Efficacy of a dilemma-focused intervention for unipolar depression: study protocol for a multicenter randomized controlled trial

Guillem  Feixas; A. Bados; E. Garcia-Grau; A. Montesano; G.  Dada; V. Compañ; M. Aguilera; M. Salla; J. Soldevilla; A. Trujillo; C. Paz; L. Botella; S. Corbella; L. Saúl-Gutiérrez; J. Cañete; M.  Gasol; M. Ibarra; L. Medeiros-Ferreira; J. Soriano; E. Ribeiro; F.  Caspar; David Winter

doi:10.1186/1745-6215-14-144

Efficacy of a dilemma-focused intervention for unipolar depression: study protocol for a multicenter randomized controlled trial

Guillem Feixas, A. Bados, E. Garcia-Grau, A. Montesano, G. Dada, V. Compañ, M. Aguilera, M. Salla, J. Soldevilla, A. Trujillo, C. Paz, L. Botella, S. Corbella, L. Saúl-Gutiérrez, J. Cañete, M. Gasol, M. Ibarra, L. Medeiros-Ferreira, J. Soriano, E. RibeiroF. Caspar, David Winter

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Abstract

Depression is one of the more severe and serious health problems because of its morbidity, disabling effects and for its societal and economic burden. Despite the variety of existing pharmacological and psychological treatments, most of the cases evolve with only partial remission, relapse and recurrence.
Cognitive models have contributed significantly to the understanding of unipolar depression and its psychological treatment. However, success is only partial and many authors affirm the need to improve those models and also the
treatment programs derived from them. One of the issues that requires further elaboration is the difficulty these patients experience in responding to treatment and in maintaining therapeutic gains across time without relapse or
recurrence. Our research group has been working on the notion of cognitive conflict viewed as personal dilemmas according to personal construct theory. We use a novel method for identifying those conflicts using the repertory grid
technique (RGT). Preliminary results with depressive patients show that about 90% of them have one or more of those conflicts. This fact might explain the blockage and the difficult progress of these patients, especially the more severe
and/or chronic. These results justify the need for specific interventions focused on the resolution of these internal conflicts. This study aims to empirically test the hypothesis that an intervention focused on the dilemma(s) specifically
detected for each patient will enhance the efficacy of cognitive behavioral therapy (CBT) for depression

Original language	English
Article number	144
Number of pages	11
Journal	Trials
Volume	14
DOIs	https://doi.org/10.1186/1745-6215-14-144
Publication status	Published - 2013

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
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Feixas, G., Bados, A., Garcia-Grau, E., Montesano, A., Dada, G., Compañ, V., Aguilera, M., Salla, M., Soldevilla, J., Trujillo, A., Paz, C., Botella, L., Corbella, S., Saúl-Gutiérrez, L., Cañete, J., Gasol, M., Ibarra, M., Medeiros-Ferreira, L., Soriano, J., ... Winter, D. (2013). Efficacy of a dilemma-focused intervention for unipolar depression: study protocol for a multicenter randomized controlled trial. Trials, 14, Article 144. https://doi.org/10.1186/1745-6215-14-144

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title = "Efficacy of a dilemma-focused intervention for unipolar depression: study protocol for a multicenter randomized controlled trial",

abstract = "Depression is one of the more severe and serious health problems because of its morbidity, disabling effects and for its societal and economic burden. Despite the variety of existing pharmacological and psychological treatments, most of the cases evolve with only partial remission, relapse and recurrence. Cognitive models have contributed significantly to the understanding of unipolar depression and its psychological treatment. However, success is only partial and many authors affirm the need to improve those models and also the treatment programs derived from them. One of the issues that requires further elaboration is the difficulty these patients experience in responding to treatment and in maintaining therapeutic gains across time without relapse or recurrence. Our research group has been working on the notion of cognitive conflict viewed as personal dilemmas according to personal construct theory. We use a novel method for identifying those conflicts using the repertory grid technique (RGT). Preliminary results with depressive patients show that about 90% of them have one or more of those conflicts. This fact might explain the blockage and the difficult progress of these patients, especially the more severe and/or chronic. These results justify the need for specific interventions focused on the resolution of these internal conflicts. This study aims to empirically test the hypothesis that an intervention focused on the dilemma(s) specifically detected for each patient will enhance the efficacy of cognitive behavioral therapy (CBT) for depression ",

author = "Guillem Feixas and A. Bados and E. Garcia-Grau and A. Montesano and G. Dada and V. Compa{\~n} and M. Aguilera and M. Salla and J. Soldevilla and A. Trujillo and C. Paz and L. Botella and S. Corbella and L. Sa{\'u}l-Guti{\'e}rrez and J. Ca{\~n}ete and M. Gasol and M. Ibarra and L. Medeiros-Ferreira and J. Soriano and E. Ribeiro and F. Caspar and David Winter",

note = "This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited",

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doi = "10.1186/1745-6215-14-144",

