Efficacy of a dilemma-focused intervention for unipolar depression: study protocol for a multicenter randomized controlled trial
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/1822/70324 |
Resumo: | Depression is one of the more severe and serious health problems because of its morbidity, disabling effects and for its societal and economic burden. Despite the variety of existing pharmacological and psychological treatments, most of the cases evolve with only partial remission, relapse and recurrence.Cognitive models have contributed significantly to the understanding of unipolar depression and its psychological treatment. However, success is only partial and many authors affirm the need to improve those models and also the treatment programs derived from them. One of the issues that requires further elaboration is the difficulty these patients experience in responding to treatment and in maintaining therapeutic gains across time without relapse or recurrence. Our research group has been working on the notion of cognitive conflict viewed as personal dilemmas according to personal construct theory. We use a novel method for identifying those conflicts using the repertory grid technique (RGT). Preliminary results with depressive patients show that about 90% of them have one or more of those conflicts. This fact might explain the blockage and the difficult progress of these patients, especially the more severe and/or chronic. These results justify the need for specific interventions focused on the resolution of these internal conflicts. This study aims to empirically test the hypothesis that an intervention focused on the dilemma(s) specifically detected for each patient will enhance the efficacy of cognitive behavioral therapy (CBT) for depression. |
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Efficacy of a dilemma-focused intervention for unipolar depression: study protocol for a multicenter randomized controlled trialClinical ProtocolsDepressive DisorderHumansPsychiatric Status Rating ScalesPsychotherapy, GroupSpainTime FactorsTreatment OutcomeCognitive Behavioral TherapyConflict, PsychologicalPersonal Construct TheoryResearch DesignDepressionCognitive therapyImplicative dilemmasCognitive conflictsPersonal constructsRepertory gridCORE-OMRandomized clinical trialCiências Sociais::PsicologiaScience & TechnologyDepression is one of the more severe and serious health problems because of its morbidity, disabling effects and for its societal and economic burden. Despite the variety of existing pharmacological and psychological treatments, most of the cases evolve with only partial remission, relapse and recurrence.Cognitive models have contributed significantly to the understanding of unipolar depression and its psychological treatment. However, success is only partial and many authors affirm the need to improve those models and also the treatment programs derived from them. One of the issues that requires further elaboration is the difficulty these patients experience in responding to treatment and in maintaining therapeutic gains across time without relapse or recurrence. Our research group has been working on the notion of cognitive conflict viewed as personal dilemmas according to personal construct theory. We use a novel method for identifying those conflicts using the repertory grid technique (RGT). Preliminary results with depressive patients show that about 90% of them have one or more of those conflicts. This fact might explain the blockage and the difficult progress of these patients, especially the more severe and/or chronic. These results justify the need for specific interventions focused on the resolution of these internal conflicts. This study aims to empirically test the hypothesis that an intervention focused on the dilemma(s) specifically detected for each patient will enhance the efficacy of cognitive behavioral therapy (CBT) for depression.This research project is partially funded by the Ministry of Economy andCompetitiveness (ref. PSI2011-23246, previously Ministry of Science andInnovation). We thank Anna V Pooley for help in English editing of someparts of this manuscriptBioMed Central (BMC)Universidade do MinhoFeixas, GuillemBados, ArturoGarcía-Grau, EugeniMontesano, AdriánDada, GloriaCompañ, VictoriaAguilera, MariSalla, MartaSoldevilla, Joan MiquelTrujillo, AdrianaPaz, ClaraBotella, LluísCorbella, SergiSaúl-Gutiérrez, Luis AngelCañete, JoséGasol, MiquelIbarra, MontserratMedeiros-Ferreira, LeticiaSoriano, JoséRibeiro, EugéniaCaspar, FranzWinter, David20132013-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/70324engFeixas, G., Bados, A., García-Grau, E. et al. Efficacy of a dilemma-focused intervention for unipolar depression: study protocol for a multicenter randomized controlled trial. Trials 14, 144 (2013). https://doi.org/10.1186/1745-6215-14-1441745-62151745-621510.1186/1745-6215-14-14423683841https://trialsjournal.biomedcentral.com/articles/10.1186/1745-6215-14-144info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:36:49Zoai:repositorium.sdum.uminho.pt:1822/70324Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T19:33:00.784287Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Efficacy of a dilemma-focused intervention for unipolar depression: study protocol for a multicenter randomized controlled trial |
title |
Efficacy of a dilemma-focused intervention for unipolar depression: study protocol for a multicenter randomized controlled trial |
spellingShingle |
