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Published in: Trials 1/2016

Open Access 01-12-2016 | Study protocol

Family psychoeducation for major depressive disorder – study protocol for a randomized controlled trial

Authors: Nina Timmerby, Stephen F. Austin, Kristian Ussing, Per Bech, Claudio Csillag

Published in: Trials | Issue 1/2016

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Abstract

Background

Major depressive disorder has been shown to affect many domains of family life including family functioning. Conversely, the influence of the family on the course of the depression, including the risk of relapse, is one reason for targeting the family in interventions. The few studies conducted within this area indicate that family psychoeducation as a supplement to traditional treatment can effectively reduce the risk of relapse in patients with major depression as well as being beneficial for the relatives involved. However, the evidence is currently limited. This study will investigate the effect of family psychoeducation compared to social support on the course of the illness in patients with major depressive disorder.

Method/design

The study is designed as a dual center, two-armed, observer-blinded, randomized controlled trial. Relatives are randomized to participate in one of two conditions: either four sessions of manualized family psychoeducation or four sessions in a social support group led by a health care professional. Patients will not participate in the groups and will continue their treatment as usual. A total of 100 patients, each accompanied by one relative, will be recruited primarily from two outpatient clinics in the Capital Region of Denmark.
The primary outcome is the occurrence of depressive relapse at 9-month follow-up defined as a score ≥7 on the Hamilton six-item subscale. Secondary outcomes will include time to relapse.

Discussion

It is hoped that the results from this study will help to clarify the mechanisms behind any beneficial changes due to family psychoeducation and provide information on the long-term effect of this intervention for both patient and relatives. If the results are positive, the family psychoeducation program may be suitable for implementation within a clinical setting.

