UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000060595
Receipt number R000069309
Scientific Title Preliminary Examination of the Efficacy and Group Processes of Group Cognitive Behavioral Therapy Based on the Unified Protocol Delivered by Certified Public Psychologists, Nurses, and Other Mental Health Professionals Under the Direction of Psychiatrists
Date of disclosure of the study information 2026/02/05
Last modified on 2026/02/05 23:44:10

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Basic information

Public title

A Preliminary Study on the Efficacy of the Group Cognitive Behavioral Therapy Based on the Unified Protocol

Acronym

GRO-UP Study

Scientific Title

Preliminary Examination of the Efficacy and Group Processes of Group Cognitive Behavioral Therapy Based on the Unified Protocol Delivered by Certified Public Psychologists, Nurses, and Other Mental Health Professionals Under the Direction of Psychiatrists

Scientific Title:Acronym

GRO-UP Study

Region

Japan


Condition

Condition

Major Depressive Disorder, Persistent Depressive Disorder, Panic Disorder, Agoraphobia, Social Anxiety Disorder, Obsessive-Compulsive Disorder, Generalized Anxiety Disorder

Classification by specialty

Psychiatry

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The present study aims to examine the feasibility and efficacy of the group-based Unified Protocol (UP) among patients with major depressive disorder, persistent depressive disorder, panic disorder, agoraphobia, social anxiety disorder, obsessive-compulsive disorder, and generalized anxiety disorder as defined in DSM-5.
Additionally, interviews will be conducted with study participants to explore group CBT processes in Japan, focusing on the content of a measure assessing group cohesion and their experiences with group CBT.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase



Assessment

Primary outcomes

Feasibility: dropout rates, intervention satisfaction (CSQ-8), adverse events
Efficacy: clinical global impression-severity (CGI-S)

Key secondary outcomes

1. Assessment of Diagnosed Mental Disorders (DIAMOND)
2. Clinical global impression-improvement (CGI-I)
3. Objective severity of depressive symptoms (GRID-HAMD)
4. Subjective severity of depressive symptoms (PHQ-9, ODSIS)
5. Subjective severity of anxiety symptoms (GAD-7, OASIS)
6. Transdiagnostic dimensions of emotional disorders (MEDI)
7. Social functioning (WSAS)
8. Quality of Life (EuroQol)
9. Subjective change of positive emotions (PES)
10. Subjective change of other emotions (OES)
11. Group alliance (GSRS)
12. Working alliance (J-WAI-SR)
13. Group cohesion (GCS)
14. Adherence to Homework (HCS)


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

The Group Cognitive Behavioral Therapy Based on the Unified Protocol

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

70 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Individuals who meet the DSM-5 diagnostic criteria at the pre-intervention assessment for one of the following: major depressive disorder, persistent depressive disorder, panic disorder, agoraphobia, social anxiety disorder, obsessive-compulsive disorder, or generalized anxiety disorder
2) Moderate or greater symptom severity (Clinical Global Impressions-Severity of Illness: CGI-S >= 4) is present at the pre-intervention assessment, as assessed by the CGI-S
3) Age between 18 and 70 years
4) Individuals who are deemed by the treating psychiatrist to be suitable for CBT
5) Individuals who provided written informed consent after understanding the purpose and procedures of the study and agreeing to participate voluntarily

Key exclusion criteria

1) Individuals with alcohol use disorder or substance use disorder at the pre-intervention assessment
2) Individuals with hypomanic episodes, manic episodes, or psychotic disorders at the pre-intervention assessment
3) Individuals who exhibit marked suicidal ideation (rated as severe on the Suicide module of the GRID-HAMD) at the pre-intervention assessment
4) Individuals who are known in advance to have difficulty attending six or more sessions during the intervention period
5) Individuals who are receiving other structured psychotherapies (excluding supportive therapy and psychoeducation) during the intervention period
6) Individuals who, at the pre-intervention assessment, have physical illnesses or severe cognitive impairment to a degree that would make it difficult to carry out the group-based UP
7) Individuals deemed unsuitable for participation in this study by the principal investigator

Target sample size

16


Research contact person

Name of lead principal investigator

1st name Masaya
Middle name
Last name Ito

Organization

National Center of Neurology and Psychiatry

Division name

National Center for Cognitive Behavior Therapy and Research

Zip code

187-8551

Address

Ogawahigashi 4-1-1, Kodaira-shi, Tokyo, Japan

TEL

042-341-2711

Email

masayait@ncnp.go.jp


Public contact

Name of contact person

1st name Noriko
Middle name
Last name Kato

Organization

National Center of Neurology and Psychiatry

Division name

National Center for Cognitive Behavior Therapy and Research

Zip code

187-8551

Address

Ogawahigashi 4-1-1, Kodaira-shi, Tokyo, Japan

TEL

042-341-2711

Homepage URL


Email

norikokato@ncnp.go.jp


Sponsor or person

Institute

National Center of Neurology and Psychiatry

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor

Musashino University
Japan Depression Center Rokubancho mental clinic
Rikkyo University

Name of secondary funder(s)

Japan Society for the Promotion of Science


IRB Contact (For public release)

Organization

National Center of Neurology and Psychiatry

Address

Ogawahigashi 4-1-1, Kodaira-shi, Tokyo, Japan

Tel

042-341-2711

Email

ml_rinrijimu@ncnp.go.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

国立精神・神経医療研究センター病院
日本うつ病センター 六番町メンタルクリニック


Other administrative information

Date of disclosure of the study information

2026 Year 02 Month 05 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2025 Year 08 Month 15 Day

Date of IRB

2025 Year 08 Month 18 Day

Anticipated trial start date

2026 Year 02 Month 06 Day

Last follow-up date

2030 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 02 Month 05 Day

Last modified on

2026 Year 02 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000069309