Major depressive disorder
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 18–65 years, any sex; 2. Diagnosed with Major Depressive Disorder, current depressive episode by DSM-5 (first episode or recurrence); 3. HAMD-17 score >= 17; 4. Drug-naive or antidepressant regimen unchanged at least 4 weeks prior to consent through the study period; 5. Sufficient listening, speaking, reading, and comprehension ability to complete study assessments; 6. In the investigator’s judgment, able to understand the study purpose and procedures, comply with study requirements, and provide informed consent.
Exclusion criteria
Exclusion criteria: 1.Comorbid severe psychiatric disorders (e.g., schizophrenia, bipolar disorder) or major neurological diseases (e.g., traumatic brain injury, post-neurosurgery); 2.History or family history of epilepsy or seizure disorders; 3.Presence of cranial/cardiac/internal metal implants or electronic devices; 4.Received ECT, TMS, or other physical treatments within 30 days; 5.HAMD-17 suicide item score >= 3; 6.Participation in other interventional clinical trials; 7.Pregnant, breastfeeding, or planning pregnancy during the study; 8.Other conditions deemed unsuitable by the investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The 17-item Hamilton Depression Scale, HAMD-17; | — |
Secondary
| Measure | Time frame |
|---|---|
| Facial Emotion Recognition Test;Electroencephalogram;Resting state functional MRI;Scalp EEG signals for transcranial magnetic synchronization intervention, TMS-EEG;Thinc-it;Hamilton Anxiety Scale, HAMA;Clinical efficacy global scale, CGI-S/I;16-item rapid self-rating Depression Scale, QIDS-SR16;Sness-hamilton Pleasure Scale, SHAPS;Pittsburgh Sleep Quality Index scale, PSQI;Generalized Anxiety Disorder Scale, GAD-7;Adverse Event;Positive and Negative Affect Scale (PANAS), PANAS;Toronto Alexithymia Scale, TAS-20;36-item Short Form health Survey, SF-36;World Health Organization Health-related Quality of Life Measures short form, WHOQOL-BREF; | — |
Countries
China
Contacts
Tianjin Anding Hospital