Evidence map›Paper›PMID 30543642›Full record

ArticlePloS one2018

One-year follow-up of a randomized trial with a dilemma-focused intervention for depression: Exploring an alternative to problem-oriented strategies.

Guillem Feixas, Clara Paz, Eugeni García-Grau, Adrián Montesano, Joan C Medina, Arturo Bados, Adriana Trujillo, Eliana Ortíz, Victoria Compañ, Marta Salla and 4 more

2 registry-linked trialsAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT01542957 nacompletednot on this map

Cognitive Therapy for Unipolar Depression: Efficacy of a Dilemma-Focused Intervention

TypeinterventionalSponsorUniversity of BarcelonaRan2011 to 2015Enrolled128ConditionsMajor Depressive Disorder, Dysthymic DisorderArmsCombined Cognitive Behavioral and Dilemma-Focused Therapy, Cognitive Behavioral Therapy for Depression
NCT04498104 completednot on this mapstarted 2019, after this paper: background citation

Analysis of Personal Constructs in Borderline Personality Disorder and Its Relation With Severity and Therapeutic Outcome

TypeobservationalSponsorUniversity of BarcelonaRan2019 to 2022Enrolled156ConditionsBorderline Personality DisorderArmsPsychological assessment
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

14 authors.

Guillem FeixasDepartment of Clinical Psychology and Psychobiology, University of Barcelona, Barcelona, Spain.
Clara PazDepartment of Clinical Psychology and Psychobiology, University of Barcelona, Barcelona, Spain.ORCID 0000-0003-1106-9567
Eugeni García-GrauDepartment of Clinical Psychology and Psychobiology, University of Barcelona, Barcelona, Spain.ORCID 0000-0003-0460-2925
Adrián MontesanoDepartment of Psychology and Educational Sciences, Open University of Catalonia, Barcelona, Spain.ORCID 0000-0001-9201-8694
Joan C MedinaDepartment of Clinical Psychology and Psychobiology, University of Barcelona, Barcelona, Spain.
Arturo BadosDepartment of Clinical Psychology and Psychobiology, University of Barcelona, Barcelona, Spain.
Adriana TrujilloDepartment of Clinical Psychology and Psychobiology, University of Barcelona, Barcelona, Spain.
Eliana OrtízDepartment of Clinical Psychology and Psychobiology, University of Barcelona, Barcelona, Spain.
Victoria CompañDepartment of Clinical Psychology and Psychobiology, University of Barcelona, Barcelona, Spain.
Marta SallaDepartment of Clinical Psychology and Psychobiology, University of Barcelona, Barcelona, Spain.ORCID 0000-0002-0160-3327
Mari AguileraDepartment of Clinical Psychology and Psychobiology, University of Barcelona, Barcelona, Spain.ORCID 0000-0003-2656-2688
Víctor GuaschMental Health Services, Fundació Sanitària Sant Pere Claver, Barcelona, Spain.
Jordi CodinaMental Health Services, Fundació Sanitària Sant Pere Claver, Barcelona, Spain.
David A WinterDepartment of Psychology and Sport Sciences, University of Hertfordshire, Hatfield, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCognitive behavioural therapy (CBT) is aimed to counteract cognitions and behaviours that are considered as dysfunctional. The aim of the study is to test whether the inclusion of a non-counteractive approach (dilemma-focused intervention, DFI) in combination with CBT group therapy will yield better short- and long-term outcomes than an intervention conducted entirely using CBT.

methodA total of 128 patients with depression and at least one cognitive conflict, of six health community centres in Barcelona, participated from November of 2011 to December of 2014 in seven weekly group CBT sessions and were then randomly allocated to either DFI or CBT (eight individual sessions each) by an independent researcher. Depressive symptoms were assessed with the Beck Depression Inventory-II at baseline, at the end of therapy and three- and twelve-month follow-ups. Therapists did not participate in any of the assessments nor in the randomisation of patients and evaluators were masked to group assignment. Both intention to treat and complete case analyses were performed using linear mixed models with random effects.

findingsAccording to intention-to-treat analysis (F2, 179 = 0.69) and complete case analysis (F2, 146 = 0.88), both conditions similarly reduced the severity of symptoms across posttreatment assessments. For the 77 participants (CBTgroup +CBTindividual = 40; CBTgroup+DFIindividual = 37) that completed allocated treatment and one-year follow-up assessment, response and remission rates were relative higher for the DFI condition, however no significant differences were found between treatment conditions. The relapse rates were similar between treatment conditions (CBTgroup +CBTindividual = 7/20; CBTgroup+DFIindividual = 8/22).

interpretationAlthough using a counteractive approach across all the treatment sessions is quite effective, it does not seem to be necessary to produce significant improvement. DFI may be considered as an alternative, which could be included in a wider treatment for depression.

trial registrationClinicalTrials.gov; ID: NCT01542957.

Indexed as

AdolescentAdultAgedCognitive Behavioral TherapyDepressionFemaleFollow-Up StudiesHumansMaleMiddle AgedRandomized Controlled Trials as TopicTreatment OutcomeYoung Adult

Identifiers

PMID30543642
PMCPMC6292643

What OpenQuestion holds

Textmetadata
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.