ClinicalTrials.gg
RecruitingNCT06521957Updated Jul 26, 2024

Effectiveness of CBT in Improving Psycho-Neuro-Endocrine Factors in Women Following In Vitro Fertilization Program

An interventional study of Cognitive Behavioral Therapy in Cognitive Behavioral Therapy, Hormone Disturbance and In Vitro Fertilization, sponsored by Fakultas Kedokteran Universitas Indonesia. Recruiting at 1 site in Indonesia. Open to female participants aged 25 Years to 42 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-07-26.

Sponsored by Fakultas Kedokteran Universitas Indonesia · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2024, 1 year 11 months ago, but the record still lists the study as recruiting.
  • Registered 1 year after the study started (first participant enrolled Jul 2023, registered Jul 2024).
  • Started Jul 2023; still recruiting 3 years 4 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
75
Allocation
Randomized
Ages
25 Years to 42 Years
Sex
Female
01

Study summary

The goal of this clinical trial is to learn if Cognitive Behavioral Therapy (CBT) can improve psychological, neurological, and hormonal aspects in women undergoing In Vitro Fertilization (IVF). The main questions it aims to answer are:

  • Is CBT effective in improving psychological aspects (anxiety, depression, and coping mechanism) in women undergoing IVF?
  • Is CBT effective in improving neuroendocrine aspects (cortisol levels, neuroepinephrine levels, free trioodothyronine levels) in women underoing IVF?

Researchers will compare CBT to no intervention to see if CBT is effective in improving psychoneuroendocrine aspects.

Read the detailed description

Participants will

  • attend 8 appointments once a week, during which they will be given CBT or no intervention
  • have their anxiety score, depression score, and dominant coping mechanism assessed before the first appointment and during appointment 3, 6, and 8
  • have their cortisol levels, norepinephrine levels, and free triiodothyronine levels assessed before the first appointment and during appointment 3, 6, and 8
02

Conditions studied

  • Cognitive Behavioral Therapy
  • Hormone Disturbance
  • In Vitro Fertilization

Keywords

  • Cognitive Behavioral Therapy
  • Psycho-Neuro-Endocrine
  • In Vitro Fertilization
03

In context

Endocrine System Diseases

322 studies on the registry are indexed under Endocrine System Diseases; 51 are open to participants now.

This study's planned enrollment of 75 is close to the median of 69 across 221 interventional studies indexed under Endocrine System Diseases.

Browse Endocrine System Diseases studies →

Lead sponsor

Fakultas Kedokteran Universitas Indonesia is the lead sponsor of 36 studies on the registry; 6 are open to participants now.

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

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Who can participate

Ages eligible
25 Years to 42 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Women with primary infertility
  • Aged 25-42 at the start of the study
  • Willing to participate in the study and willing to sign form
  • Minimum education of high school, able to read, write and understand Bahasa Indonesia

Exclusion criteria

Exclusion Criteria:

  • Having one or multiple psychotic disorder(s)
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
75 participants (estimated)

Study arms

  • Experimental
    Cognitive Behavioral Therapy

    Structured, short-term psychological treatment in the field of cognition that aims to shape adaptive thoughts and behavior.

    Behavioral: Cognitive Behavioral Therapy

  • No intervention
    Treatment As Usual

    Administration of information and education regarding in vitro fertilization according to each patient's needs and current stage of treatment.

Interventions

  • BehavioralCognitive Behavioral Therapy

    Cognitive Behavioral Therapy

06

What researchers measure

Primary outcomes

  1. Improvement in anxiety score

    Hamilton Anxiety Rating Scale (HAM-A), Indonesian version, with minimum score of 0 and maximum score of 56. A score of 0-7 indicates no or minimum anxiety; a score of 8-14 indicates mild anxiety; a score of 15-23 indicates moderate anxiety; and a score of 24 and more indicates severe anxiety. Lower score indicates a better outcome.

    Time frame: Baseline (1 month before IVF program begins/1 week before pre-IVF counselling begins), interim assessments (at the start of IVF program, at 3 weeks of IVF program, and at 5 weeks of IVF program).