Trial registration

ClinicalTrials.gov Identifier: NCT02348827, registered 5 January 2015.
Literature
1.
go back to reference Olsen LR, Mortensen EL, Bech P. Prevalence of major depression and stress indicators in the Danish general population. Acta Psychiatr Scand. 2004;109(2):96–103.CrossRefPubMed Olsen LR, Mortensen EL, Bech P. Prevalence of major depression and stress indicators in the Danish general population. Acta Psychiatr Scand. 2004;109(2):96–103.CrossRefPubMed
2.
go back to reference Paykel ES, Brugha T, Fryers T. Size and burden of depressive disorders in Europe. Eur Neuropsychopharmacol. 2005;15(4):411–23.CrossRefPubMed Paykel ES, Brugha T, Fryers T. Size and burden of depressive disorders in Europe. Eur Neuropsychopharmacol. 2005;15(4):411–23.CrossRefPubMed
3.
go back to reference Richards D. Prevalence and clinical course of depression: a review. Clin Psychol Rev. 2011;31(7):1117–25.CrossRefPubMed Richards D. Prevalence and clinical course of depression: a review. Clin Psychol Rev. 2011;31(7):1117–25.CrossRefPubMed
4.
go back to reference Kupfer DJ. Long-term treatment of depression. J Clin Psychiatry. 1991;52(Suppl):28–34.PubMed Kupfer DJ. Long-term treatment of depression. J Clin Psychiatry. 1991;52(Suppl):28–34.PubMed
5.
go back to reference Kessing LV, Hansen MG, Andersen PK, Angst J. The predictive effect of episodes on the risk of recurrence in depressive and bipolar disorders—a life-long perspective. Acta Psychiatr Scand. 2004;109(5):339–44.CrossRefPubMed Kessing LV, Hansen MG, Andersen PK, Angst J. The predictive effect of episodes on the risk of recurrence in depressive and bipolar disorders—a life-long perspective. Acta Psychiatr Scand. 2004;109(5):339–44.CrossRefPubMed
6.
go back to reference Keitner GI, Miller IW. Family functioning and major depression: an overview. Am J Psychiatry. 1990;147(9):1128–37.CrossRefPubMed Keitner GI, Miller IW. Family functioning and major depression: an overview. Am J Psychiatry. 1990;147(9):1128–37.CrossRefPubMed
7.
go back to reference Butzlaff RL, Hooley JM. Expressed emotion and psychiatric relapse: a meta-analysis. Arch Gen Psychiatry. 1998;55(6):547–52.CrossRefPubMed Butzlaff RL, Hooley JM. Expressed emotion and psychiatric relapse: a meta-analysis. Arch Gen Psychiatry. 1998;55(6):547–52.CrossRefPubMed
8.
go back to reference Mino Y, Shimodera S, Inoue S, Fujita H, Tanaka S, Kanazawa S. Expressed emotion of families and the course of mood disorders: a cohort study in Japan. J Affect Disord. 2001;63(1–3):43–9.CrossRefPubMed Mino Y, Shimodera S, Inoue S, Fujita H, Tanaka S, Kanazawa S. Expressed emotion of families and the course of mood disorders: a cohort study in Japan. J Affect Disord. 2001;63(1–3):43–9.CrossRefPubMed
9.
go back to reference Hooley JM, Orley J, Teasdale JD. Levels of expressed emotion and relapse in depressed patients. Br J Psychiatry. 1986;148:642–7.CrossRefPubMed Hooley JM, Orley J, Teasdale JD. Levels of expressed emotion and relapse in depressed patients. Br J Psychiatry. 1986;148:642–7.CrossRefPubMed
10.
go back to reference Hooley JM, Teasdale JD. Predictors of relapse in unipolar depressives: expressed emotion, marital distress, and perceived criticism. J Abnorm Psychol. 1989;98(3):229–35.CrossRefPubMed Hooley JM, Teasdale JD. Predictors of relapse in unipolar depressives: expressed emotion, marital distress, and perceived criticism. J Abnorm Psychol. 1989;98(3):229–35.CrossRefPubMed
11.
go back to reference Okasha A, el Akabawi AS, Snyder KS, Wilson AK, Youssef I, el Dawla AS. Expressed emotion, perceived criticism, and relapse in depression: a replication in an Egyptian community. Am J Psychiatry. 1994;151(7):1001–5.CrossRefPubMed Okasha A, el Akabawi AS, Snyder KS, Wilson AK, Youssef I, el Dawla AS. Expressed emotion, perceived criticism, and relapse in depression: a replication in an Egyptian community. Am J Psychiatry. 1994;151(7):1001–5.CrossRefPubMed
