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CompletedNCT04529694Updated Jun 12, 2024

Patient Characteristics and Cognitive vs. Behavioral Therapies for Depression

An interventional study of Psychotherapy in Major Depressive Disorder, sponsored by Ohio State University. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-06-12.

Sponsored by Ohio State University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 8 years 9 months after the study started (first participant enrolled Oct 2011, registered Aug 2020).
Phase
Not applicable
Study type
Interventional
Enrollment
42
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a retrospective registration. The study was conducted at The Ohio State University from 2011 to 2012. This study was approved by an Institutional Review Board at The Ohio State University. The investigators retroactively registered this trial to facilitate publishing results in journal that now require registration. Any reference to the study's registration will make it clear that the registration was retroactive. Cognitive behavior therapy (CBT) has been shown to be an effective treatment for depression. However, a substantial number of patients do not respond to treatment or continue to be symptomatic at its conclusion. An important goal of ongoing research is to find ways to enhance treatment outcomes. One approach to doing this is to modifying existing treatments to individualize the approach to better meet the needs of individual patients. In this study, the investigators tested two main components of CBT to empirically evaluate patient characteristics that may predict differential response to these components. By using components of CBT, any suggestions about the strategies that are best suited to different patients are likely be easily implemented by therapists providing CBT. The two treatment components the investigators examined were: cognitive interventions (e.g., challenging negative automatic thoughts) and behavioral interventions (e.g., engaging in activities to promote a sense of pleasure or accomplishment). The investigators recruited adults with major depressive disorder and randomized them to a cognitive or behavioral intervention. After 8 weeks of treatment, patients were randomized again to a cognitive or behavioral intervention. Consequently, participants were offered a total of 16 weeks of treatment. Depressive symptoms were assessed with the Beck Depression Inventory-II (BDI-II) and the Hamilton Rating Scale for Depression (HRSD), with the latter being the primary outcome measure. Several variables that might serve to predict differential response to cognitive and behavioral treatments were also assessed. The results of this study may help to elucidate how cognitive or behavioral interventions might be selected so as to enhance overall treatment outcomes.

02

Conditions studied

  • Major Depressive Disorder
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In context

Depressive Disorder

4,845 studies on the registry are indexed under Depressive Disorder; 514 are open to participants now.

This study's enrollment of 42 is below the median of 80 across 3,999 interventional studies indexed under Depressive Disorder.

Browse Depressive Disorder studies →

Lead sponsor

Ohio State University is the lead sponsor of 640 studies on the registry; 144 are open to participants now.

Of its 60 completed or terminated interventional studies of FDA-regulated products, 45 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosis of major depressive disorder (MDD) according to DSM-IV criteria (APA, 1994)
  • Able and willing to give informed consent

Exclusion criteria

Exclusion Criteria:

  • History of bipolar affective disorder or psychosis
  • Current Axis I disorder other than MDD if it constitutes the predominant aspect of the clinical presentation and if it requires treatment other than that being offered
  • History of substance dependence in the past six months
  • Subnormal intellectual potential (IQ below 80, testing to be initiated if clinically indicated)
  • Clear indication of secondary gain (e.g., court ordered treatment)
  • Current suicide risk or significant intentional self-harm in the last six months sufficient to preclude treatment on an outpatient basis
  • If clients currently being treated with a medication for depression: (1) no change in medication and a stable dose for at least 1 month prior to their initial assessment; and (2) agreeing to not make changes to medication or medication dose during the study.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
42 participants (actual)

Study arms

  • Active comparator
    Cognitive-only Intervention

    This condition includes cognitive interventions drawn from cognitive therapy as described in Beck, Rush, Shaw, \& Emery (1979).

    Other: Psychotherapy

  • Active comparator
    Behavioral-only Intervention

    The condition includes behavioral interventions drawn from cognitive therapy as described in Beck, Rush, Shaw, \& Emery (1979).

    Other: Psychotherapy

Interventions

  • OtherPsychotherapy
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What researchers measure

Primary outcomes

  1. Change in Hamilton Rating Scale for Depression at week 8 and week 16

    The Hamilton Rating Scale for Depression is a 17-item interviewer evaluated assessment of depressive symptoms. Scores range from 0 to 52, with higher scores indicating greater depressive symptoms.

    Time frame: Time Frame: Weeks 0-8 and 0-16, assessments occurred at weeks 0, 4, 8, and 16.

Secondary outcomes

  1. Change in Beck Depression Inventory-II at week 8 and week 16

    The Beck Depression Inventory-II is a 21-item self-report measure of depressive symptoms. Scores range from 0 to 63, with higher scores indicating greater depressive symptoms.

    Time frame: Time Frame: Weeks 0-8 and 0-16, assessments occurred at every session through week 16.

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Study locations

1 site
  • Department of Psychology, The Ohio State University
    Columbus, Ohio 43210, United States
08

References and documents

Publications

  • Murphy ST, Cooper AA, Hollars SN, Strunk DR. Who Benefits From a Cognitive vs. Behavioral Approach to Treating Depression? A Pilot Study of Prescriptive Predictors. Behav Ther. 2021 Nov;52(6):1433-1448. doi: 10.1016/j.beth.2021.03.012. Epub 2021 Apr 9. PubMed 34656197 ↗

Individual participant data

Plan to share: No — We will consider requests for data sharing, pending approval from our IRB.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 12, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04529694
Lead sponsor
Ohio State University
Collaborators
Social Sciences and Humanities Research Council of Canada
Responsible party
Daniel R. Strunk (Associate Professor of Psychology, Ohio State University) — Principal investigator
First posted
Aug 28, 2020
Start date
Oct 20, 2011
Primary completion
Jun 26, 2012
Completion
Jun 26, 2012
Last update
Jun 12, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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