Major Depressive Disorder Clinical Trial
Official title:
A Transdiagnostic Sleep and Circadian Treatment for Major Depressive Disorder: A Randomised Controlled Trial
This study will examine the use of a transdiagnostic Sleep and Circadian Treatment (TranS-C)
in treating Major Depressive Disorder (MDD) in Chinese adults. Sleep disturbance is highly
comorbid with a range of psychological disorders, especially MDD. MDD is a major public
health concern and a leading cause of disability worldwide. A shift in treatment
perspectives, from a disorder-specific approach to a transdiagnostic approach, has been
proposed. While the disorder-specific approach tends to understand and treat different mental
disorders as independent psychological problems, the transdiagnostic approach aims to
identify common clinical features (e.g. sleep disturbances) across a range of psychological
disorders. The transdiagnostic approach would potentially facilitate timely dissemination of
evidence-based psychological treatments and contribute to significant public health
implications.
This study will be a randomized controlled trial on the efficacy of TranS-C for MDD. TranS-C
integrates elements of evidence-based interventions, namely cognitive-behavioral therapy for
insomnia, delayed sleep phase type, and interpersonal and social rhythm therapy. Prior to all
study procedures, an online informed consent (with phone support) will be obtained from
potential participants. Around 150 eligible participants will be randomly assigned to the
TranS-C group or the care-as-usual control group (CAU group) in a ratio of 1:1. The
randomization will be performed by an independent assessor using a computer-generated list of
numbers. No deception is necessary. Participants in the TranS-C group will receive TranS-C
once per week for 6 consecutive weeks respectively. The group treatment will be delivered by
a clinical psychology trainee under the supervision of a clinical psychologist. The TranS-C
group will complete a set of online/paper-and-pencil questionnaires before the treatment
commences, 1-week, and 12-week after the treatment sessions are completed. The CAU group will
complete the same set of online/paper-and-pencil questionnaires during the same periods.
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