Depressive Symptoms and Emotion Regulation Following Cognitive Behavioral Therapy

Heidelberg University100 enrolled

Overview

This study investigates depressive symptoms and the use of emotion regulation strategies over the course of a two-year period in participants terminating outpatient cognitive behavioral therapy for depression. The main objective of the study is to examine if changes in the use of certain emotion regulation strategies (e.g. reappraisal, rumination) predict depression relapse or changes in depressive symptoms after the completion of outpatient cognitive behavioral therapy.

Study Type

OBSERVATIONAL

Enrollment

100

Conditions

Depression

Eligibility

Sex: ALLMin age: 18 YearsMax age: 100 Years

Medical Language ↔ Plain English

Inclusion Criteria: * age older than 18 years * regular termination of outpatient cognitive behavioral therapy for depression (or premature termination agreed upon by both the therapist and the patient because of symptom improvement after at least 12 sessions) * last therapy session not more than two weeks prior to enrollment * self-reported improvement in depressive symptoms as a result of cognitive behavioral therapy * possession of a smartphone (operating system: Android or iOS) with Internet access * possession of a laptop/desktop computer with Internet access * familiarity with apps and the Internet * fluency in German language Exclusion Criteria: * premature termination of outpatient cognitive behavioral therapy (exception: termination agreed upon by both the therapist and the patient because of symptom improvement) * BDI-II score ≥ 20 * acute substance use disorder (\< 3 months) * current or past psychotic disorder * current or past (hypo)manic episode * acute suicidality * severe neurological disorder/cerebral damage * severe physical/medical illness

Locations (1)

Department of Clinical Psychology and Psychotherapy, Institute of Psychology, Heidelberg University

Heidelberg, Germany

RECRUITING

Outcomes

Primary Outcomes

Change in ecological momentary assessment scores

Change in ecological momentary assessment scores. Data will be collected using the smartphone app EmoTrack2. The app measures emotions experienced, context factors of the emotional experiences, and emotions regulation strategies used (five measurements per day over a period of seven consecutive days).

Time frame: 0, 3, 6, 9, 12, 15, 18, 21, and 24 months after completion of cognitive behavioral therapy

Change in the mental disorders diagnosed with the Structured Clinical Interview for DSM-5 (SCID-5)

Change in the mental disorders diagnosed with the German version of the Structured Clinical Interview for DSM-5

Time frame: 0, 6, 12, and 24 months after completion of cognitive behavioral therapy

Change in the score on the Beck Depression Inventory-II (BDI-II)

Change in the score on the German version of the Beck Depression Inventory-II

Time frame: 0, 3, 6, 9, 12, 15, 18, 21, and 24 months after completion of cognitive behavioral therapy

Change in the score on the WHO (Five) Well-Being Index (WHO-5)

Change in the score on the German version of the WHO (Five) Well-Being Index

Time frame: 0, 3, 6, 9, 12, 15, 18, 21, and 24 months after completion of cognitive behavioral therapy

Change in the scores on the Brief-Symptom-Checklist (BSCL)

Change in the scores on the German short form of the Symptom Checklist-90-Revised

Time frame: 0, 3, 6, 9, 12, 15, 18, 21, and 24 months after completion of cognitive behavioral therapy

Change in the scores on the Center for Epidemiologic Studies Depression Scale (CES-D)

Change in the scores on the German version of the Center for Epidemiologic Studies Depression Scale

Central Contacts

Verena Zimmermann, M.Sc.

CONTACT

+49 6221 547295 verena.zimmermann@psychologie.uni-heidelberg.de

Christina Timm, M.Sc.

CONTACT

+49 6221 547715 christina.timm@psychologie.uni-heidelberg.de

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.

Secondary Outcomes

Change in the scores on the Questions on Life Satisfaction (FLZM)

Change in the scores on the Questions on Life Satisfaction (German Questionnaire)

Time frame: 0, 3, 6, 9, 12, 15, 18, 21, and 24 months after completion of cognitive behavioral therapy

Change in the scores on the Revised UCLA Loneliness Scale

Change in the scores on the German version of the Revised UCLA Loneliness Scale

Time frame: 0, 3, 6, 9, 12, 15, 18, 21, and 24 months after completion of cognitive behavioral therapy

Change in the scores on the Rosenberg's Self-Esteem Scale

Change in the scores on the revised version of the German adaptation of Rosenberg's Self-Esteem Scale

Time frame: 0, 3, 6, 9, 12, 15, 18, 21, and 24 months after completion of cognitive behavioral therapy