Evidence map›Paper›PMID 22925198›Full record

Trial reportBMC psychiatry2012

Preventing relapse in recurrent depression using mindfulness-based cognitive therapy, antidepressant medication or the combination: trial design and protocol of the MOMENT study.

Marloes J Huijbers, Jan Spijker, A Rogier T Donders, Digna J F van Schaik, Patricia van Oppen, Henricus G Ruhé, Marc B J Blom, Willem A Nolen, Johan Ormel, Gert Jan van der Wilt and 3 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00928980 (The Clinical and Cost-effectiveness of Mindfulness Based Cognitive Therapy, Maintenance Antidepressant Medication and Its Combination in the Prevention of Relapse in Patients With Recurrent Depression), which is not on this map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
6.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00928980 nacompletednot on this map

The Clinical and Cost-effectiveness of Mindfulness Based Cognitive Therapy, Maintenance Antidepressant Medication and Its Combination in the Prevention of Relapse in Patients With Recurrent Depression

TypeinterventionalSponsorRadboud University Medical CenterRan2009 to 2013Enrolled317ConditionsDepressive Disorder, MajorArmsMindfulness Based Cognitive Therapy, Optimal Medical Care
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Psychological therapies for treatment-resistant depression in adults.The Cochrane database of systematic reviews · 2018
    Pooled it
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  15. Abuse and misuse of antidepressants.Substance abuse and rehabilitation · 2014
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 10 institutions in 2 countries.

Marloes J HuijbersDepartment of Psychiatry, Radboud University Nijmegen Medical Center, Reinier Postlaan 10, Nijmegen 6525 GC, The Netherlands. M.Huijbers@psy.umcn.nl
Jan Spijker
A Rogier T Donders
Digna J F van Schaik
Patricia van Oppen
Henricus G Ruhé
Marc B J Blom
Willem A Nolen
Johan Ormel
Gert Jan van der Wilt
Willem Kuyken
Philip Spinhoven
Anne E M Speckens
Radboud University Nijmegen · NLUniversity Medical Center Groningen · NLAcademic Medical Center · NLAmsterdam UMC Location VUmc · NLGGZ inGeest · NLLeiden University · NLParnassia Groep · NLPro Persona · NLRadboud University Medical Center · NLUniversity of Exeter · GB

Funding

Medical Research Council G0401161
6 · The paper itself

Abstract

unlabelled

backgroundDepression is a common psychiatric disorder characterized by a high rate of relapse and recurrence. The most commonly used strategy to prevent relapse/recurrence is maintenance treatment with antidepressant medication (mADM). Recently, it has been shown that Mindfulness-Based Cognitive Therapy (MBCT) is at least as effective as mADM in reducing the relapse/recurrence risk. However, it is not yet known whether combination treatment of MBCT and mADM is more effective than either of these treatments alone. Given the fact that most patients have a preference for either mADM or for MBCT, the aim of the present study is to answer the following questions. First, what is the effectiveness of MBCT in addition to mADM? Second, how large is the risk of relapse/recurrence in patients withdrawing from mADM after participating in MBCT, compared to those who continue to use mADM after MBCT? METHODS/

designTwo parallel-group, multi-center randomized controlled trials are conducted. Adult patients with a history of depression (3 or more episodes), currently either in full or partial remission and currently treated with mADM (6 months or longer) are recruited. In the first trial, we compare mADM on its own with mADM plus MBCT. In the second trial, we compare MBCT on its own, including tapering of mADM, with mADM plus MBCT. Follow-up assessments are administered at 3-month intervals for 15 months. Primary outcome is relapse/recurrence. Secondary outcomes are time to, duration and severity of relapse/recurrence, quality of life, personality, several process variables, and incremental cost-effectiveness ratio. DISCUSSION: Taking into account patient preferences, this study will provide information about a) the clinical and cost-effectiveness of mADM only compared with mADM plus MBCT, in patients with a preference for mADM, and b) the clinical and cost-effectiveness of withdrawing from mADM after MBCT, compared with mADM plus MBCT, in patients with a preference for MBCT.

trial registrationClinicalTrials.gov: NCT00928980.

Indexed as

Cognitive Behavioral TherapyAdultAntidepressive AgentsClinical ProtocolsCombined Modality TherapyCost-Benefit AnalysisDepressive DisorderHumansPatient SelectionResearchSecondary PreventionTreatment OutcomeAntidepressive Agents

Identifiers

PMID22925198
PMCPMC3469366
OpenAlexW2145168537

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.