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

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00883207
Recruitment Status : Unknown
Verified April 2009 by University of Jyvaskyla.
Recruitment status was:  Recruiting
First Posted : April 17, 2009
Last Update Posted : April 17, 2009
University of Eastern Finland
Information provided by:
University of Jyvaskyla

Brief Summary:

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 or disease Intervention/treatment Phase
Depression Behavioral: Psychotherapy Phase 2 Phase 3

  Show Detailed Description

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 65 participants
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
Study Start Date : February 2006
Actual Primary Completion Date : July 2007
Estimated Study Completion Date : October 2009

Resource links provided by the National Library of Medicine

Intervention Details:
  • Behavioral: Psychotherapy
    Narrative and dialogical approach for couples

Primary Outcome Measures :
  1. 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 :
  1. Outcome Ratings Scale and Session Rating Scale video recordings co-research interviews [ Time Frame: 3 months after termination ]

Information from the National Library of Medicine

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Ages Eligible for Study:   15 Years to 65 Years   (Child, Adult, Older 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.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): 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

Additional Information:
Responsible Party: Jaakko Seikkula/Professor, Department of Psychology, UNiversity of Jyvaskyla Identifier: NCT00883207     History of Changes
Other Study ID Numbers: DINADEP
First Posted: April 17, 2009    Key Record Dates
Last Update Posted: April 17, 2009
Last Verified: April 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