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Treatment of Depression and/or Anxiety - the Tree Theme Method® (TTM) as an Intervention

K

Kronoberg County Council

Status

Completed

Conditions

Depression
Anxiety

Treatments

Other: Tree Theme Method ® (TTM)

Study type

Interventional

Funder types

Other

Identifiers

NCT01980381
LTK/120995

Details and patient eligibility

About

Depression and anxiety are among our most common diseases and the prevalence is increasing. When suffering from depression or anxiety, the individual's ability to cope with everyday life occupations is decreased, as well as the ability to relate to others. The Tree Theme Method® (TTM) is a treatment method. The purpose is to enhance the ability to develop strategies for occupations in everyday life and relationships with others. The method involves using creative activities to create a life story focusing on everyday occupations and to create an imagination of future possibilities/goals. The TTM is a short-term therapy with five sessions. The treatment also implies that the patient is asked to identify various homework tasks to perform between the sessions.

The aim of the project is to investigate the effects of the TTM compared to a control group for people with depression and anxiety diagnosis. The intention is to examine the effect on outcome measures regarding psychological symptoms, everyday occupations and health. The study has been approved by the Regional Ethical Review Board.

The project is a randomized multicenter study with an intervention group and a control group. A total of 130 patients will be included. Inclusion criteria are patients with depression and/or anxiety in the age of 18-65 years and who have problems with their everyday occupations. Exclusion criteria are individuals with a severe somatic illness or psychosis and/or who have difficulties to understand and fill out self-rating questionnaires.

The project implies that doctors will refer appropriate patients to the occupational therapist. After informed consent each patient will be drawn to the TTM or control. Before and after the treatment, as well as 3 and 12 months after finished treatment the patient will meet a project assistant in order to respond to questionnaires regarding psychological symptoms, everyday occupations and health.

The study is a collaborative project involving the Region Skåne, Kronoberg County Council, and Jönköping County Council. Doctors will recruit patients and occupational therapists will perform the treatment. The research team comprise of researchers from Kronoberg County Council (B Gunnarsson and K Hedin), Lund University (C Håkansson) and School of Health Sciences in Jönköping (P Wagman).

Enrollment

121 patients

Sex

All

Ages

18 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Depression and/or anxiety in age of 18-65 years and problems with everyday occupations.

Exclusion criteria

  • Severe somatic illness or psychosis and/or difficulties to understand and fill out self-rating questionnaires

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

121 participants in 2 patient groups

Tree Theme Method ® (TTM) intervention
Experimental group
Description:
The TTM involves storytelling and story making, in which the patient draws tree maps representing certain periods of his/her life.
Treatment:
Other: Tree Theme Method ® (TTM)
Control group
No Intervention group
Description:
Treatment as usual, with focus on the present everyday occupations

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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