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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01882452
Registration number
NCT01882452
Ethics application status
Date submitted
18/06/2013
Date registered
20/06/2013
Date last updated
22/03/2018
Titles & IDs
Public title
A Randomised Controlled Clinical Trial of Memory Specificity Training (MEST) for Depression
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Scientific title
A Randomised Controlled Clinical Trial of Memory Specificity Training (MEST) for Depression
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Secondary ID [1]
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MEST-UK
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Universal Trial Number (UTN)
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Trial acronym
MEST
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Major Depressive Disorder
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Depressive Symptoms
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Condition category
Condition code
Mental Health
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Depression
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
BEHAVIORAL - Memory Specificity Training
BEHAVIORAL - Education and Support
Experimental: Memory Specificity Training - Five weekly one-hour sessions of memory specificity training administered in groups of 5-8 participants.
Active comparator: Education and Support - Five weekly one-hour sessions of an education-and-discussion supportive intervention, administered in groups of 5-8 participants.
BEHAVIORAL: Memory Specificity Training
This intervention is a manualised, structured treatment delivered over 5 x 60 minute sessions to groups of 5-8 individuals. This treatment involves repeated practice of retrieving specific autobiographical memories in response to positive, negative and neutral cue words. There is a single psychoeducation component in the first session about memory difficulties common in depression which provides the rationale for this treatment. The training is supplemented by weekly homework practice.
BEHAVIORAL: Education and Support
The education-and-support comparison condition is matched with the experimental arm for length and format (ie., 5 x 60 minute weekly sessions in groups of 5-8 individuals). Groups receive a single psychoeducation component where information about depression is provided. This is followed by non-directive support where participants are encouraged to raise different kinds of events that occur each week for discussion in the group. The sessions are supplemented by a homework diary where participants will be invited to note down an event that occurs each day, which may be positive, negative, or benign and non-emotional in nature. This material will provide the basis for discussion in the weekly group meetings.
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Intervention code [1]
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BEHAVIORAL
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change from baseline in depressive symptoms on the Beck Depression Inventory II (BDI-II)
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Assessment method [1]
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Symptom severity score
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Timepoint [1]
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Change from baseline to 3 months post-treatment
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Secondary outcome [1]
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Change in depressive status according to the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders - IV (SCID-IV)
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Assessment method [1]
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Presence of a current Major Depressive Episode (MDE)
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Timepoint [1]
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Change from baseline at end of treatment (approximately 6 weeks) and 3 months post-treatment, and 6-months post-treatment (6-month follow-up for MEST group only)
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Secondary outcome [2]
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Change from baseline in autobiographical memory specificity on Autobiographical Memory Test (AMT)
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Assessment method [2]
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Memory specificity level
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Timepoint [2]
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Change from baseline at end of treatment (approximately 6 weeks) and 3 months post-treatment
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Secondary outcome [3]
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Change from baseline in depressive symptoms as measured on the BDI-II
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Assessment method [3]
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Symptom severity score
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Timepoint [3]
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Change from baseline to post-treatment (approximately 6-weeks)
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Secondary outcome [4]
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Depression free days following treatment according to the Longitudinal Follow-up Evaluation on the SCID-IV
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Assessment method [4]
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Number of depression-free days
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Timepoint [4]
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Post-treatment and 3-month and 6-month follow-up
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Eligibility
Key inclusion criteria
* Principal diagnosis of Major Depressive Disorder
* History of more than one previous depressive episode
* Current diagnosis of a Major Depressive Episode
* Depressive symptoms rated in the mild-severe range (> 13 on the BDI-II)
* Memory specificity < .70 (as assessed on the AMT)
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Minimum age
18
Years
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Maximum age
65
Years
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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
* Head trauma
* Organic brain damage
* Secondary diagnosis of another affective disorder
* Psychosis
* Current drug or alcohol abuse or dependence
* A diagnosed Axis II disorder
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled 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
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/07/2013
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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
1/10/2016
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Sample size
Target
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Accrual to date
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Final
60
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Aliza Werner-Seidler - Sydney
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Recruitment postcode(s) [1]
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2022 - Sydney
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Funding & Sponsors
Primary sponsor type
Government body
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Name
Medical Research Council
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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KU Leuven
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
Depression involves the tendency to recall overgeneral personal memories, a phenomenon which has been linked to numerous adverse psychological outcomes. The purpose of this study is to investigate whether a group-based Memory Specificity Training (MEST) programme improves outcomes in depression, and how this compares to an education and support control group. The primary aim is to examine whether MEST, which involves repeated practice retrieving specific autobiographical memories reduces depressive symptoms immediately post-treatment, and whether this is maintained 3 months after treatment. The secondary objective of this trial is to examine the role of hypothesised cognitive processes (ie., rumination, executive control, cognitive avoidance) which may underlie improvements in depression and memory.
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Trial website
https://clinicaltrials.gov/study/NCT01882452
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Trial related presentations / publications
Werner-Seidler A, Hitchcock C, Bevan A, McKinnon A, Gillard J, Dahm T, Chadwick I, Panesar I, Breakwell L, Mueller V, Rodrigues E, Rees C, Gormley S, Schweizer S, Watson P, Raes F, Jobson L, Dalgleish T. A cluster randomized controlled platform trial comparing group MEmory specificity training (MEST) to group psychoeducation and supportive counselling (PSC) in the treatment of recurrent depression. Behav Res Ther. 2018 Jun;105:1-9. doi: 10.1016/j.brat.2018.03.004. Epub 2018 Mar 15. Dalgleish T, Bevan A, McKinnon A, Breakwell L, Mueller V, Chadwick I, Schweizer S, Hitchcock C, Watson P, Raes F, Jobson L, Werner-Seidler A. A comparison of MEmory Specificity Training (MEST) to education and support (ES) in the treatment of recurrent depression: study protocol for a cluster randomised controlled trial. Trials. 2014 Jul 22;15:293. doi: 10.1186/1745-6215-15-293.
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Public notes
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Contacts
Principal investigator
Name
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Tim Dalgleish, PhD
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Address
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Medical Research Council
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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
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Address
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Fax
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Contact person for scientific queries
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
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01882452
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