Cognitive behavioral therapy and emotion-focused therapy for depression in a routine care setting: A randomized controlled pilot trial.

IF 3 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2025-10-01 DOI:10.1080/10503307.2025.2560935

Hanna Aardal, Elisabeth Schanche, Aslak Hjeltnes, Yngvild Sørebø Danielsen

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引用次数: 0

Abstract

Objective: This pilot randomized controlled trial (RCT) aimed to preliminarily assess the efficacy and acceptability of Cognitive behavioral therapy (CBT) and Emotion-focused therapy (EFT) in short-term treatment of depression within a Norwegian mental health program. The study also addresses procedural elements relevant for future research development.

Method: In a parallel two-arm RCT, 111 participants (mean age: 42, 70.6% female) with major depression were randomly allocated to 9-18 sessions of either CBT (n = 55) or EFT (n = 56). Five participants in CBT and four in EFT withdrew their consent, resulting in final sample sizes of CBT (n = 50) and EFT (n = 52). Self-reported depressive symptoms (BDI-II) were measured post-session and at 3-, 6-, and 12-month follow-ups. Data were analyzed using multilevel modeling.

Results: The results showed a significant improvement in symptoms from start to follow-up, as measured by the BDI-II (d = 0.56; 95% CI: 0.45, 0.66). No significant differences were found between conditions; however, the small sample size prevents definitive conclusions about possible differences. Drop-out was low (Total: 6.31%; CBT: 10.91%, EFT: 1.79%).

Conclusion: Our findings support the efficacy and acceptability of CBT and EFT in short-term treatment of depression in a Norwegian setting.Trial registration: ClinicalTrials.gov identifier: NCT04690946..

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认知行为疗法和情绪集中疗法在日常护理中的应用：一项随机对照试验。

目的：本试点随机对照试验（RCT）旨在初步评估认知行为疗法（CBT）和情绪聚焦疗法（EFT）在挪威心理健康项目中短期治疗抑郁症的疗效和可接受性。该研究还涉及与未来研究发展有关的程序要素。方法：在一项平行双臂随机对照试验中，111名重度抑郁症患者（平均年龄：42岁，70.6%为女性）被随机分配到9-18个疗程的CBT （n = 55）或EFT （n = 56）。CBT组的5名参与者和EFT组的4名参与者撤回了他们的同意，从而导致CBT （n = 50）和EFT （n = 52）的最终样本量。在治疗后、随访3个月、6个月和12个月时测量自我报告的抑郁症状（BDI-II）。数据分析采用多层次建模。结果：通过BDI-II测量，结果显示从开始到随访期间症状有显著改善（d = 0.56; 95% CI: 0.45, 0.66）。不同条件间未发现显著差异；然而，样本量小，无法对可能的差异得出明确的结论。退出率低（Total: 6.31%; CBT: 10.91%; EFT: 1.79%）。结论：我们的研究结果支持CBT和EFT在挪威短期治疗抑郁症的有效性和可接受性。试验注册：ClinicalTrials.gov标识符：NCT04690946。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.