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NCT Number: NCT04192721

Cognitive Behavioral Therapy-Based Group Counseling

The university environment presents a valuable opportunity to reach the young population of society, which has a high risk of depression, and to provide protective mental-health services. This study aimed to evaluate the effectiveness of cognitive behavioral therapy-based group counseling focused on the depressive symptoms, anxiety levels, automatic thoughts, and coping ways among undergraduate nursing students with mild to moderate depressive symptoms.

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Key information

Conditions

Depression Moderate Behavior Behavioral Symptoms Depression Depression Mild

Age range

18 year–25 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Satı Demir

Ankara, 06500, Turkey (Türkiye)

About this study

This study aimed to evaluate the effectiveness of cognitive behavioral therapy-based group counseling focused on the depressive symptoms, anxiety levels, automatic thoughts, and coping ways among undergraduate nursing students with mild to moderate depressive symptoms.

The study was completed with a total of 63 participants (n=31 for the intervention group and n=32 for the control group) in the 2017-2018 academic year. The effect of the intervention was evaluated with the Beck Depression Inventory, Beck Anxiety Inventory, Automatic Thoughts Questionnaire, and Ways of Coping Questionnaire. The measurements were taken 3 times: pre-test, post-test, and 2-months post-test.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Having mild depressive symptoms according to the BDI
  • Having moderate depressive symptoms according to the BDI
  • Being native speakers of Turkish
  • Agreeing to participate in the entire intervention process

Exclusion criteria

  • Having substance abuse
  • Having another psychiatric diagnosis
  • Using psychotropic drugs
  • Receiving other counseling or therapy

Treatment and study plan

Cognitive Behavioral Therapy-Based Group Counseling

Behavioral
  • Relaxation techniques
  • Providing personal development books
  • Sharing the factors affecting the situation defined as depression (brainstorming)
  • Explaining the link between depressive symptoms, thoughts, feelings, and behaviors
  • Explaining automatic thoughts
  • Application of relaxation techniques; deep-breathing exercises
  • Identifying alternative thoughts
  • Explaining the correlation between alternative thoughts and mood
  • Introduction of the Automatic-Thought Registration Form and distribution to students
  • Describing the effects of depression on social interaction
  • Explaining activities that could be done individually and with the group
  • Distribution of the activity list to students
  • Description of ways of coping with stress
  • Determination of individual stressors and their effects
  • Planning for the future: preventing depression
  • Discussion of assumptions/expectations about life
  • Homeworks related to session contents

Primary outcomes

  1. Beck Depression Inventory (BDI)

    Time frame: Change from baseline to 6 weeks (also assessed at 14 weeks post-baseline)

    It measures the risk level of depression. It has 21 items. Each item is scored 0-3 points and the total score ranges from 0-63 (0-9=no; 10-16= mild; 17-20= moderate; 21-26=high; 27 or more points severe depressive symptoms)

  2. Beck Anxiety Inventory (BAI)

    Time frame: Change from baseline to 6 weeks (also assessed at 14 weeks post-baseline)

    This self-assessment scale determines anxiety level. It consists of 21 items. Each item is scored 0-3 points and the total score ranges from 0-63. As the total score increases, the anxiety level increases.

  3. Automatic Thoughts Questionnaire (ATQ)

    Time frame: Change from baseline to 6 weeks (also assessed at 14 weeks post-baseline)

    It measures the thought patterns and negative self-assessments commonly seen in depression. It consists of 30 items. Each item is scored 1-5 points and the total score ranges from 30-150 points. A high score indicates that the frequency of automatic thoughts related to depression is high.

  4. Ways of Coping Questionnaire (WCQ)

    Time frame: Change from baseline to 6 weeks (also assessed at 14 weeks post-baseline)

    It measures the thought patterns and negative self-assessments commonly seen in depression. It consists of 30 items. Each item is scored 1-5 points and the total score ranges from 30-150 points. A high score indicates that the frequency of automatic thoughts related to depression is high.

Sponsors and collaborators

Lead sponsor

Gazi University

Other

Registry information

Official study title

Controlled, Randomized, Cognitive Behavioral Therapy-Based Group Counseling for Nursing Students With Depressive Symptoms

Acronym: CBTBGC

Important dates

Study start
2017
Primary completion
2017
Study completion
2018
First posted
Dec 10, 2019
Registry last updated
Dec 10, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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