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Update to the study protocol for a randomized controlled trial comparing mindfulness-based cognitive therapy with maintenance anti-depressant treatment depressive relapse/recurrence: the PREVENT trial

Overview of attention for article published in Trials, June 2014
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Title
Update to the study protocol for a randomized controlled trial comparing mindfulness-based cognitive therapy with maintenance anti-depressant treatment depressive relapse/recurrence: the PREVENT trial
Published in
Trials, June 2014
DOI 10.1186/1745-6215-15-217
Pubmed ID
Authors

Willem Kuyken, Sarah Byford, Richard Byng, Tim Dalgleish, Glyn Lewis, Rod Taylor, Edward R Watkins, Rachel Hayes, Paul Lanham, David Kessler, Nicola Morant, Alison Evans

Abstract

Depression is a common and distressing mental health problem that is responsible for significant individual disability and cost to society. Medication and psychological therapies are effective for treating depression and maintenance antidepressants (m-ADM) can prevent relapse, whereas, r psychological help can help them recover from depression in the longterm. A recently developed treatment, mindfulness-based cognitive therapy (MBCT), shows potential as a brief group program for people with recurring depression..This trial asks the policy research question; is MBCT with support to taper/discontinue antidepressant medication (MBCT-TS) superior to m-ADM in terms of: a primary outcome of preventing depressive relapse/recurrence over 24 months; and secondary outcomes of (a) depression free days, (b) residual depressive symptoms, (c) antidepressant medication (ADM) usage, (d) (d) psychiatric and medical co-morbidity, (e) quality of life, and (f) cost effectiveness? An explanatory research question also asks whether an increase in mindfulness skills is the key mechanism of change.The design is a single-blind, parallel randomized controlled trial examining MBCT-TS versus m-ADM with an embedded process study. To answer the main policy research question the proposed trial compares MBCT-TS with m-ADM for patients with recurrent depression. Four hundred and twenty patients with recurrent major depressive disorder in full or partial remission will be recruited through primary care.

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Geographical breakdown

Country Count As %
Malaysia 2 <1%
United States 1 <1%
Unknown 234 99%

Demographic breakdown

Readers by professional status Count As %
Researcher 36 15%
Student > Master 34 14%
Student > Ph. D. Student 28 12%
Student > Doctoral Student 19 8%
Student > Bachelor 19 8%
Other 59 25%
Unknown 42 18%
Readers by discipline Count As %
Psychology 82 35%
Medicine and Dentistry 39 16%
Nursing and Health Professions 14 6%
Unspecified 14 6%
Social Sciences 10 4%
Other 29 12%
Unknown 49 21%