Evidence map›Paper›PMID 26553106›Full record

Trial reportBMC psychiatry2015

A randomized controlled trial of Mindfulness-Based Cognitive Therapy (MBCT) versus treatment-as-usual (TAU) for chronic, treatment-resistant depression: study protocol.

Mira B Cladder-Micus, Janna N Vrijsen, Eni S Becker, Rogier Donders, Jan Spijker, Anne E M Speckens

Open access · goldAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 7% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Psychological therapies for treatment-resistant depression in adults.The Cochrane database of systematic reviews · 2018
    Pooled it
  2. Trial
  3. Review
  4. 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

6 authors at 3 institutions in 1 country.

Mira B Cladder-MicusBehavioural Science Institute, Radboud University, Nijmegen, The Netherlands. m.cladder-micus@psych.ru.nl.
Janna N VrijsenPro Persona Expertisecentrum Depressie, Institute for Mental Health Care, Nijmegen, The Netherlands. Janna.Vrijsen@radboudumc.nl.
Eni S BeckerBehavioural Science Institute, Radboud University, Nijmegen, The Netherlands. e.becker@psych.ru.nl.
Rogier DondersDepartment for Health Evidence, Radboud university medical centre, Nijmegen, The Netherlands. Rogier.Donders@radboudumc.nl.
Jan SpijkerBehavioural Science Institute, Radboud University, Nijmegen, The Netherlands. j.spijker@propersona.nl.
Anne E M SpeckensDepartment of Psychiatry, Radboud university medical centre, Nijmegen, The Netherlands. Anne.Speckens@radboudumc.nl.
Pro Persona · NLRadboud University Medical Center · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMajor depression is a common psychiatric disorder, frequently taking a chronic course. Despite provision of evidence-based treatments, including antidepressant medication and psychological treatments like cognitive behavioral therapy or interpersonal therapy, a substantial amount of patients do not recover. Mindfulness-Based Cognitive Therapy (MBCT) has been found to be effective in reducing relapse in recurrent depression, as well as lowering symptom levels in acute depression. The effectiveness of MBCT for chronic, treatment-resistant depression has only be studied in a few pilot trials. A large randomized controlled trial is necessary to examine the effectiveness of MBCT in reducing depressive symptoms in chronic, treatment-resistant depression. METHODS/

designA randomized-controlled trial is conducted to compare MBCT with treatment-as-usual (TAU). Patients with chronic, treatment-resistant depression who have received antidepressant medication and cognitive behavioral therapy or interpersonal therapy are included. Assessments take place at baseline and post intervention/TAU-period. The primary outcome are depressive symptoms. Secondary outcomes are: remission rates, quality of life, rumination, mindfulness skills and self-compassion. Patients in the TAU condition are offered to participate in the MBCT after the post TAU-period assessment. From all completers of the MBCT (MBCT condition and patients participating after the TAU-period), follow-up assessments are taken at three and six months after the completion of the MBCT. DISCUSSION: This trial will result in valuable information about the effectiveness of MBCT in chronic, treatment-resistant depressed patients who previously received antidepressant medication and psychological treatment.

trial registrationtrialregister.nl NTR4843, registered 14th October 2014.

Indexed as

AdolescentAdultAgedAntidepressive AgentsChronic DiseaseCognitive Behavioral TherapyDepressive Disorder, Treatment-ResistantHumansMajor Depressive DisorderMaleMiddle AgedMindfulnessQuality of LifeRecurrenceYoung AdultAntidepressive Agents

Identifiers

PMID26553106
PMCPMC4640402
OpenAlexW2175694808

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.