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Trial registered on ANZCTR
Registration number
ACTRN12609000722291
Ethics application status
Approved
Date submitted
19/08/2009
Date registered
24/08/2009
Date last updated
9/07/2010
Type of registration
Prospectively registered
Titles & IDs
Public title
The Effectiveness of Behavioural Activation treatment with high worriers
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Scientific title
For high level worriers, is Behaviour Activation treatment more effective than waitlist control to reduce excessive worrying
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Secondary ID [1]
252165
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NIL
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Worrying
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Condition category
Condition code
Mental Health
239841
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Anxiety
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The treatment includes eight two hour sessions over eight weeks and will be conducted in a group format. Two therapists will be present at each session. A treatment manual will be adapted for Worry treatment based on the Behavioural Activation handbook, Overcoming Depression one step at a time (Addis, M & Martell, C., 2004). The primary focus of Behavioural Activation (BA) treatment is in the use of functional analysis to provide individuals with psychosocial education to differentiate between helpful or unhelpful thinking. Individuals are then coached to shift towards more adaptive thinking styles. BA starts in functional analysis focusing on assessment and treatment of avoidance behaviours- variability of (1) Worry (e.g., differences between helpful and unhelpful thinking about problems); (2) Associated behaviours and (3) Counter-worry behaviours such as effective engagement in tasks. This detailed analysis of context and function is then used to help clients: (1) Recognize warning signs for worry; (2) Develop alternative strategies and contingency plans; some helpful alternative behaviour include allowing worry to cue the clients to take action, attending to their experience, etc.; (3) Alter environmental and behavioural contingencies maintaining worry.
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Intervention code [1]
241151
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Treatment: Other
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Comparator / control treatment
Participants in the waitlist group will not receive any intervention at all until directly after the 6 week intervention period
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Control group
Active
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Outcomes
Primary outcome [1]
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Mean Penn State Worry Questionnaire (PSWQ, Meyer et al., 1990) score
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Assessment method [1]
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Timepoint [1]
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Timepoints: at baseline, at treatment termination and 3 months after treatment termination
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Secondary outcome [1]
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Depression Anxiety Stress Scales (DASS; Lovibond & Lovibond, 1993)
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Assessment method [1]
257242
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Timepoint [1]
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Timepoints: at baseline, at treatment termination and 3 months after treatment termination
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Secondary outcome [2]
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Social Problem Solving Inventory- Revised Short form (SPSI-R:S, D' Zurilla et al., 2002)
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Assessment method [2]
257243
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Timepoint [2]
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Timepoints: at baseline, at treatment termination and 3 months after treatment termination
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Eligibility
Key inclusion criteria
High to moderate scores on Penn State Worry Questionnaire (PSWQ, Meyer et al., 1990)
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Minimum age
18
Years
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Maximum age
100
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Active psychosis, current suicide ideation and unmanaged substance dependence/abuse
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
28/09/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Xi Liu
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Address [1]
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C3A 720, Department of Psychology, Macquarie University
North Ryde
NSW 2109
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Country [1]
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Australia
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Funding source category [2]
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University
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Name [2]
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Department of Psychology
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Address [2]
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Macquarie University
North Ryde
NSW 2109
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Country [2]
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Australia
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Primary sponsor type
Individual
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Name
Xi Liu
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Address
Rm 313, C3A Department of Psychology, Macquarie University. North Ryde. NSW 2109
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Prof. Ron Rapee
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Address [1]
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C3A721, Department of Psychology, Macquarie University
North Ryde
NSW 2109
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Country [1]
236996
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Australia
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Other collaborator category [1]
825
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Individual
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Name [1]
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Dr Junwen Chen
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Address [1]
825
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School of Psychology
Flinders University
GPO Box 2100 Adelaide, SA 5001
AUSTRALIA
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Country [1]
825
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Macquarie University Ethics Secretariat
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Ethics committee address [1]
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Research Office Level 3, Research HUB, Building C5C Macquarie University NSW 2109
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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25/06/2009
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Approval date [1]
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Ethics approval number [1]
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HE31JUL2009-M00046
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Summary
Brief summary
The Behavioural Activation model highlights the centrality of patterns of avoidance and withdrawal. The conceptualisation for using BA with depression by Dimidjian and colleagues has received strong empirical support. The premise of BA treatment on depression focuses on reducing the repetitive negative thinking in depression- rumination; and assisting individuals to reverse avoidant behaviours, particularly in areas of occupational or daily-life routine demands. Recent research has pointed to distinct similarity in the features of worry and rumination, both sharing a common feature of repetitive negative thought and both has implications on problem orientation (approach versus avoidance) and problem resolution. The current study aims to adapt the BA treatment for depression to a group with excessive and uncontrollable worry tendency. The purpose of the current study is to determine the efficacy of using Behaviour Activation to treat excessive and uncontrollable worry. The study may also have implications for future directions of a transdiagnostic treatment approach to depression and anxiety disorders where excessive worry is a maintaining factor.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Xi Liu
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Address
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Rm 313, C3A Department of Psychology, Macquarie University. North Ryde. NSW 2109
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Country
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Australia
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Phone
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+61403804738
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Xi Liu
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Address
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Rm 313, C3A Department of Psychology, Macquarie University. North Ryde. NSW 2109
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Country
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Australia
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Phone
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+61403804738
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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