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| Name | Class |
|---|---|
| University of Exeter | OTHER |
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The effectiveness of a Rumination Focused Cognitive-Behavioral Treatment (RF-CBT) will be compared with a wait list control group using a randomized control trial (RCT) design in a culture where this has not been tested before. The treatment approach was design to specifically target repetitive negative thinking (e.g., rumination and worries). Specifically, the treatment involves first a functional analysis design to help participants identify when rumination starts, distinguish between helpful versus unhelpful repetitive thinking, and learn more functional responses, and experiential and imagery exercises design to help them shift their thought processing towards concreteness, absorption and compassion. The main goal of the study is to test the effectiveness of this transdiagnostic approach in reducing symptom of depression and anxiety.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Rumination-Focused CBT (RFCBT) | Experimental | RFCBT seeks to change the process of thinking as opposed to the content of thoughts as in standard CBT. The underlying idea is that shifting individuals repetitive negative thinking into the concrete mode will reduce unconstructive ruminations and worries. |
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| Wait List Control Group | No Intervention | This arm represents the wait-list comparison group. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rumination-Focused CBT (RFCBT) | Behavioral | RFCBT consists of six online modules that include psycho-education, mood diaries, on-line experiential exercises using audio-recordings & vignettes of participants experiences of the therapy. |
| Measure | Description | Time Frame |
|---|---|---|
| Rumination Response Scale -10 items (RRS10) | The Rumination Response Scale -10 items (RRS10) was designed to measure participant's level of rumination. The scale has two subscale: Reflection (5 items) and Brooding (5 items). The score for each subscale ranges from 5 to 20, while the total score ranges from 10 to 40. Low scores are associated with low levels of rumination, while high scores are associated with high levels of rumination. | Absolute values (average score) of RRS10 subscales (Reflection and Brooding) at 8 weeks (post-intervention) |
| Perseverative Thinking Questionnaire (PTQ) | Perseverative Thinking Questionnaire (PTQ) was designed to measure participant's level of rumination. The scale is unidimensional and the total score ranges from 0 to 60. Low scores are associated with low levels of rumination, while high scores are associated with high levels of rumination. | Absolute values (average score) of PTQ at 8 weeks (post-intervention) |
| Patient Health Questionnaire 9 (PHQ9) | The Patient Health Questionnaire 9 (PHQ9) was designed to measure participant's level of depression. The scale is unidimensional and the total score ranges from 0 to 27. Low scores are associated with low levels of depression, while high scores are associated with high levels of depression. | Absolute values (average score) of PHQ9 at 8 weeks (post-intervention) |
| Generalized Anxiety Disorder 7 (GAD7) | Generalized Anxiety Disorder 7 (GAD7) was designed to measure participant's level of generalized anxiety or worry. The scale is unidimensional and the total score ranges from 0 to 21. Low scores are associated with low levels of worry, while high scores are associated with high levels of worry. | Absolute values (average score) of GAD7 at 8 weeks (post-intervention) |
| Social Phobia Inventory (SPIN) |
| Measure | Description | Time Frame |
|---|---|---|
| Work and Social Adjustment Scale (WSAS) | Work and Social Adjustment Scale (WSAS) was designed to measure symptom interference. The scale is unidimensional and the total score ranges from 0 to 40. Low scores are associated with higher levels of functioning (less interference of clinical symptoms) while high scores are associated with lower levels of functioning (or high interference of clinical symptoms). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Bogdan Tudor Tulbure, PhD | Contact | 0040745753061 | btulbure@gmail.com | |
| Edward Watkins, PhD | Contact | E.R.Watkins@exeter.ac.uk |
| Name | Affiliation | Role |
|---|---|---|
| Bogdan Tudor Tulbure, PhD | West University of Timisoara | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| West University of Timisoara | Recruiting | Timișoara | Timiș County | 300223 | Romania |
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| Label | URL |
|---|---|
| Project official website | View source |
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Data will be process only at the group level. No individual data will be shared to third parties.
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| ID | Term |
|---|---|
| D003863 | Depression |
| D019263 | Dysthymic Disorder |
| D016584 | Panic Disorder |
| D000072861 | Phobia, Social |
| D000098647 | Generalized Anxiety Disorder |
| D000079562 | Rumination Syndrome |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D003866 | Depressive Disorder |
| D019964 | Mood Disorders |
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Folow-up interviews will be carried out by a different team of assessors (blinded to the treatment condition)
The SPIN was designed to measure participant's level of social phobia. The scale is unidimensional and the total score ranges from 0 to 68. Low scores are associated with low levels of social phobia, while high scores are associated with high levels of social phobia. |
| Absolute values (average score) of SPIN at 8 weeks (post-intervention) |
| Anxiety Sensitivity Index 16 (ASI16) | ASI16 was designed to measure participant's level of anxiety sensitivity. The scale is unidimensional and the total score ranges from 0 to 64. Low scores are associated with low levels of anxiety sensitivity, while high scores are associated with high levels of anxiety sensitivity. | Absolute values (average score) of ASI at 8 weeks (post-intervention) |
| Absolute values (average score) of WSAS at 8 weeks (post-intervention) |
| Beck Depression Inventory-II (BDI-II) | The Beck Depression Inventory-II (BDI-II) was designed to measure participant's level of depression. The scale is unidimensional and the total score ranges from 0 to 63. Low scores are associated with low levels of depression, while high scores are associated with high levels of depression. | Absolute values (average score) of BDI-II at 8 weeks (post-intervention) |
| Penn State Worry Questionnaire (PSWQ) | The PSWQ was designed to measure participant's level of generalized anxiety or worry. The scale is unidimensional and the total score ranges from 16 to 80. Low scores are associated with low levels of worry, while high scores are associated with high levels of worry. | Absolute values (average score) of PSWQ at 8 weeks (post-intervention) |
| D001523 |
| Mental Disorders |
| D010698 | Phobic Disorders |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D001068 | Feeding and Eating Disorders |