Depression Clinical Trial
Official title:
First Experimental Study of Transference Work - In Teenagers
The First Experimental Study on Transference work - In Teenagers (FEST-IT) will be a
randomized clinical trial, which will be designed to explore effects of transference work in
dynamic psychotherapy in adolescents with major depressive disorder (MDD). The design of the
study is a so-called dismantling design, in which a single component is added and/or varied
to an existent treatment method (psychodynamic psychotherapy). Thus, the efficiency of a
specific technique (transference interventions) can be identified.
The primary hypothesis is that the transference group may have a more favorable course over
time than will the comparison group.
The second hypothesis is that patients with a history of low Quality of Object Relations
score and/or personality disorders—might benefit more from therapy with transference work
than from therapy without.
The third hypothesis is that female adolescents may have better treatment effect of
transference work than male adolescents.
The effect of transference interventions in depressed adolescents and the moderator
moderating effect of quality of object relations, personality disorder and gender will be
explored. Methods and study design: The First Experimental Study of Transference Work-In
Teenagers (FEST-IT) will be a randomized clinical trial with a dismantling design. The study
is aimed to explore the effects of transference work in psychodynamic psychotherapy for
adolescents with depression. One hundred patients ages 16 to 18 years old will be randomized
to one of two treatment groups, in both of which general psychodynamic techniques will be
used. The quality of adolescents' relationships will be a central focus of the study.The
patients will be treated over 28 weeks with either a moderate level of transference
intervention or no transference intervention. Follow-up will be at 1 year after treatment
termination.
Gender personality disorder (PD) and quality of object relations (QOR) will be the
preselected moderators.
The object of this clinical trial is to explore the effect of transference interventions in
psychodynamic psychotherapy in adolescents with a major depressive disorder. Using a
randomized and dismantling design, we hope that the study will add more specific knowledge to
the evidence base.
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