12.
go back to reference Miller IW, Kabacoff RI, Keitner GI, Epstein NB, Bishop DS. Family functioning in the families of psychiatric patients. Compr Psychiatry. 1986;27(4):302–12.CrossRefPubMed Miller IW, Kabacoff RI, Keitner GI, Epstein NB, Bishop DS. Family functioning in the families of psychiatric patients. Compr Psychiatry. 1986;27(4):302–12.CrossRefPubMed
13.
go back to reference Angermeyer MC, Kilian R, Wilms HU, Wittmund B. Quality of life of spouses of mentally ill people. Int J Soc Psychiatry. 2006;52(3):278–85.CrossRefPubMed Angermeyer MC, Kilian R, Wilms HU, Wittmund B. Quality of life of spouses of mentally ill people. Int J Soc Psychiatry. 2006;52(3):278–85.CrossRefPubMed
14.
go back to reference Keitner GI, Miller IW, Epstein NB, Bishop DS, Fruzzetti AE. Family functioning and the course of major depression. Compr Psychiatry. 1987;28(1):54–64.CrossRefPubMed Keitner GI, Miller IW, Epstein NB, Bishop DS, Fruzzetti AE. Family functioning and the course of major depression. Compr Psychiatry. 1987;28(1):54–64.CrossRefPubMed
15.
go back to reference Keitner GI, Ryan CE, Miller IW, Kohn R, Bishop DS, Epstein NB. Role of the family in recovery and major depression. Am J Psychiatry. 1995;152(7):1002–8.CrossRefPubMed Keitner GI, Ryan CE, Miller IW, Kohn R, Bishop DS, Epstein NB. Role of the family in recovery and major depression. Am J Psychiatry. 1995;152(7):1002–8.CrossRefPubMed
16.
go back to reference Henken HT, Huibers MJ, Churchill R, Restifo K, Roelofs J. Family therapy for depression. Cochrane Database Syst Rev. 2007;18(3):CD006728. Henken HT, Huibers MJ, Churchill R, Restifo K, Roelofs J. Family therapy for depression. Cochrane Database Syst Rev. 2007;18(3):CD006728.
17.
go back to reference Murray-Swank AB, Dixon L. Family psychoeducation as an evidence-based practice. CNS Spectr. 2004;9(12):905–12.CrossRefPubMed Murray-Swank AB, Dixon L. Family psychoeducation as an evidence-based practice. CNS Spectr. 2004;9(12):905–12.CrossRefPubMed
18.
go back to reference Tursi MF, Baes C, Camacho FR, Tofoli SM, Juruena MF. Effectiveness of psychoeducation for depression: a systematic review. Aust N Z J Psychiatry. 2013;47(11):1019–31.CrossRefPubMed Tursi MF, Baes C, Camacho FR, Tofoli SM, Juruena MF. Effectiveness of psychoeducation for depression: a systematic review. Aust N Z J Psychiatry. 2013;47(11):1019–31.CrossRefPubMed
19.
go back to reference Shimazu K, Shimodera S, Mino Y, Nishida A, Kamimura N, Sawada K, Fujita H, Furukawa TA, Inoue S. Family psychoeducation for major depression: randomised controlled trial. Br J Psychiatry. 2011;198(5):385–90.CrossRefPubMed Shimazu K, Shimodera S, Mino Y, Nishida A, Kamimura N, Sawada K, Fujita H, Furukawa TA, Inoue S. Family psychoeducation for major depression: randomised controlled trial. Br J Psychiatry. 2011;198(5):385–90.CrossRefPubMed
20.
go back to reference Katsuki F, Takeuchi H, Konishi M, Sasaki M, Murase Y, Naito A, Toyoda H, Suzuki M, Shiraishi N, Kubota Y, Yoshimatsu Y, Furukawa TA. Pre-post changes in psychosocial functioning among relatives of patients with depressive disorders after brief multifamily psychoeducation: a pilot study. BMC Psychiatry. 2011;11:56. 244X-11-56.CrossRefPubMedPubMedCentral Katsuki F, Takeuchi H, Konishi M, Sasaki M, Murase Y, Naito A, Toyoda H, Suzuki M, Shiraishi N, Kubota Y, Yoshimatsu Y, Furukawa TA. Pre-post changes in psychosocial functioning among relatives of patients with depressive disorders after brief multifamily psychoeducation: a pilot study. BMC Psychiatry. 2011;11:56. 244X-11-56.CrossRefPubMedPubMedCentral
