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Psychological treatments for severe and complex mental health problems/personality disorder. A phase II randomised controlled trial
ISRCTN ISRCTN72677277
ClinicalTrials.gov identifier
Public title Psychological treatments for severe and complex mental health problems/personality disorder. A phase II randomised controlled trial
Scientific title
Acronym SPeDi (Sheffield Personality Disorders)
Serial number at source ZC56
Study hypothesis For patients with Cluster B personality disorders (as defined by Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition [DSM-IV], Axis II), enhanced community mental health team (CMHT) management plus a cognitively-based psychotherapy is a more effective treatment than routine CMHT management alone. (The psychotherapies being used are Cognitive Analytic Therapy [CAT] and Cognitive Behavioural Therapy [CBT].)
Lay summary Not provided at time of registration
Ethics approval North Sheffield Ethics Office on 17/01/05 (ref: 04/Q2308/80)
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Personality disorders
Participants - inclusion criteria 1. Adult out-patients (18-65) of community mental health teams (CMHTs).
2. Minimum one year history of severe, complex mental health problems, diagnosis of at least one Cluster B personality disorder.
Participants - exclusion criteria Current in-patient, actively psychotic, primary drug/alcohol abuse.
Anticipated start date 01/05/2005
Anticipated end date 31/10/2007
Status of trial Completed
Patient information material
Target number of participants 220
Interventions CMHT management alone versus CMHT management plus cognitively-based psychotherapy.
Primary outcome measure(s) The Risk subscale of the CORE tool (Clinical Outcomes in Routine Evaluation)
Secondary outcome measure(s) Health Status Questionnaire (SF36), Borderline Personality Disorder Checklist (BPD-CL), incidents of self-harm (Acts of Deliberate Self-Harm Inventory, ADSHI), economic cost of service use.
Sources of funding University of Sheffield, Sheffield Health and Social Research Consortium (ref ZC56) (UK)
Trial website
Publications
Contact name Prof  Glenys  Parry
  Address Mental Health Section
The School of Health and Related Research (ScHARR)
University of Sheffield
Regent Court
30 Regent Street
  City/town Sheffield
  Zip/Postcode S1 4DA
  Country United Kingdom
  Tel +44 (0)114 2220817
  Fax +44 (0)114 2224095
  Email G.D.Parry@sheffield.ac.uk
Sponsor Sheffield Health and Social Research Consortium (UK)
  Address Fulwood House
Old Fulwood Road
  City/town Sheffield
  Zip/Postcode S10 3TH
  Country United Kingdom
Date applied 26/05/2005
Last edited 07/07/2011
Date ISRCTN assigned 29/07/2005
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