Health Condition 1: F422- Mixed obsessional thoughts and acts
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Primary diagnosis of obsessive-compulsive disorder as per DSM-5 criteria, confirmed using the Diagnostic Interview for Anxiety, Mood, and OCD and Related Neuropsychiatric Disorders (DIAMOND). Inadequate response to at least one adequate trial of serotonin reuptake inhibitor. On stable psychotropic medications for a minimum of 8 weeks. Not undergoing cognitive behavioural therapy at the time of recruitment. Yale-Brown Obsessive Compulsive Scale score of 16 or higher. Clinical Global Impressions Severity score of 4 or higher.
Exclusion criteria
Exclusion criteria: Presence of comorbid psychotic disorders, bipolar disorder, or active substance use disorder (except nicotine or caffeine dependence). Active suicidality. History suggesting intellectual disability. Contraindications to repetitive transcranial magnetic stimulation or magnetic resonance imaging. Pregnancy. Presence of unstable medical conditions or severe neurological disorders requiring immediate medical attention.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in Yale-Brown Obsessive Compulsive Scale (Y-BOCS) severity score from baselineTimepoint: 1 week after intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| Change in resting-state functional connectivity in anterior cingulate and prefrontal regions, Change in ACC functional connectivity, MRS glutamate levels and amplitude of ERNTimepoint: 1 week after the end of treatment;HAM-A and HAM-D scoresTimepoint: 1 week after end of treatment;Change in YBOCS, HAM-A and HAM-D score at the end of phase 2 and Phase 3Timepoint: 6 weeks and 12-18 weeks after the end of treatment | — |
Countries
India
Contacts
National Institute of Mental Health and Neuro Sciences