  2. Improvement in depression score

    Hamilton Depression Rating Scale (HAM-D), Indonesian version, with minimum score of 0 and maximum score of 52. A score of 0-7 indicates no or minimum depression; a score of 8-16 indicates mild depression; a score of 17-23 indicates moderate depression; and a score of 24 and more indicates severe depression. Lower score indicates a better outcome.

    Time frame: Baseline (1 month before IVF program begins/1 week before pre-IVF counselling begins), interim assessments (at the start of IVF program, at 3 weeks of IVF program, and at 5 weeks of IVF program).

  3. Improvement in coping mechanism

    Coping Orientation to the Problem Experienced (COPE), Indonesian version, divided into 2 scales: adaptive coping (active, acceptance, religious) and maladaptive coping (emotion-focused, avoidance), comprising of 61 questions in total. Shift from dominantly maladaptive coping to adaptive coping indicates a better outcome.

    Time frame: Baseline (1 month before IVF program begins/1 week before pre-IVF counselling begins), interim assessments (at the start of IVF program, at 3 weeks of IVF program, and at 5 weeks of IVF program).

  4. Improvement in cortisol levels

    Blood samples are taken from the participants, of which Hormonal Assay test is then performed. 10-20 µg/dl indicates normal range, and lower levels indicate a better outcome.

    Time frame: Baseline (1 month before IVF program begins/1 week before pre-IVF counselling begins), interim assessments (at the start of IVF program, at 3 weeks of IVF program, and at 5 weeks of IVF program).

  5. Improvement in norepinephrine levels

    Blood samples are taken from the participants, of which Hormonal Assay test is then performed. 70-750 pg/dl indicates normal range, and lower levels indicate a better outcome.

    Time frame: Baseline (1 month before IVF program begins/1 week before pre-IVF counselling begins), interim assessments (at the start of IVF program, at 3 weeks of IVF program, and at 5 weeks of IVF program).

  6. Improvement in free triiodothyronine levels

    Blood samples are taken from the participants, of which Hormonal Assay test is then performed. 2.6 - 4.8 pg/ml indicates normal range.

    Time frame: Baseline (1 month before IVF program begins/1 week before pre-IVF counselling begins), interim assessments (at the start of IVF program, at 3 weeks of IVF program, and at 5 weeks of IVF program).

07

Study locations

1 of 1 sites recruiting
  • Cipto Mangunkusumo Hospital
    Jakarta Pusat, DKI Jakarta, Indonesia
    Recruiting
    • Feranindhya Agiananda · Contact08161696160
    • Artasya Karnasih · Contact082111163002
08

References and documents

Publications

  • Toufexis D, Rivarola MA, Lara H, Viau V. Stress and the reproductive axis. J Neuroendocrinol. 2014 Sep;26(9):573-86. doi: 10.1111/jne.12179. PubMed 25040027 ↗
  • An Y, Sun Z, Li L, Zhang Y, Ji H. Relationship between psychological stress and reproductive outcome in women undergoing in vitro fertilization treatment: psychological and neurohormonal assessment. J Assist Reprod Genet. 2013 Jan;30(1):35-41. doi: 10.1007/s10815-012-9904-x. Epub 2012 Dec 5. PubMed 23212833 ↗
  • Schliep KC, Mumford SL, Vladutiu CJ, Ahrens KA, Perkins NJ, Sjaarda LA, Kissell KA, Prasad A, Wactawski-Wende J, Schisterman EF. Perceived stress, reproductive hormones, and ovulatory function: a prospective cohort study. Epidemiology. 2015 Mar;26(2):177-84. doi: 10.1097/EDE.0000000000000238. PubMed 25643098 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 26, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06521957
Lead sponsor
Fakultas Kedokteran Universitas Indonesia
Responsible party
Feranindhya Agiananda (Staff of Psychiatry Department, Head of Consultation-Liaison Psychiatry Division, Fakultas Kedokteran Universitas Indonesia) — Principal investigator
First posted
Jul 26, 2024
Start date
Jul 5, 2023
Primary completion
Dec 1, 2024 (estimated)
Completion
Jun 1, 2025 (estimated)
Last update
Jul 26, 2024

Study contacts

Feranindhya Agiananda
Contact
feranindhya@gmail.com
08161696160
Artasya Karnasih
Contact
artasya.karnasih@gmail.com
082111163002

Oversight

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

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