21.
go back to reference Mino Y, Inoue S, Shimodera S, Tanaka S. Evaluation of expressed emotion (EE) status in mood disorders in Japan: inter-rater reliability and characteristics of EE. Psychiatry Res. 2000;94(3):221–7.CrossRefPubMed Mino Y, Inoue S, Shimodera S, Tanaka S. Evaluation of expressed emotion (EE) status in mood disorders in Japan: inter-rater reliability and characteristics of EE. Psychiatry Res. 2000;94(3):221–7.CrossRefPubMed
22.
go back to reference Coyne JC, Kessler RC, Tal M, Turnbull J, Wortman CB, Greden JF. Living with a depressed person. J Consult Clin Psychol. 1987;55(3):347–52.CrossRefPubMed Coyne JC, Kessler RC, Tal M, Turnbull J, Wortman CB, Greden JF. Living with a depressed person. J Consult Clin Psychol. 1987;55(3):347–52.CrossRefPubMed
23.
go back to reference Jeste DV, Palmer BW, Rettew DC, Boardman S. Positive psychiatry: its time has come. J Clin Psychiatry. 2015;76(6):675–83.CrossRefPubMed Jeste DV, Palmer BW, Rettew DC, Boardman S. Positive psychiatry: its time has come. J Clin Psychiatry. 2015;76(6):675–83.CrossRefPubMed
24.
go back to reference Timmerby N, Austin S, Bech P. Positive psychiatry. Ugeskr Laeger. 2016;178(6):V09150759.PubMed Timmerby N, Austin S, Bech P. Positive psychiatry. Ugeskr Laeger. 2016;178(6):V09150759.PubMed
25.
go back to reference Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC. The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1998;59 Suppl 20:22–33. quiz 34–57.PubMed Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC. The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1998;59 Suppl 20:22–33. quiz 34–57.PubMed
26.
go back to reference Bech P, Kastrup M, Rafaelsen OJ. Mini-compendium of rating scales for states of anxiety depression mania schizophrenia with corresponding DSM-III syndromes. Acta Psychiatr Scand Suppl. 1986;326:1–37.PubMed Bech P, Kastrup M, Rafaelsen OJ. Mini-compendium of rating scales for states of anxiety depression mania schizophrenia with corresponding DSM-III syndromes. Acta Psychiatr Scand Suppl. 1986;326:1–37.PubMed
27.
go back to reference Keller MB. Past, present, and future directions for defining optimal treatment outcome in depression: remission and beyond. JAMA. 2003;289(23):3152–60.CrossRefPubMed Keller MB. Past, present, and future directions for defining optimal treatment outcome in depression: remission and beyond. JAMA. 2003;289(23):3152–60.CrossRefPubMed
28.
go back to reference Frank E, Prien RF, Jarrett RB, Keller MB, Kupfer DJ, Lavori PW, Rush AJ, Weissman MM. Conceptualization and rationale for consensus definitions of terms in major depressive disorder. Remission, recovery, relapse, and recurrence. Arch Gen Psychiatry. 1991;48(9):851–5.CrossRefPubMed Frank E, Prien RF, Jarrett RB, Keller MB, Kupfer DJ, Lavori PW, Rush AJ, Weissman MM. Conceptualization and rationale for consensus definitions of terms in major depressive disorder. Remission, recovery, relapse, and recurrence. Arch Gen Psychiatry. 1991;48(9):851–5.CrossRefPubMed
29.
go back to reference McFarlane W. Multifamily groups in the treatment of severe psychiatric disorders. New York: The Guilford Press; 2002. McFarlane W. Multifamily groups in the treatment of severe psychiatric disorders. New York: The Guilford Press; 2002.
30.
go back to reference Madigan K, Egan P, Brennan D, Hill S, Maguire B, Horgan F, Flood C, Kinsella A, O’Callaghan E. A randomised controlled trial of carer-focussed multi-family group psychoeducation in bipolar disorder. Eur Psychiatry. 2012;27(4):281–4.CrossRefPubMed Madigan K, Egan P, Brennan D, Hill S, Maguire B, Horgan F, Flood C, Kinsella A, O’Callaghan E. A randomised controlled trial of carer-focussed multi-family group psychoeducation in bipolar disorder. Eur Psychiatry. 2012;27(4):281–4.CrossRefPubMed
