RecruitingNot ApplicableNCT06833567

Mentalizing and Epistemic Trust in Patients With Anxiety and Depression.

Brief Mentalization-based Group Psychotherapy for Anxiety and Depression Disorders and Spanish Cultural Adaptation and Validation of the Epistemic Trust Questionnaire (QET)

Sponsor

Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud

Enrollment

100 participants

Start Date

Apr 28, 2024

Study Type

INTERVENTIONAL

Conditions

Depression Anxiety Disorders

Summary

This randomized clinical trial aims to evaluate the effects of mentalization-based group psychotherapy in patients diagnosed with anxiety and/or depression disorders. In total 100 users of mental health communitary services will be recruited for this study. Participants will be randomized in two parallel groups: to receive usual acceptance and commitment therapy group intervention (control group) or to receive brief mentalization-based group psychotherapy (intervention group). Participants in the trial will be assessed at baseline and at 3 months.

Eligibility

Min Age: 18 Years

Inclusion Criteria4

Participants are 18 years or older.
Participants have a diagnosis of ICD-10 F32, F33, F34, F41.1, F41.2, F43 or F43.2.
Participants have minimal relational skills to participate in group therapy.
Participants agree to be part of the study by giving signed written consent.

Exclusion Criteria4

Participants have a diagnosis of ICD-10 F10-19, F20-29, F31, F42, F43.1, F60.
Participants with cognitive deficits assessed during the initial interview or diagnosis of ICD-10 F70-79.
Participants with planning or structured suicidal ideation.
Participants with difficulties in relational skills evaluated during the initial interview.

Interventions

BEHAVIORALBrief mentalization-based group psychotherapy

The intervention is an adaptation for anxiety and depression profiles of the introductory group program to Mentalization-Based Treatment for personality disorders. Sessions program: * Session 1: Building epistemic trust. * Session 2: Introduction to mentalization. * Session 3: Mentalization problems. * Session 4: Emotions. * Session 5: Mentalizing emotions. * Session 6: Attachment relationships. * Session 7: Attachment and mentalization. * Session 8: Interpersonal relationships. Mentalizing relationships in the group. * Session 9: Anxiety, attachment and mentalization. * Session 10: Depression, attachment and mentalization. * Session 11: Flexible content depending on pending topics or participants' needs. Preparing for closing * Session 12: Final balance and closing.

BEHAVIORALAcceptance and Commitment Therapy group intervention

The intervention includes 12 sessions based on Acceptance and Commitment Therapy. Sessions program: * Session 1: Presentation. * Session 2: Cognitive defusion * Session 3: Uncontrollability of thought, emotions and behavior. * Session 4: Creative Hopelessness. * Session 5: Mindfulness and acceptance. * Session 6: Values. * Session 7: Values and action. * Session 8: Vital goals. * Session 9: Goal achievement plan. * Session 10: Implementation. * Session 11: Flexible content depending on pending topics or participants' needs. Preparing for closing * Session 12: Final balance and closing.