Health Condition 1: G- Mental Health
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Individuals with a diagnosis of moderate or severe depression according to ICD-10 diagnosed by a psychiatrist would be recruited if they continue to have at least moderate depressive symptoms as defined clinically and using the HDRS cut-off score of more than 17 even after at least 4-weeks of adequate antidepressant trial with any conventional antidepressant medication
Exclusion criteria
Exclusion criteria: 1.Patients aged 60 years of age 2.If patient is on any psychotropic (other than antidepressant medications, which is kept constant throughout the study period unless clinically required), anticholinergic or cardiac medications 3.Patients with suicidal tendencies or psychotic depression 4.Patients with any co-morbid cardiac or neurological disorders that can increase the risk of TMS related complications or are having a contraindication for TMS/tDCS treatment 5.Pregnant/lactating patients 6.Failure of other organ systems or systemic illness that could affect autonomic function or participantsâ?? ability to cooperate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Clinical scores: HDRS, MADRS, CGI, 2.HRV measures: both time and frequency domain measures of heart rate variability 3.Cortical excitability and plasticity measures 4. Metaplasticity effects of tDCS-rTMS on M1 Timepoint: Baseline, 15 days and 2 months after the start of neuromodulation therapy | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. HRV measures: both time and frequency domain measures of heart rate variability 2.Cortical excitability and plasticity measures 3. Metaplasticity effects of tDCS-rTMS on M1 Timepoint: Baseline, 15 days and 2 months after the start of neuromodulation therapy | — |
Countries
India
Contacts
NIMHANS