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Trial registered on ANZCTR
Registration number
ACTRN12609000807257
Ethics application status
Not yet submitted
Date submitted
11/09/2009
Date registered
16/09/2009
Date last updated
16/09/2009
Type of registration
Prospectively registered
Titles & IDs
Public title
A preliminary investigation of the efficacy of an enhanced Cognitive Behavioural Treatment Program for Excessive Worry.
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Scientific title
A preliminary investigation of the efficacy of an enhanced Cognitive Behavioural Treatment Program for Excessive Worry in individuals with Generalized Anxiety Disorder (GAD) using a case studies design.
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Secondary ID [1]
1095
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Nil
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Universal Trial Number (UTN)
U1111-1111-8049
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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:
Excessive worries in individuals with Generalized Anxiety Disorder (GAD)
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Condition category
Condition code
Mental Health
239987
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Anxiety
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Cognitive Behavioural Therapy
a) the duration & frequency of therapy sessions: 12 x 1-hour sessions on a weekly basis.
b) the overall duration of the therapy program: 12 weeks.
c) the mode of administration: one-on-one sessions with a psychologist.
d) the topics covered: managing emotions, uncertainty and unhelpful meta-cognitions.
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Intervention code [1]
241256
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Treatment: Other
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Comparator / control treatment
This is a single-group-trial research in which the same treatment is applied to all subjects.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Mean Worry Severity Score as assessed on the Penn State Worry Scale (PSWQ). The PSWQ is a 16-item measure for capturing the excessive and uncontrollable nature of pathological worry, where higher scores indicate more severe worry.
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Assessment method [1]
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Timepoint [1]
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at baseline; at 3, 6, 9 and 12 weeks after treatment commencement; and at 4 and 12 weeks after the completion of the treatment.
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Primary outcome [2]
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Clinician Severity Rating of GAD as assessed on the Anxiety Disorders Interview Schedule - IV (ADIS-IV). The ADIS-IV is a semi-structured interview that assesses for DSM-IV (Diagnostic & Statistical Manual of Mental Disorders, 4th edition) anxiety, mood, somatoform, and substance use disorders, and screens for the presence of other conditions (e.g. psychotic disorders).
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Assessment method [2]
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Timepoint [2]
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at baseline, 12 weeks after treatment commencement, and 12 weeks after completion of treatment.
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Secondary outcome [1]
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Mean score of the Difficulties in Emotion Regulation Scale. This scale assesses emotion regulation deficits across six dimensions: emotional awareness, emotional clarity, nonacceptance of emotions, difficulty engaging in goal-directed behaviour, poor impulse control, and limited access to emotion regulation strategies.
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Assessment method [1]
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Timepoint [1]
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at baseline; at 3, 6, 9 and 12 weeks after treatment commencement; and at 4 and 12 weeks after the completion of the treatment.
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Eligibility
Key inclusion criteria
Patients must be 18 years old or older, and must meet the DSM-VI criteria for a primary diagnosis of GAD as assessed on the ADIS-IV.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients who are psychotic, suicidal or have significant substance abuse problems.
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Study design
Purpose of the study
Treatment
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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)
Not applicable
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Not applicable
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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
Single group
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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
Not yet recruiting
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Date of first participant enrolment
Anticipated
20/09/2009
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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
8
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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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Recruitment postcode(s) [1]
2072
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2109
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Macquarie University
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Address [1]
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Balaclava Road,
North Ryde,
New South Wales 2109
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Hock Lai CHOO, Christopher
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Address
4/48 Harold St,
North Parramatta,
NSW 2151
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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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Dr Andrew Baillie
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Address [1]
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Department of Psychology,
Macquarie University.
Balaclava Road,
North Ryde,
NSW 2109
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Country [1]
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Australia
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Ethics committee address [1]
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Ethics committee country [1]
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Date submitted for ethics approval [1]
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10/08/2009
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Approval date [1]
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Ethics approval number [1]
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HE28AUG2009-D00103
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Summary
Brief summary
Generalized Anxiety Disorder (GAD) is a disabling disorder characterized by the central defining feature of pervasive, excessive and uncontrollable worry. Although the traditional Cognitive Behavioural Therapy (CBT) has been found to be effective for GAD patients, a significant proportion of these patients fail to achieve high end-state functioning. Recent research evidence have found GAD to be associated with a person's intolerance of uncertainty, unhelpful meta-cognitions, and deficits in emotional regulation. The current study thus aims to investigate the efficacy of an enhanced CBT treatment that teaches GAD patients skills in managing emotions, uncertainty and unhelpful meta-cognitions, in addition to the usual CBT skills. It is hypothesized that GAD-related symptoms in the patients will improve with the enhanced CBT treatment and the change of symptoms will be related to change in scores (baseline to post-treatment) in one or more of the aforesaid factors (i.e. emotion regulation, meta-cognitions and/or intolerance of uncertainty).
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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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Hock Lai CHOO, Christopher
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Address
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Department of Psychology,
Macquarie University.
Balaclava Road,
North Ryde,
NSW 2109
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Country
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Australia
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Phone
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+61 412 009 676
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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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Hock Lai CHOO, Christopher
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Address
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Department of Psychology,
Macquarie University.
Balaclava Road,
North Ryde,
NSW 2109
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Country
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Australia
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Phone
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+61 412 009 676
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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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