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Process-based therapy vs. routine-CBT for difficult-to-treat mood and anxiety disorders: study protocol for a
Ulrich Stangier1, Viktoria Kohl2, Nora Görg2
1Department of Clinical Psychology and Psychotherapy, Goethe University Frankfurt, Varrentrappstr. 40-42, Frankfurt, 60486, Germany. stangier@psych.uni-frankfurt.de.
Trials
|December 20, 2024
Summary
This study compares process-based therapy (PBT) to traditional cognitive behavioral therapy (CBT) for difficult-to-treat mood and anxiety disorders. It investigates PBT
Area of Science:
- Psychiatry
- Clinical Psychology
- Psychotherapy Research
Background:
- Process-based therapy (PBT) utilizes ecological momentary assessment (EMA) and network analyses for intervention planning.
- Previous support for PBT comes from single-case studies.
- This research examines PBT's feasibility and effectiveness in a larger clinical sample.
Purpose of the Study:
- To test the relative efficacy of PBT compared to traditional cognitive behavioral therapy (CBT) delivered in routine practice (r-CBT).
- To evaluate PBT for difficult-to-treat mood and anxiety disorders.
Main Methods:
- A randomized controlled trial (RCT) comparing PBT and r-CBT in 80 outpatients.
- Primary outcome: emotional distress; secondary outcomes: well-being, quality of life, adaptive behavior, psychological flexibility, reflective functioning.
- Assessments conducted pre-therapy, post-therapy, and at 6-month follow-up; weekly patient-rated outcomes collected.
Main Results:
- This section is to be filled once the study results are available.
Conclusions:
- This will be the first RCT of PBT in a healthcare setting.
- Planned analyses will elucidate psychotherapy mechanisms of change.
- The study will clarify the link between personalized assessment via dynamic network analysis and treatment effects.
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