Primairy goal of the study is to treat anxiety disorder patients more cost-effectively (shorter treatments with equal treatment results).
ID
Source
Brief title
Condition
- Anxiety disorders and symptoms
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The primary study parameter is cost-effectiveness, measured with the TiC-P
(Hakkaart-van Roijen, Van Straten, Donker, & Tiemens, 2002) and the EuroQol-5D
(EQ-5D; Brooks, 1996).
Secondary outcome
Secondary study parameters are treatment integrity (therapist drift) and
symptom reduction and general functioning.
Background summary
Cognitive behavioral therapy (CGT) is an effective and evidence based
psychological anxiety disoder treatment. Manuals consist of 12 sessions on
average. However, CBT treatments are not always executed manually. Therapist
drift, shifting from CBT techniques to other techniques, is probably an
important cause of bad CBT implementation. In consequence, treatments are not
optimally delivered (shorter or longer than necessary) and not evidence based.
Probably, demoralisation, therapist dependence, compliance reduction and
societal and financial consequences occur. A possible solution is time limited
treatment, definiting time and total number of sessions beforehand. Shorter and
more adequat treatments are expected consequences.
Study objective
Primairy goal of the study is to treat anxiety disorder patients more
cost-effectively (shorter treatments with equal treatment results).
Study design
A randomised controlled study about two groups: Time Limited Treament (TLT)
versus Treatment As Usual (TAU).
Intervention
Patients will be randomised to two conditions. Patients in the TLT condition
receive a maximum of 12 45 minute CBT sessions in a maximum time of 12 weeks.
Treatment is focused on the primary anxiety disorder. Patients in the TAU
condition receive unlimited CBT treatment.
Study burden and risks
Risks of this study are limited. Patients in both condities will receive
adequat evidence bades CBT treatment. It is possible that patients in the TLT
condition still suffer symptoms in week 12. However, several RCT's prove that
symptom reduction still continues after treatment termination. When this study
proves that patients can be treated in a shorter time with equal treament
results, this can be very beneficial for (future) anxiety disorder patients and
also voor mental health care and insurers. Treatments will be more
cost-effective, periods of illness will be reduces and also waiting lists in
mental health care will be reduced.
Centrum voor Angststoornissen "Overwaal", Pastoor van Laakstraat 48
6663 CB Lent
NL
Centrum voor Angststoornissen "Overwaal", Pastoor van Laakstraat 48
6663 CB Lent
NL
Listed location countries
Age
Inclusion criteria
Adult panic disorder or social phobia patients with comorbid anxiety disorder(s) and/or mood disorder(s)
Exclusion criteria
- Comorbid psychotic disorders
- Acute suïcidality
- Alcohol- or drug abuse
- Alcohol- or drug dependence
- Severe retardation (IQ < 80)
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 | NL34576.091.11 |