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Intensive Short-Term Dynamic Psychotherapy (ISTDP) in the Emergency Department (ISTDPED)

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ClinicalTrials.gov Identifier: NCT00833742
Recruitment Status : Completed
First Posted : February 2, 2009
Last Update Posted : February 2, 2009
Sponsor:
Information provided by:
Nova Scotia Health Authority

Brief Summary:
Objective: Somatization of emotions accounts for excess Emergency department (ED) visits. Intensive Short-term Dynamic Psychotherapy (ISTDP) has methods to diagnose and manage somatization. We examined the feasibility, acceptability and effectiveness of ISTDP diagnostic and treatment methods used for patients with repeated ED presentations for medically unexplained physical symptoms (MUS)

Condition or disease Intervention/treatment Phase
Somatic Complaints of Multiple Types Behavioral: Intensive Short-term Dynamic Psychotherapy Not Applicable

Detailed Description:
Herein we report the methods and outcomes of rapidly-accessed, emotion-focused diagnostic and treatment services for patients presenting to the ED with medically unexplained symptoms (MUS). Patients who were assessed and referred by ED physicians will serve as a non-randomized condition controlling for some relevant variables. Our a priori hypotheses were that assessed and treated patients would have a reduction in ED visits and self reported symptoms after this intervention and that controls would have a smaller reduction in ED visits if any.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 77 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Emotion-Focused Diagnosis and Treatment of Somatization in the ED
Study Start Date : January 2002
Actual Primary Completion Date : October 2007
Actual Study Completion Date : October 2007

Arm Intervention/treatment
Experimental: 1
ISTDP therapy was provided
Behavioral: Intensive Short-term Dynamic Psychotherapy
A brief psychotherapy format
Other Name: Short-term Psychotherapy
No Intervention: 2
People referred but never seen



Primary Outcome Measures :
  1. Emergency department visits pre and post [ Time Frame: 1 year ]

Secondary Outcome Measures :
  1. Brief Symptom Inventory [ Time Frame: pre and post ]
  2. Patient Satisfaction [ Time Frame: post ]


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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Unexplained symptoms

Exclusion Criteria:

  • Psychosis, substance abuse, suicidality

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 ClinicalTrials.gov identifier (NCT number): NCT00833742


Locations
Canada, Nova Scotia
Capital Health
Halifax, Nova Scotia, Canada, B3H 2E2
Sponsors and Collaborators
Nova Scotia Health Authority
Investigators
Principal Investigator: Allan A Abbass, MD FRCPC Capital Health, Canada

Publications:
Responsible Party: Allan Abbass, Director, Centre for Emotions and Health, Capital District Health Authority, Canada
ClinicalTrials.gov Identifier: NCT00833742     History of Changes
Other Study ID Numbers: AAA01
First Posted: February 2, 2009    Key Record Dates
Last Update Posted: February 2, 2009
Last Verified: January 2009

Keywords provided by Nova Scotia Health Authority:
somatization
psychosomatic
short-term
dynamic
psychotherapy