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| ID | Type | Description | Link |
|---|---|---|---|
| REK: 2011/1424 FEST-IT | Registry Identifier | The Central Norway Regional Ethics Health Committee |
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| Name | Class |
|---|---|
| University of Oslo | OTHER |
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The First Experimental Study on Transference work - In Teenagers (FEST-IT) will be a randomized clinical trial, which will be designed to explore effects of transference work in dynamic psychotherapy in adolescents with major depressive disorder (MDD). The design of the study is a so-called dismantling design, in which a single component is added and/or varied to an existent treatment method (psychodynamic psychotherapy). Thus, the efficiency of a specific technique (transference interventions) can be identified.
The primary hypothesis is that the transference group may have a more favorable course over time than will the comparison group.
The second hypothesis is that patients with a history of low Quality of Object Relations score and/or personality disorders-might benefit more from therapy with transference work than from therapy without.
The third hypothesis is that female adolescents may have better treatment effect of transference work than male adolescents.
The effect of transference interventions in depressed adolescents and the moderator moderating effect of quality of object relations, personality disorder and gender will be explored. Methods and study design: The First Experimental Study of Transference Work-In Teenagers (FEST-IT) will be a randomized clinical trial with a dismantling design. The study is aimed to explore the effects of transference work in psychodynamic psychotherapy for adolescents with depression. One hundred patients ages 16 to 18 years old will be randomized to one of two treatment groups, in both of which general psychodynamic techniques will be used. The quality of adolescents' relationships will be a central focus of the study.The patients will be treated over 28 weeks with either a moderate level of transference intervention or no transference intervention. Follow-up will be at 1 year after treatment termination.
Gender personality disorder (PD) and quality of object relations (QOR) will be the preselected moderators.
The object of this clinical trial is to explore the effect of transference interventions in psychodynamic psychotherapy in adolescents with a major depressive disorder. Using a randomized and dismantling design, we hope that the study will add more specific knowledge to the evidence base.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Individual PDT with TW | Experimental | Individual Psychodynamic psychotherapy with transference work (TW). |
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| Individual PDT without (TW) | Active Comparator | Individual Psychodynamic psychotherapy without focus on transference work (TW). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Individual psychodynamic psychotherapy | Behavioral | Individual psychodynamic psychotherapy with or without transference work. I.e. with or without relational therapist interventions focusing on the patient-therapist relationship. |
| Measure | Description | Time Frame |
|---|---|---|
| Psychodynamic Functioning Scales (PFS) | Average of 5 subscales rated by experienced clinician raters; family relations, friendships, tolerance for affects, insight, problem solving and adaptive capacity | 3 months |
| Inventory of Interpersonal Problems-Circumplex Version (IIP-C) | 64.items patient rated measure | Currentl |
| Measure | Description | Time Frame |
|---|---|---|
| Global Assessment of Functioning (GAF) | Rated by experienced clinician raters | One week |
| Symptom Checklist-90 (Global Severity Index; GSI) | Patient-rated |
| Measure | Description | Time Frame |
|---|---|---|
| Adolescent Relationship Scale (ARS) | Patient rated Visual-Analogues scales | Current |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Randi Ulberg, PhD | Vestfold Hospital Trust and University of Oslo | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Unit, Division of | Tønsberg | Vestfold | 3103 | Norway | ||
| BUP vest, Diakonhjemmet sykehus |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36554820 | Derived | Calderon A, Storeide KAH, Elvejord C, Nissen-Lie HA, Ulberg R, Dahl HJ. Examining Psychotherapeutic Processes with Depressed Adolescents: A Comparative Study of Two Psychodynamic Therapies. Int J Environ Res Public Health. 2022 Dec 16;19(24):16939. doi: 10.3390/ijerph192416939. | |
| 35954850 | Derived | Brosholen P, Ulberg R, Dahl HJ, Thoren A. Therapists' Emotional Responses in Individual Therapy with Depressed Adolescents: An Evaluation of the Data Structure of the Feeling-Word Checklist-28. Int J Environ Res Public Health. 2022 Aug 2;19(15):9496. doi: 10.3390/ijerph19159496. |
| Label | URL |
|---|---|
| The Central Norway Regional Ethics Health Committee | View source |
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| ID | Term |
|---|---|
| D003863 | Depression |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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|
| Current |
| Beck Depression Inventory (BDI) | Patient rated | Current |
| Montgomery Åsberg Rating Scale (MADRS) | Rated by therapist and/or experienced clinician rater | Current |
| Oslo |
| Norway |
| Nic Walls Institutt, Lovisenberg Diakonale Sykehus | Oslo | Norway |
| Oslo University Hospital | Oslo | Norway |
| Spcialist in psychiatry and clinical psychiatry | Oslo | Norway |
| University of Oslo | Oslo | Norway |
| 34203924 | Derived | Henriksen AK, Ulberg R, Tallberg BPU, Lovgren A, Johnsen Dahl HS. Conflicted Anger as a Central Dynamic in Depression in Adolescents-A Double Case Study. Int J Environ Res Public Health. 2021 Jun 15;18(12):6466. doi: 10.3390/ijerph18126466. |
| 33596856 | Derived | Ulberg R, Hummelen B, Hersoug AG, Midgley N, Hoglend PA, Dahl HJ. The first experimental study of transference work-in teenagers (FEST-IT): a multicentre, observer- and patient-blind, randomised controlled component study. BMC Psychiatry. 2021 Feb 17;21(1):106. doi: 10.1186/s12888-021-03055-y. |
| 30898111 | Derived | Lovgren A, Rossberg JI, Nilsen L, Engebretsen E, Ulberg R. How do adolescents with depression experience improvement in psychodynamic psychotherapy? A qualitative study. BMC Psychiatry. 2019 Mar 21;19(1):95. doi: 10.1186/s12888-019-2080-0. |
| 30069230 | Derived | Ness E, Dahl HJ, Tallberg P, Amlo S, Hoglend P, Thoren A, Egeland J, Ulberg R. Assessment of dynamic change in psychotherapy with asdolescents. Child Adolesc Psychiatry Ment Health. 2018 Jul 30;12:39. doi: 10.1186/s13034-018-0246-z. eCollection 2018. |
| 22950546 | Derived | Ulberg R, Hersoug AG, Hoglend P. Treatment of adolescents with depression: the effect of transference interventions in a randomized controlled study of dynamic psychotherapy. Trials. 2012 Sep 6;13:159. doi: 10.1186/1745-6215-13-159. |
| Sykehuset i Vesthold | View source |
| University of Oslo | View source |
| Ulberg R, Hersoug AG, Høglend P.(2012)Treatment of adolescents with depression: the effect of transference interventions in a randomized controlled study of dynamic psychotherapy.Trials. 2012 Sep 6;13:159. doi: 10.1186/1745-6215-13-159. | View source |