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Feixas, G, Bados, A, Garcia-Grau, E, Montesano, A, Dada, G, Compañ, V, Aguilera, M, Salla, M, Soldevilla, J, Trujillo, A, Paz, C, Botella, L, Corbella, S, Saúl-Gutiérrez, L, Cañete, J, Gasol, M, Ibarra, M, Medeiros-Ferreira, L, Soriano, J, Ribeiro, E, Caspar, F & Winter, D 2013, 'Efficacy of a dilemma-focused intervention for unipolar depression: study protocol for a multicenter randomized controlled trial', Trials, vol. 14, 144. https://doi.org/10.1186/1745-6215-14-144

TY - JOUR

T1 - Efficacy of a dilemma-focused intervention for unipolar depression

T2 - study protocol for a multicenter randomized controlled trial

AU - Feixas, Guillem

AU - Bados, A.

AU - Garcia-Grau, E.

AU - Montesano, A.

AU - Dada, G.

AU - Compañ, V.

AU - Aguilera, M.

AU - Salla, M.

AU - Soldevilla, J.

AU - Trujillo, A.

AU - Paz, C.

AU - Botella, L.

AU - Corbella, S.

AU - Saúl-Gutiérrez, L.

AU - Cañete, J.

AU - Gasol, M.

AU - Ibarra, M.

AU - Medeiros-Ferreira, L.

AU - Soriano, J.

AU - Ribeiro, E.

AU - Caspar, F.

AU - Winter, David

N1 - This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

PY - 2013

Y1 - 2013

N2 - Depression is one of the more severe and serious health problems because of its morbidity, disabling effects and for its societal and economic burden. Despite the variety of existing pharmacological and psychological treatments, most of the cases evolve with only partial remission, relapse and recurrence. Cognitive models have contributed significantly to the understanding of unipolar depression and its psychological treatment. However, success is only partial and many authors affirm the need to improve those models and also the treatment programs derived from them. One of the issues that requires further elaboration is the difficulty these patients experience in responding to treatment and in maintaining therapeutic gains across time without relapse or recurrence. Our research group has been working on the notion of cognitive conflict viewed as personal dilemmas according to personal construct theory. We use a novel method for identifying those conflicts using the repertory grid technique (RGT). Preliminary results with depressive patients show that about 90% of them have one or more of those conflicts. This fact might explain the blockage and the difficult progress of these patients, especially the more severe and/or chronic. These results justify the need for specific interventions focused on the resolution of these internal conflicts. This study aims to empirically test the hypothesis that an intervention focused on the dilemma(s) specifically detected for each patient will enhance the efficacy of cognitive behavioral therapy (CBT) for depression

AB - Depression is one of the more severe and serious health problems because of its morbidity, disabling effects and for its societal and economic burden. Despite the variety of existing pharmacological and psychological treatments, most of the cases evolve with only partial remission, relapse and recurrence. Cognitive models have contributed significantly to the understanding of unipolar depression and its psychological treatment. However, success is only partial and many authors affirm the need to improve those models and also the treatment programs derived from them. One of the issues that requires further elaboration is the difficulty these patients experience in responding to treatment and in maintaining therapeutic gains across time without relapse or recurrence. Our research group has been working on the notion of cognitive conflict viewed as personal dilemmas according to personal construct theory. We use a novel method for identifying those conflicts using the repertory grid technique (RGT). Preliminary results with depressive patients show that about 90% of them have one or more of those conflicts. This fact might explain the blockage and the difficult progress of these patients, especially the more severe and/or chronic. These results justify the need for specific interventions focused on the resolution of these internal conflicts. This study aims to empirically test the hypothesis that an intervention focused on the dilemma(s) specifically detected for each patient will enhance the efficacy of cognitive behavioral therapy (CBT) for depression

U2 - 10.1186/1745-6215-14-144

DO - 10.1186/1745-6215-14-144

M3 - Article

SN - 1745-6215

VL - 14

JO - Trials

JF - Trials

M1 - 144

ER -

Efficacy of a dilemma-focused intervention for unipolar depression: study protocol for a multicenter randomized controlled trial

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