Depression Clinical Trial
Official title:
Examining Change Mechanisms in Psychotherapy: Relationship Between Specific Ingredients and Common Factors in Promoting Change.
This research project seeks to acquire a deeper understanding of the complex influences of common factors and specific ingredients in psychotherapy. By using frequent process-outcome measures, it will address individualized mechanisms of change in psychotherapy by assessing both between and within patient change processes, using a wide spectrum of change indicators.
The study is a naturalistic study conducted by collecting data from in-patient units at Modum
Bad (psychiatric hospital). The sample includes different patient groups with a variety of
psychological disorders. Further, sample is gathered from units using different treatment
approaches (short-term psychodynamic treatment, cognitive-behavioral treatment, metacognitive
therapy, compassion-focused therapy, relational psychodynamic therapy, existential therapy
and stabilizing trauma-therapy).
The following specific research questions will be explored:
1. The role of common factors:
1. What are the relative influences of different common factors such as agreement on
task and goals, treatment credibility and 'the real relationship', across
treatments and diagnoses?
2. Do some common factor variables stand out regarding ability to explain variance in
outcome and across outcomes?
3. Do measures of common factors have a consistent effect on outcome across treatment
models and diagnoses, or does the explanatory value of common factors vary across
diagnose and treatment model?
2. The role of specific change mechanisms (affective, cognitive and meta-cognitive):
1. To what extent do specific change mechanisms predict change in various outcome
domains?
2. Are these specific change mechanisms equally important predictors, or do they vary
across treatment or diagnose?
3. Are there interaction effects between common factors and specific factors across
treatment models, patient diagnoses and outcome domain?
Self-report data will be collected three times a week on mechanisms of change and symptoms,
established by psychotherapy theory and research evidence as important for psychological
change. The data collection consists of three different forms administered once per week on
different days. The forms are separated by topic; symptoms, contextual factors, and change
processes. The questions in the forms are selected from short instruments with good
psychometric qualities. The data collection procedure has at present been tested on five
patient cohorts with good results.
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