Effectiveness of Buddhist Monks in Providing Cognitive Behavior Therapy

Chiang Mai University62 enrolled

Overview

This research is to study the effectiveness of cognitive behavioral therapy-CBT and Psychotherapy by trained buddhist monks. There are generally accepted that both cognitive and Buddhist concepts are related. This randomized controlled trial is to study the elderly participants who suffer major depressive disorder according to DSM-IV. The subjects will be divided into two groups. The experimental group will receive 12 sessions of CBT 2 times per week for 6 weeks in addition to usual treatment. The control group will receive treatment as usual and general conversation (non-CBT) with monks. Pretreatment factors (such as attachment style, interpersonal factors) of both therapist monks and patient participants will be studied.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Major Depressive Disorder

Interventions

Treatment as usual (TAU)is defined as the routine care provided to each individual patient at the geriatric psychiatry clinic of Maharaj Nakorn Chiang Mai Hospital.

Cognitive-behavioral therapyBEHAVIORAL

Cognitive behavioral therapy(CBT)includes psychoeducational components combined with cognitive interventions targeted at challenging negative automatic thoughts.

Eligibility

Sex: ALLMin age: 60 YearsMax age: 95 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Meet criteria for Major depressive disorder * receiving antidepressant Exclusion Criteria: * presence of intense suicidal intent behaviors that require inpatient admission * history of alcohol or drug dependence * presence of hallucinations or delusions * currently receiving electroconvulsive therapy or repetitive-transcranial magnetic stimulation, * patients' involvement in other clinical trials.

Locations (1)

Geriatric clinic, Maharaj Nakorn Chiang Mai Hospital

Chiang Mai, Chiang Mai, Thailand

Outcomes

Primary Outcomes

Evidence of clinically depression confirmed by clinician

Depression will be assessed by HAMD-7 (McIntyre, 2005)

Time frame: 2 months after the end of the intervention

Depression- self report

depression will be assessed by Geriatric Depression Scale (GDS)(Shiekh \& Yesavage, 1986)

Time frame: 2 month after the end of the inetrvention

Secondary Outcomes

Dimensional psychological distress (anxiety, depression,and somatization)

anxiety, depression,and somatization symptom will be assessed by the Core symptom index (CSI) (Wongpakaran, unpublished),

Time frame: week 6, 12, 20

Dimensional psychological distress ( perception of stress)

Perception of stress will be assessed by Perceived Stress Scale-10 (PSS-10) (Cohen 1983 ; Wongpakaran, 2010)

Time frame: Week 6, 12, 20

Central Contacts

Nahathai - Wongpakaran, M.D.

CONTACT

+66 53 945422 nkuntawo@med.cmu.ac.th

Data from ClinicalTrials.gov

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