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Dialogical and Narrative Processes in Couple Therapy for Depression (DINADEP)

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified April 2009 by University of Jyvaskyla.
Recruitment status was:  Recruiting
University of Eastern Finland
Information provided by:
University of Jyvaskyla Identifier:
First received: April 16, 2009
Last updated: NA
Last verified: April 2009
History: No changes posted

The main aim of the project is to develop couple therapy for depression with special interest in dialogical and narrative processes in therapy. Parenthood, and different psychosocial phenomena, such as domestic violence, suicidal behaviour and alcohol abuse in relation to the client's specific depressive state will be analysed. The second main aim of the study is to analyse the effectiveness couple therapy for depression as a real world study. The good and poor outcome of different therapy processes will be compared and thus information about precise change processes will be reached. Owing to the real world setting, the inclusion criterion is a broad one: a primary diagnosis of depression (F32 and F33 in ICD-10).

The project will be conducted as a multicentre study so that in each centre the included patients will be randomized into experiment and control groups. The study centres are (1) Pohjois-Savon sairaanhoitopiiri in Kuopio, (2) Länsi-Pohjan sairaanhoitopiiri in Tornio and Kemi and (3) HUS/ Jorvin sairaala regional psychiatric polyclinics in Espoo. In each province the entire adult population has free access to the psychiatric outpatient clinics in their specific catchment area and thus no selection for the patients is done.

Condition Intervention Phase
Depression Behavioral: Psychotherapy Phase 2 Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single (Investigator)
Primary Purpose: Treatment
Official Title: Dialogical and Narrative Processes in Couple Therapy for Depression. Two Year Follow-up Study of the Effectiveness and Processes in Couple Therapy

Further study details as provided by University of Jyvaskyla:

Primary Outcome Measures:
  • Hamilton Depression Rating Scale; BDI and SCL-90 Dyadic Adjustment Scale (DAS)for couples -domestic violence, use of alcohol [ Time Frame: 6, 12, 18 and 24 months ]

Secondary Outcome Measures:
  • Outcome Ratings Scale and Session Rating Scale video recordings co-research interviews [ Time Frame: 3 months after termination ]

Estimated Enrollment: 65
Study Start Date: February 2006
Estimated Study Completion Date: October 2009
Primary Completion Date: July 2007 (Final data collection date for primary outcome measure)
Intervention Details:
    Behavioral: Psychotherapy
    Narrative and dialogical approach for couples
  Show Detailed Description


Ages Eligible for Study:   15 Years to 65 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • A primary diagnosis of depression (F32 and F33 in ICD-10);
  • Under 65 years of age, living in a heterosexual couple relationship;
  • Contacting the study centres either by oneself or by a referral because of depression (F32 or F33 in ICD-10) rating at least 14 on the Hamilton Rating Scale.

Exclusion Criteria:

  • Violence;
  • Drug abuse;
  • Clear psychotic symptoms, organic brain disorder or severe suicidal behaviour that prevents participation in therapy discussions;
  • Earlier family or couple therapy due to depression during the two years before the index treatment.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00883207

Contact: Jaakko Seikkula, Ph.D. +358 14 26 02 842

Department of psychology Recruiting
Jyväskylä, Finland, 40014
Contact: Outi Kalla, Ph.D.   
Principal Investigator: Jaakko Seikkula, Ph.D.         
Sponsors and Collaborators
University of Jyvaskyla
University of Eastern Finland
  More Information

Additional Information:
Responsible Party: Jaakko Seikkula/Professor, Department of Psychology, UNiversity of Jyvaskyla Identifier: NCT00883207     History of Changes
Other Study ID Numbers: DINADEP
Study First Received: April 16, 2009
Last Updated: April 16, 2009

Keywords provided by University of Jyvaskyla:
family therapy
dialogical processes
Developing couple therapy for depression

Additional relevant MeSH terms:
Depressive Disorder
Behavioral Symptoms
Mood Disorders
Mental Disorders processed this record on August 18, 2017