Development and Pilot Evaluation of Modified Cognitive Behavioural Therapy for Adolescents With Early Onset Psychosis (mCBT)
Recruitment status was Recruiting
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Purpose
In the last decade cognitive behavioural therapy (CBT) approaches for patients with schizophrenia have been developed, which where especially designed to reduce severity of positive symptoms, readmission rates, treatment non-compliance and disability. Although CBT addresses the key problems of early onset psychoses (EOP)treatment and first evaluations of CBT in adults with schizophrenia are promising, no experience with CBT in adolescents with EOP are available. Therefore the present study is conducted to develop a modified CBT (mCBT) for adolescents with EOP, to explore its acceptance and feasibility and to provide data for a realistic estimation of achievable effect size. Patients are randomized to receive either mCBT+TAU or TAU over a 9 month period. mCBT is an individual outpatient treatment of 20 session and 5 psychoeducational sessions with parents. Follow-ups for two years every 6 months are planned.
| Condition | Intervention | Phase |
|---|---|---|
|
Psychotic Disorders Schizophrenia Schizoaffective Disorder Delusional Disorder Schizophreniform Disorder |
Behavioral: modified cognitive behavioural therapy (mCBT) |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind Primary Purpose: Treatment |
| Official Title: | Development and Pilot Evaluation of Modified Cognitive Behavioural Therapy for Adolescents With Early Onset Psychosis |
- PANSS positive syndrome (sum of items P1-P7), assessed during the treatment phase (9 month) monthly and during the follow-up phase (2 years) every 6 months
- additional symptom ratings (PSYRATS)
- social functioning (GAF)
- illness related events (suicide, suicide attempts, rehospitalisation, severe depressive symptom exacerbation)
- quality of life (MSLQ)assessed monthly during the treatment phase (9 months) and every 6 months during the follow-up phase (2 years)
| Estimated Enrollment: | 42 |
| Study Start Date: | May 2007 |
| Estimated Study Completion Date: | April 2010 |
Eligibility| Ages Eligible for Study: | 14 Years to 18 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Schizophrenia, schizophreniform or schizoaffective disorder (DSM IV 295.1- .9), delusional disorder (DSM IV 297.1)
- Score of 4 or more on one of the PANSS-items P1, P3, G9
- Positive psychotic symptoms for 3 months or more
- Age between 14 and 18
- Fluently German speaking
Exclusion Criteria:
- Diagnosis of delirium, dementia, amnestic or other cognitive disorder, psychiatric disorders due to a somatic factor or related to psychotropic substances according to DSM IV; diseases of the central nervous system
- Alcohol- or drug dependence according to DSM IV
- Verbal IQ < 80
- Travel time to the study centre of more than 1 hour
Contacts and Locations| Contact: Andreas Bechdolf, PD Dr. | +49 221 478 4825 | andreas.bechdolf@uk-koeln.de |
| Contact: Bettina Pohlmann, Dr. | + 49 221 478 3870 | bettina.pohlmann@uk-koeln.de |
| Germany | |
| Department of Psychiatry University Cologne | Recruiting |
| Cologne, North Rhine-Westphalia, Germany, 50937 | |
| Contact: Andreas Bechdolf, PD Dr. +49 221 478 4825 andreas.bechdolf@uk-koeln.de | |
| Contact: Bettina Pohlmann, Dr. +49 221 478 3870 bettina.pohlmann@uk-koeln.de | |
| Principal Investigator: Andreas Bechdolf, PD Dr. | |
| Principal Investigator: | Andreas Bechdolf, PD Dr. | University of Cologne |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00465920 History of Changes |
| Other Study ID Numbers: | 01GV0619 |
| Study First Received: | April 25, 2007 |
| Last Updated: | February 19, 2009 |
| Health Authority: | Germany: Ethics Commission |
Keywords provided by University of Cologne:
|
schizophrenia cognitive behavioural therapy early onset psychosis Psychotic disorders (schizophrenia, schizoaffective disorder, delusional disorder, schizophreniform disorder according to DSM IV) in adolescents |
Additional relevant MeSH terms:
|
Schizophrenia, Paranoid Delusions Mental Disorders Psychotic Disorders |
Schizophrenia Schizophrenia and Disorders with Psychotic Features Behavioral Symptoms |
ClinicalTrials.gov processed this record on May 19, 2013