Efficacy of a dilemma-focused intervention for unipolar depression: study protocol for a multicenter randomized controlled trial Feixas, Guillem Clinical Protocols Depressive Disorder Humans Psychiatric Status Rating Scales Psychotherapy, Group Spain Time Factors Treatment Outcome Cognitive Behavioral Therapy Conflict, Psychological Personal Construct Theory Research Design Depression Cognitive therapy Implicative dilemmas Cognitive conflicts Personal constructs Repertory grid CORE-OM Randomized clinical trial Ciências Sociais::Psicologia Science & Technology |
title_short |
Efficacy of a dilemma-focused intervention for unipolar depression: study protocol for a multicenter randomized controlled trial |
title_full |
Efficacy of a dilemma-focused intervention for unipolar depression: study protocol for a multicenter randomized controlled trial |
title_fullStr |
Efficacy of a dilemma-focused intervention for unipolar depression: study protocol for a multicenter randomized controlled trial |
title_full_unstemmed |
Efficacy of a dilemma-focused intervention for unipolar depression: study protocol for a multicenter randomized controlled trial |
title_sort |
Efficacy of a dilemma-focused intervention for unipolar depression: study protocol for a multicenter randomized controlled trial |
author |
Feixas, Guillem |
author_facet |
Feixas, Guillem Bados, Arturo García-Grau, Eugeni Montesano, Adrián Dada, Gloria Compañ, Victoria Aguilera, Mari Salla, Marta Soldevilla, Joan Miquel Trujillo, Adriana Paz, Clara Botella, Lluís Corbella, Sergi Saúl-Gutiérrez, Luis Angel Cañete, José Gasol, Miquel Ibarra, Montserrat Medeiros-Ferreira, Leticia Soriano, José Ribeiro, Eugénia Caspar, Franz Winter, David |
author_role |
author |
author2 |
Bados, Arturo García-Grau, Eugeni Montesano, Adrián Dada, Gloria Compañ, Victoria Aguilera, Mari Salla, Marta Soldevilla, Joan Miquel Trujillo, Adriana Paz, Clara Botella, Lluís Corbella, Sergi Saúl-Gutiérrez, Luis Angel Cañete, José Gasol, Miquel Ibarra, Montserrat Medeiros-Ferreira, Leticia Soriano, José Ribeiro, Eugénia Caspar, Franz Winter, David |
author2_role |
author author author author author author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade do Minho |
dc.contributor.author.fl_str_mv |
Feixas, Guillem Bados, Arturo García-Grau, Eugeni Montesano, Adrián Dada, Gloria Compañ, Victoria Aguilera, Mari Salla, Marta Soldevilla, Joan Miquel Trujillo, Adriana Paz, Clara Botella, Lluís Corbella, Sergi Saúl-Gutiérrez, Luis Angel Cañete, José Gasol, Miquel Ibarra, Montserrat Medeiros-Ferreira, Leticia Soriano, José Ribeiro, Eugénia Caspar, Franz Winter, David |
dc.subject.por.fl_str_mv |
Clinical Protocols Depressive Disorder Humans Psychiatric Status Rating Scales Psychotherapy, Group Spain Time Factors Treatment Outcome Cognitive Behavioral Therapy Conflict, Psychological Personal Construct Theory Research Design Depression Cognitive therapy Implicative dilemmas Cognitive conflicts Personal constructs Repertory grid CORE-OM Randomized clinical trial Ciências Sociais::Psicologia Science & Technology |
topic |
Clinical Protocols Depressive Disorder Humans Psychiatric Status Rating Scales Psychotherapy, Group Spain Time Factors Treatment Outcome Cognitive Behavioral Therapy Conflict, Psychological Personal Construct Theory Research Design Depression Cognitive therapy Implicative dilemmas Cognitive conflicts Personal constructs Repertory grid CORE-OM Randomized clinical trial Ciências Sociais::Psicologia Science & Technology |
description |
Depression is one of the more severe and serious health problems because of its morbidity, disabling effects and for its societal and economic burden. Despite the variety of existing pharmacological and psychological treatments, most of the cases evolve with only partial remission, relapse and recurrence.Cognitive models have contributed significantly to the understanding of unipolar depression and its psychological treatment. However, success is only partial and many authors affirm the need to improve those models and also the treatment programs derived from them. One of the issues that requires further elaboration is the difficulty these patients experience in responding to treatment and in maintaining therapeutic gains across time without relapse or recurrence. Our research group has been working on the notion of cognitive conflict viewed as personal dilemmas according to personal construct theory. We use a novel method for identifying those conflicts using the repertory grid technique (RGT). Preliminary results with depressive patients show that about 90% of them have one or more of those conflicts. This fact might explain the blockage and the difficult progress of these patients, especially the more severe and/or chronic. These results justify the need for specific interventions focused on the resolution of these internal conflicts. This study aims to empirically test the hypothesis that an intervention focused on the dilemma(s) specifically detected for each patient will enhance the efficacy of cognitive behavioral therapy (CBT) for depression. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013 2013-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1822/70324 |
url |
http://hdl.handle.net/1822/70324 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Feixas, G., Bados, A., García-Grau, E. et al. Efficacy of a dilemma-focused intervention for unipolar depression: study protocol for a multicenter randomized controlled trial. Trials 14, 144 (2013). https://doi.org/10.1186/1745-6215-14-144 1745-6215 1745-6215 10.1186/1745-6215-14-144 23683841 https://trialsjournal.biomedcentral.com/articles/10.1186/1745-6215-14-144 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
BioMed Central (BMC) |
publisher.none.fl_str_mv |
BioMed Central (BMC) |
dc.source.none.fl_str_mv |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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