The Modular Protocol For Mental Health: A Pilot Trial

  • Research type

    Research Study

  • Full title

    The Modular Protocol For Mental Health (MP:MH): A pilot randomised clinical trial of a transdiagnostic psychological treatment for mood and anxiety disorders in adults

  • IRAS ID

    142141

  • Contact name

    Tim Dalgleish

  • Contact email

    tim.dalgleish@mrc-cbu.cam.ac.uk

  • Sponsor organisation

    Cambridgeshire and Peterborough NHS Foundation Trust

  • Clinicaltrials.gov Identifier

    NCT03143634

  • Duration of Study in the UK

    3 years, 0 months, 0 days

  • Research summary

    Anxiety and mood disorders are common conditions affecting up to 20% of\nadults. These conditions take different forms (or diagnoses) such as\nAgoraphobia, Panic Disorder, Depressive Disorder, Social Anxiety\nDisorder, and so on. Currently, our best non-drug (psychological)\ntreatments only focus on individual diagnoses. So, there are separate\ntreatments for Panic Disorder, or Depressive Disorder, or Social Anxiety,\netc. These ’diagnosis-specific’ treatments work well for people whose\nproblems fit neatly into a single diagnosis. However, they work far less well\nfor people with complex problems involving multiple diagnoses; e.g.,\nsomeone who is depressed and socially anxious and suffering panic\nattacks. In fact, 50% of patients fail to repond well to these existing\ntreatments.\nWe have therefore developed a new psychological treatment for anxiety\nand mood problems (the Modular Protocol for Mental Health [MPMH]).\nInstead of focusing on any single diagnosis, MPMH combines the best\ntreatment techniques into 10 modules (with clinician instructions and\nmaterials for service-users) each of which targets problems common\nacross all of the different mood and anxiety diagnoses (e.g., intense\nemotions, negative thinking, upsetting memories, distressing habits).\nMP:MH should therefore be a better treatment for the large numbers of\nindividuals whose problems do not fit neatly into a single diagnosis and for\nwhom any treatments targeting a single diagnosis would leave significant\ndifficulties unaddressed.\nWe have tested MPMH on a series of people (’cases’), each with a complex mixture of anxiety and mood disorders, with promising results. In this study we are examining how well MP:MH works for these more complex cases, compared to the standard treatment people receive in NHS Secondary Care. The proposed trial is a patient level two-arm trial that compares MPMH to treatment as usual for patients aged >18 years (N=50) with co-morbid mood, anxiety or stress-disorder diagnoses recruited from secondary care (the Affective Disorders Pathway of the Cambridgeshire and Peterborough NHS Foundation Trust; CPFT).

  • REC name

    East of England - Cambridgeshire and Hertfordshire Research Ethics Committee

  • REC reference

    16/EE/0095

  • Date of REC Opinion

    17 May 2016

  • REC opinion

    Further Information Favourable Opinion