The study evaluates cost and effect of inpatient versus outpatient treatment of dysthymia, as well as investigates the processes through which psychotherapy works in treating dysthymia.
Inpatient treatment allows a more intensive treatment and allows the patient to be in a context where it is possible to focus on the processes in therapy with minimal interruption. Outpatient treatment is much less intensive but allows the treatment process to unfold in the context where the patient is experiencing the problems that brought them to therapy. It is not clear which of the contexts will be more effective in alleviating symptoms of dysthymia. Further, as dysthymia is a very costly disease for society it is of interest to know if the two treatments are cost-effective, and which one is the most cost effective. A great paucity on dysthymia research ha left the psychotherapy field without an understanding of the processes through which dysthymia is changed. This study will investigate the change process through frequent assessments of common factors, psychological processes, symptoms, heart rate variability and cognitive attention bias.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
80
Modum Bad
Vikersund, Buskerud, Norway
RECRUITINGChange in Depressive symptoms
Beck depression inventory
Time frame: At assessment, start (12 weeks after assessment) and end (24 weeks after assessment) of therapy, and at one-year follow up (76 weeks after assessment).
Change in Depressive symptoms
Patient health questionnaire
Time frame: Once every week for the 12 weeks of active psychotherapy
Change in Cost of living with dysthymia
cost of living with dysthymia, cost-effectiveness of therapy at one-year and at 10 years. Information will be gathered from various registries and combined to a sum of money.
Time frame: pre therapy, one-year and 10 years
Emotional psychological processes
weekly measures of central emotional psychological processes (Modum Process Outcome questionnaire, M-poq. Calculated as mean of scores. Range 1-7, lower is better).
Time frame: Once every week for the 12 weeks of active psychotherapy
cognitive psychological processes
weekly measures of central cognitive psychological processes (Modum Process Outcome questionnaire, M-poq. Calculated as mean of scores. Range 1-7, lower is better).
Time frame: Once every week for the 12 weeks of active psychotherapy
metacognitive psychological processes
weekly measures of central metacognitive psychological processes (Modum Process Outcome questionnaire, M-poq. Calculated as mean of scores. Range 1-7, lower is better).
Time frame: Once every week for the 12 weeks of active psychotherapy
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Common factors-alliance
weekly measures of central common factors (Modum Process Outcome questionnaire, M-poq. Calculated as mean of scores. Range 1-7, higher is better).
Time frame: Once every week for the 12 weeks of active psychotherapy
Common factors-expectations
weekly measures of central common factors (Modum Process Outcome questionnaire, M-poq. Calculated as mean of scores. Range 1-7, higher is better).
Time frame: Once every week for the 12 weeks of active psychotherapy
Common factors-credibility
weekly measures of central common factors (Modum Process Outcome questionnaire, M-poq. Calculated as mean of scores. Range 1-7, higher is better).
Time frame: Once every week for the 12 weeks of active psychotherapy
Common factors-explanation
weekly measures of central common factors (Modum Process Outcome questionnaire, M-poq. Calculated as mean of scores. Range 1-7, higher is better).
Time frame: Once every week for the 12 weeks of active psychotherapy
anxiety Symptoms
weekly measures of Generalized Anxiety Disorders 7-item (GAD7)
Time frame: Once every week for the 12 weeks of active psychotherapy
resilience
weekly measures of resilience (Modum Process Outcome questionnaire, M-poq. Calculated as mean of scores. Range 1-7, higher is better).
Time frame: Once every week for the 12 weeks of active psychotherapy
loneliness
weekly measures of loneliness (Modum Process Outcome questionnaire, M-poq. Calculated as mean of scores. Range 1-7, higher is better).
Time frame: Once every week for the 12 weeks of active psychotherapy
Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS)
weekly measures of wellbeing. 14 Items scored 1-5 (Total score from 14-70). Higher score is better
Time frame: Once every week for the 12 weeks of active psychotherapy