Health Condition 1: F30-F39- Mood [affective] disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Diagnosis of Depression using Diagnostic Criteria for Research (DCR) of International Classification of Disease-10th edition (ICD-10, World Health Organization,1993) 2. Age between 18- 60 years of either sex 3. The Hamilton Rating Scale for Depression-17 score of at least 18. 4. No response to at least two separate trials of antidepressants of adequate dose and duration. 5. Right-handed. 6. Patients giving written informed consent.
Exclusion criteria
Exclusion criteria: 1. Lifetime history of non-response to an adequate ECT trial (minimum of 8 sessions). 2. Patient with co morbid active substance dependence in the last 6 months, except nicotine and caffeine. 3. Suicidal intent or any psychiatric emergency. 4. Pregnancy 5. Patients with active psychotic symptoms. 6. Cardiac Pacemaker or Intracranial implant. 7. Neurological comorbidity that could substantially influence depression. 8. Unstable medical illness 9. Patients who have been co prescribed BZD >1mg Clonazepam equivalent or anti-epileptic drugs.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement in depressive symptoms as measured by the Hamilton Depression Rating Scale (HAM-D) and Clinical Global Impression Scale (CGI) after 2 weeks of HDtDCS primed iTBS in patients of Treatment Resistant Depression.Timepoint: Improvement in depressive symptoms as measured by the Hamilton Depression Rating Scale (HAM-D) and Clinical Global Impression Scale (CGI) after 2 weeks of HDtDCS primed iTBS in patients of Treatment Resistant Depression. | — |
Secondary
| Measure | Time frame |
|---|---|
| Changes in Nerve Growth Factor levels in the serum measured using ELISA kits after treatment with HDtDCS primed iTBS.Timepoint: Baseline-T1 1 week- T2 2 weeks- T3 4 weeks- T4 | — |
Countries
India
Contacts
Central Institute of Psychiatry