

  9. Overall Depression Severity and Impairment Scale (ODSIS)

    The ODSIS was designed to measure participant's level of overall depression level. The scale is unidimensional and the total score rages from 0 to 20. Low scores are associated with low levels of depression, while high scores are associated with high levels of depression.

    Measured: Absolute values (average score) of ODSIS at 10 weeks (post-intervention)

  10. Rosenberg Self-Esteem Scale (RSES)

    Rosenberg Self-Esteem Scale was designed to measure participant's level of Self-Esteem. The scale is unidimensional and the total score rages from 10 to 40. Low scores are associated with low levels of Self-Esteem, while high scores are associated with high levels of Self-Esteem.

    Measured: Absolute values (average score) of RSES at 10 weeks (post-intervention)

  11. Self-Compassion Scale (SCS)

    SCS was designed to measure participant's level of their Self-Compassion. The scale is multidimensional and the total score rages from 26 to 130. Low scores are associated with low levels of Self-Compassion, while high scores are associated with high levels of Self-Compassion.

    Measured: Absolute values (average score) of SCS at 10 weeks (post-intervention)

  12. Minnesota Multiphasic Personality Inventory 2 Neagtive Treatment Indicator Scale (MMPI2TRT)

    MMPI2TRT was designed to measure participants negative attitudes toward doctors/mental health professionals and unwilling to discuss personal problems. The scale is unidimensional and the total score rages from 0 to 26. Low scores are associated positive attitudes towards doctors and willingness to discuss problems while high scores are associated with negative attitudes toward doctors and unwilling to discuss personal problems.

    Measured: Absolute values (average score) of MMPI2TRT at 10 weeks (post-intervention)

  13. Personality Clinical Form - Neagtive TReaTment Indicator Scale (PCFTRT)

    PCFTRT is a new subscale designed to assess participants negative attitudes toward mental health professionals and unwilling to discuss personal problems. The subscale is unidimensional and the total score rages from 0 to 24. Low scores are associated positive attitudes towards doctors and willingness to discuss problems while high scores are associated with negative attitudes toward doctors and unwilling to discuss personal problems.

    Measured: Absolute values (average score) of PCFTRT at 10 weeks (post-intervention)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Apr 2019
  2. Study start18 Mar 2019
  3. Primary completion30 Aug 2019 (estimated)
  4. Study completion27 Mar 2020 (estimated)

Resources

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
Outcomes assessor
Enrolment
260 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03917550
Sponsor's protocol ID
WUT - RECOVERY
Acronym
RECOVERY
Status last verified
Apr 2019
First submitted
14 Apr 2019
Last updated
17 Apr 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Data will be process only at the group level. No individual data will be shared to third parties.

Publications

  • Isbasoiu AB, Tulbure BT, Rusu A, Sava FA. Can We Boost Treatment Adherence to an Online Transdiagnostic Intervention by Adding Self-Enhancement Strategies? Results From a Randomized Controlled Non-inferiority Trial. Front Psychol. 2021 Dec 2;12:752249. doi: 10.3389/fpsyg.2021.752249. eCollection 2021.

    PubMed 34925157

Questions about this trial

What is this clinical trial studying?

A study testing Recovery (Transdiagnostic & self) and Transdiagnostic in people with Depression and Dysthymic Disorder, run by West University of Timisoara at 1 site in Romania.

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 3 inclusion and 6 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: status not confirmed, as of the sponsor's last update on 17 Apr 2019. 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 Romania. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Bogdan Tudor Tulbure, PhD (0040745753061, btulbure@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Patient Health Questionnaire 9 (PHQ9) (time frame: Absolute values (average score) of PHQ9 at 10 weeks (post-intervention)). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03917550, which also lists 1 linked publication.

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 17 Apr 2019.

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