Evidence map›Paper›PMID 25138802›Full record

Trial reportBMJ open2014

Third-wave cognitive therapy versus mentalisation-based treatment for major depressive disorder: a randomised clinical trial.

Janus Christian Jakobsen, Christian Gluud, Mickey Kongerslev, Kirsten Aaskov Larsen, Per Sørensen, Per Winkel, Theis Lange, Ulf Søgaard, Erik Simonsen

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

Trial report in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01070134 (Mindfulness-based Behavioural Therapy), which is not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 18% 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.

NCT01070134 naunknown statusnot on this map

Mindfulness-based Behavioural Therapy (MIBT) Versus Psychodynamic Therapy for Patients With Major Depressive Disorder in Psychotherapeutic Day Treatment. A Randomised Clinical Pilot Trial

TypeinterventionalSponsorPsychiatry RoskildeRan2010 to 2011Enrolled84ConditionsMajor Depressive Disorder, Personality DisorderArmsMindfulness-based Behavioural Therapy (MIBT), PT (psychodynamic therapy)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Psychological therapies for people with borderline personality disorder.The Cochrane database of systematic reviews · 2012
    Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
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

9 authors at 5 institutions in 2 countries.

Janus Christian JakobsenPsychiatric Research Unit, Copenhagen University Hospital, Copenhagen, Denmark Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Christian GluudCopenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Mickey KongerslevPsychiatric Research Unit, Copenhagen University Hospital, Copenhagen, Denmark.
Kirsten Aaskov LarsenDepartment of Psychiatry, Psychiatric Clinic, Roskilde, Denmark.
Per SørensenMental Health Services, Psychotherapy Center Stolpegaard, Copenhagen, Denmark.
Per WinkelCopenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Theis LangeDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.
Ulf SøgaardDepartment of Psychiatry, Psychiatric Clinic, Roskilde, Denmark.
Erik SimonsenPsychiatric Research Unit, Copenhagen University Hospital, Copenhagen, Denmark Institute of Clinical Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark.
Rigshospitalet · DKUniversity of Copenhagen · DKCopenhagen University Hospital · DKMental Health Services · DKPsychiatric Medical Center · AM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the benefits and harms of third-wave cognitive therapy versus mentalisation-based therapy in a small sample of depressed participants.

settingThe trial was conducted at an outpatient psychiatric clinic for non-psychotic patients in Roskilde, Denmark.

participants44 consecutive adult participants diagnosed with major depressive disorder.

interventions18 weeks of third-wave cognitive therapy (n=22) versus 18 weeks of mentalisation-based treatment (n=22). OUTCOMES: The primary outcome was the Hamilton Rating Scale for Depression (HDRS) at end of treatment (18 weeks). Secondary outcomes were: remission (HDRS <8), Beck's Depression Inventory, Symptom Checklist 90 Revised and The WHO-Five Well-being Index 1999.

resultsThe trial inclusion lasted for about 2 years as planned but only 44 out of the planned 84 participants were randomised. Two mentalisation-based participants were lost to follow-up. The unadjusted analysis showed that third-wave participants compared with mentalisation-based participants did not differ significantly regarding the 18 weeks HDRS score (12.9 vs 17.0; mean difference -4.14; 95% CI -8.30 to 0.03; p=0.051). In the analysis adjusted for baseline HDRS score, the difference was favouring third-wave cognitive therapy (p=0.039). At 18 weeks, five of the third-wave participants (22.7%) were in remission versus none of the mentalisation-based participants (p=0.049). We recorded no suicide attempts or suicides during the intervention period in any of the 44 participants. No significant differences were found between the two intervention groups on the remaining secondary outcomes.

conclusionsThird-wave cognitive therapy may be more effective than mentalisation-based therapy for depressive symptoms measured on the HDRS. However, more randomised clinical trials are needed to assess the effects of third-wave cognitive therapy and mentalisation-based treatment for depression. TRIAL REGISTRATION NUMBER: Registered with Clinical Trials government identifier: NCT01070134.

Indexed as

Theory of MindAdultCognitive Behavioral TherapyDenmarkFemaleFollow-Up StudiesHumansMajor Depressive DisorderMalePsychiatric Status Rating ScalesTreatment Outcome

Identifiers

PMID25138802
PMCPMC4139625
OpenAlexW2141046119

What OpenQuestion holds

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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.