31.
go back to reference Reinares M, Vieta E, Colom F, Martinez-Aran A, Torrent C, Comes M, Goikolea JM, Benabarre A, Sanchez-Moreno J. Impact of a psychoeducational family intervention on caregivers of stabilized bipolar patients. Psychother Psychosom. 2004;73(5):312–9.CrossRefPubMed Reinares M, Vieta E, Colom F, Martinez-Aran A, Torrent C, Comes M, Goikolea JM, Benabarre A, Sanchez-Moreno J. Impact of a psychoeducational family intervention on caregivers of stabilized bipolar patients. Psychother Psychosom. 2004;73(5):312–9.CrossRefPubMed
32.
go back to reference Perlick DA, Miklowitz DJ, Lopez N, Chou J, Kalvin C, Adzhiashvili V, Aronson A. Family-focused treatment for caregivers of patients with bipolar disorder. Bipolar Disord. 2010;12(6):627–37.CrossRefPubMedPubMedCentral Perlick DA, Miklowitz DJ, Lopez N, Chou J, Kalvin C, Adzhiashvili V, Aronson A. Family-focused treatment for caregivers of patients with bipolar disorder. Bipolar Disord. 2010;12(6):627–37.CrossRefPubMedPubMedCentral
33.
go back to reference Falloon IR. Problem solving as a core strategy in the prevention of schizophrenia and other mental disorders. Aust N Z J Psychiatry. 2000;34(Suppl):S185–90.CrossRefPubMed Falloon IR. Problem solving as a core strategy in the prevention of schizophrenia and other mental disorders. Aust N Z J Psychiatry. 2000;34(Suppl):S185–90.CrossRefPubMed
34.
go back to reference Chien WT, Norman I. The effectiveness and active ingredients of mutual support groups for family caregivers of people with psychotic disorders: a literature review. Int J Nurs Stud. 2009;46(12):1604–23.CrossRefPubMed Chien WT, Norman I. The effectiveness and active ingredients of mutual support groups for family caregivers of people with psychotic disorders: a literature review. Int J Nurs Stud. 2009;46(12):1604–23.CrossRefPubMed
35.
go back to reference Colom F, Vieta E, Martinez-Aran A, Reinares M, Goikolea JM, Benabarre A, Torrent C, Comes M, Corbella B, Parramon G, Corominas J. A randomized trial on the efficacy of group psychoeducation in the prophylaxis of recurrences in bipolar patients whose disease is in remission. Arch Gen Psychiatry. 2003;60(4):402–7.CrossRefPubMed Colom F, Vieta E, Martinez-Aran A, Reinares M, Goikolea JM, Benabarre A, Torrent C, Comes M, Corbella B, Parramon G, Corominas J. A randomized trial on the efficacy of group psychoeducation in the prophylaxis of recurrences in bipolar patients whose disease is in remission. Arch Gen Psychiatry. 2003;60(4):402–7.CrossRefPubMed
36.
go back to reference Magana AB, Goldstein JM, Karno M, Miklowitz DJ, Jenkins J, Falloon IR. A brief method for assessing expressed emotion in relatives of psychiatric patients. Psychiatry Res. 1986;17:203–12.CrossRefPubMed Magana AB, Goldstein JM, Karno M, Miklowitz DJ, Jenkins J, Falloon IR. A brief method for assessing expressed emotion in relatives of psychiatric patients. Psychiatry Res. 1986;17:203–12.CrossRefPubMed
37.
go back to reference Moran P, Leese M, Lee T, Walters P, Thornicroft G, Mann A. Standardised Assessment of Personality – Abbreviated Scale (SAPAS): preliminary validation of a brief screen for personality disorder. Br J Psychiatry. 2003;183:228–32.CrossRefPubMed Moran P, Leese M, Lee T, Walters P, Thornicroft G, Mann A. Standardised Assessment of Personality – Abbreviated Scale (SAPAS): preliminary validation of a brief screen for personality disorder. Br J Psychiatry. 2003;183:228–32.CrossRefPubMed
38.
