The primary objective of the study is how patients with therapy resistant anxiety or depression evaluate a well-being intervention *living well with a chronic mental health disorder* and if they experience an increase in personal recovery and mental…
ID
Source
Brief title
Condition
- Anxiety disorders and symptoms
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Well-being (primary outcome) is measured with the Mental Health Continuum -
Short Form and Personal Recovery (primary outcome) Is measured with the
Questionnaire about the Process of Recovery).
Secondary outcome
Secondary outcomes include personal recovery (measured with the Questionnaire
about the Process of Recovery), social role participation (Social Role
participation Questionnaire), self-compassion (Self-compassion Scale - Short
Form), depressive symptoms (Quick - Inventory of Depressive Symptomatology, and
anxiety General Anxiety Disorder -7.
Background summary
Research demonstrates that a substantial number of patients have persistent
depressive and anxiety symptoms despite treatment; guidelines about how to
continue treatment are still tentative. There is a growing field that not
focuses on symptoms of psychopathology, but more on well-being and recovery.
Positive psychological interventions may support people with mental disorders
with personal recovery (e.g. Slade, 2010; Kraiss et al., 2018; Franken et al,
2018). A positive psychological approach may therefore support patients with
persistent mental illness to find meaning, engagement and joy, even in the
presence of mental vulnerabilities (Rashid, 2015) and positive psychology
interventions may be effective for people with persistent symptoms of
depression or anxiety. However, research on this topic is scarce. We therefore
propose to conduct a feasibility study to explore the quantitative and
qualitative effects of an 8-week group intervention on mental health for people
with persistent depression or anxiety.
Study objective
The primary objective of the study is how patients with therapy resistant
anxiety or depression evaluate a well-being intervention *living well with a
chronic mental health disorder* and if they experience an increase in personal
recovery and mental well-being and a decrease in distress.
Study design
The design is a mixed-method feasibility study assessing the acceptance of and
meaning for patients with therapy-resistant depression of anxiety of a new
positive psychology intervention and assessing the effects on mental health and
personal recovery. Patients will fill out questionnaires before and after the
intervention and interviews will be conducted after the intervention.
Intervention
We aim to adapt the multicomponent positive psychology intervention *living
well with a chronic mental health disorder* as a group intervention for
patients with therapy-resistant anxiety of depressive disorders. The 8-week
intervention focuses on six components, including personal strengths,
resilience, post-traumatic growth, and positive relationships. The intervention
consists of 8 meetings of 2 hours and home exercises.
Study burden and risks
The study is not expected to carry substantial risk or burden to the
participants. The Living to the Full intervention has been studied several
times in non-clinical populations and no negative effects have been reported.
Participants in the condition fill in six questionnaires, which will take
approximately 30 minutes and an interview will be taken after the intervention.
(30 minutes). Possible benefits for participants include improvement in
well-being and psychological symptoms.
Raiffeisenstraat 44
Enschede 7514 AM
NL
Raiffeisenstraat 44
Enschede 7514 AM
NL
Listed location countries
Age
Inclusion criteria
Patients are eligible between 18 and 75 years who are in treatment > 2 years
for anxiety or depressive disorder, who still have residual complaints, counted
with the Generalized Anxiety Disorder (GAD-7) and Quick Inventory of Depressive
Symptomatology - Self-Report (QIDS-SR). A cut-off score of 8 points on the
GAD-7 for panic disorder, social phobia and PTSS indicates at least moderate
complaints (Kroenke et al, 2007) and a cut-off score of 10 is used for all
other anxiety disorders (Spitzer et al, 2006). A cut-off score of 11 points on
the QIDS-SR indicates at least moderate depressive symptomatology. Participants
must have the ability to speak and read the Dutch language and are willing to
complete questionnaires before and after the treatment.
Exclusion criteria
Participants scoring high on suicide risk, substance use disorders, and a
lifetime diagnosis of bipolar disorder or schizophrenia are excluded for the
treatment. Patients are also excluded when they are in individual treatment,
when they do not speak the Dutch language, have an unstable, severe medical
condition, have severe brain injury or have other cognitive impairments which
makes them unable to attend the group intervention or had a change in
pharmacological treatment in the past 6 weeks.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL75269.091.20 |