go back to reference Bukh JD, Bock C, Vinberg M, Gether U, Kessing LV. Clinical utility of Standardised Assessment of Personality – Abbreviated Scale (SAPAS) among patients with first episode depression. J Affect Disord. 2010;127(1–3):199–202.CrossRefPubMed Bukh JD, Bock C, Vinberg M, Gether U, Kessing LV. Clinical utility of Standardised Assessment of Personality – Abbreviated Scale (SAPAS) among patients with first episode depression. J Affect Disord. 2010;127(1–3):199–202.CrossRefPubMed
39.
go back to reference Bech P, Rasmussen NA, Olsen LR, Noerholm V, Abildgaard W. The sensitivity and specificity of the major depression inventory, using the present state examination as the index of diagnostic validity. J Affect Disord. 2001;66(2–3):159–64.CrossRefPubMed Bech P, Rasmussen NA, Olsen LR, Noerholm V, Abildgaard W. The sensitivity and specificity of the major depression inventory, using the present state examination as the index of diagnostic validity. J Affect Disord. 2001;66(2–3):159–64.CrossRefPubMed
40.
go back to reference Bech P, Timmerby N, Martiny K, Lunde M, Soendergaard S. Psychometric evaluation of the Major Depression Inventory (MDI) as depression severity scale using the LEAD (Longitudinal Expert Assessment of All Data) as index of validity. BMC Psychiatry. 2015;15:190. 015-0529-3.CrossRefPubMedPubMedCentral Bech P, Timmerby N, Martiny K, Lunde M, Soendergaard S. Psychometric evaluation of the Major Depression Inventory (MDI) as depression severity scale using the LEAD (Longitudinal Expert Assessment of All Data) as index of validity. BMC Psychiatry. 2015;15:190. 015-0529-3.CrossRefPubMedPubMedCentral
41.
go back to reference Bech P. Applied psychometrics in clinical psychiatry: the pharmacopsychometric triangle. Acta Psychiatr Scand. 2009;120(5):400–9.CrossRefPubMed Bech P. Applied psychometrics in clinical psychiatry: the pharmacopsychometric triangle. Acta Psychiatr Scand. 2009;120(5):400–9.CrossRefPubMed
42.
go back to reference Bech P, Gram LF, Dein E, Jacobsen O, Vitger J, Bolwig TG. Quantitative rating of depressive states. Acta Psychiatr Scand. 1975;51(3):161–70.CrossRefPubMed Bech P, Gram LF, Dein E, Jacobsen O, Vitger J, Bolwig TG. Quantitative rating of depressive states. Acta Psychiatr Scand. 1975;51(3):161–70.CrossRefPubMed
43.
go back to reference Bech P, Allerup P, Gram LF, Reisby N, Rosenberg R, Jacobsen O, Nagy A. The Hamilton depression scale. Evaluation of objectivity using logistic models. Acta Psychiatr Scand. 1981;63(3):290–9.CrossRefPubMed Bech P, Allerup P, Gram LF, Reisby N, Rosenberg R, Jacobsen O, Nagy A. The Hamilton depression scale. Evaluation of objectivity using logistic models. Acta Psychiatr Scand. 1981;63(3):290–9.CrossRefPubMed
44.
go back to reference Topp CW, Ostergaard SD, Sondergaard S, Bech P. The WHO-5 well-being index: a systematic review of the literature. Psychother Psychosom. 2015;84(3):167–76.CrossRefPubMed Topp CW, Ostergaard SD, Sondergaard S, Bech P. The WHO-5 well-being index: a systematic review of the literature. Psychother Psychosom. 2015;84(3):167–76.CrossRefPubMed
45.
go back to reference Sheehan DV, Harnett-Sheehan K, Raj BA. The measurement of disability. Int Clin Psychopharmacol. 1996;11 Suppl 3:89–95.CrossRefPubMed Sheehan DV, Harnett-Sheehan K, Raj BA. The measurement of disability. Int Clin Psychopharmacol. 1996;11 Suppl 3:89–95.CrossRefPubMed
46.
go back to reference Carrozzino D, Vassend O, Bjoerndal F, Pignolo C, Bech P. A clinimetric analysis of the Hopkins Symptom Checklist (SCL-90-R) in general population studies (Denmark, Norway and Italy). Nordic Journal of Psychiatry 2016. In press. Carrozzino D, Vassend O, Bjoerndal F, Pignolo C, Bech P. A clinimetric analysis of the Hopkins Symptom Checklist (SCL-90-R) in general population studies (Denmark, Norway and Italy). Nordic Journal of Psychiatry 2016. In press.
47.
go back to reference Kavanagh DJ, O’Halloran P, Manicavasagar V, Clark D, Piatkowska O, Tennant C, Rosen A. The family attitude scale: reliability and validity of a new scale for measuring the emotional climate of families. Psychiatry Res. 1997;70(3):185–95.CrossRefPubMed Kavanagh DJ, O’Halloran P, Manicavasagar V, Clark D, Piatkowska O, Tennant C, Rosen A. The family attitude scale: reliability and validity of a new scale for measuring the emotional climate of families. Psychiatry Res. 1997;70(3):185–95.CrossRefPubMed
48.
go back to reference Leff J, Vaughn C. Expressed emotion in families. New York: Guilford Press; 1985. Leff J, Vaughn C. Expressed emotion in families. New York: Guilford Press; 1985.
49.
go back to reference Shimodera S, Mino Y, Fujita H, Izumoto Y, Kamimura N, Inoue S. Validity of a five-minute speech sample for the measurement of expressed emotion in the families of Japanese patients with mood disorders. Psychiatry Res. 2002;112(3):231–7.CrossRefPubMed Shimodera S, Mino Y, Fujita H, Izumoto Y, Kamimura N, Inoue S. Validity of a five-minute speech sample for the measurement of expressed emotion in the families of Japanese patients with mood disorders. Psychiatry Res. 2002;112(3):231–7.CrossRefPubMed
50.
go back to reference Hooley JM, Parker HA. Measuring expressed emotion: an evaluation of the shortcuts. J Fam Psychol. 2006;20(3):386–96.CrossRefPubMed Hooley JM, Parker HA. Measuring expressed emotion: an evaluation of the shortcuts. J Fam Psychol. 2006;20(3):386–96.CrossRefPubMed
51.
go back to reference Epstein N, Baldwin L, Bishop D. The McMaster family assessment device. J Marit Fam Therapy. 1983;9:171–80.CrossRef Epstein N, Baldwin L, Bishop D. The McMaster family assessment device. J Marit Fam Therapy. 1983;9:171–80.CrossRef
52.
go back to reference Cosci F, Svicher A, Bech P. The family assessment device: a clinimetric analysis. Psychother Psychosom. 2016;85(4):241–3.CrossRefPubMed Cosci F, Svicher A, Bech P. The family assessment device: a clinimetric analysis. Psychother Psychosom. 2016;85(4):241–3.CrossRefPubMed
53.
go back to reference Bech P, Moses R, Gomis R. The effect of prandial glucose regulation with repaglinide on treatment satisfaction, wellbeing and health status in patients with pharmacotherapy naive Type 2 diabetes: a placebo-controlled, multicentre study. Qual Life Res. 2003;12(4):413–25.CrossRefPubMed Bech P, Moses R, Gomis R. The effect of prandial glucose regulation with repaglinide on treatment satisfaction, wellbeing and health status in patients with pharmacotherapy naive Type 2 diabetes: a placebo-controlled, multicentre study. Qual Life Res. 2003;12(4):413–25.CrossRefPubMed
55.
go back to reference Moher D, Hopewell S, Schulz KF, Montori V, Gotzsche PC, Devereaux PJ, Elbourne D, Egger M, Altman DG. CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials. BMJ. 2010;340:c869.CrossRefPubMedPubMedCentral Moher D, Hopewell S, Schulz KF, Montori V, Gotzsche PC, Devereaux PJ, Elbourne D, Egger M, Altman DG. CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials. BMJ. 2010;340:c869.CrossRefPubMedPubMedCentral
Metadata
Title
Family psychoeducation for major depressive disorder – study protocol for a randomized controlled trial
Authors
Nina Timmerby
Stephen F. Austin
Kristian Ussing
Per Bech
Claudio Csillag
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Trials / Issue 1/2016
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-016-1549-0

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