F32 F31 F33
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Consenting female and male patients aged 18-60 years. -Inpatients with a depressive episode (ICD-10 F31, F32, F33; HAMD-21: =17). -Only after the study procedure has been fully and thoroughly explained and patients have given written informed consent will they be included in the study.
Exclusion criteria
Exclusion criteria: -Pregnant or breastfeeding women -Drug or alcohol dependence -Dementia -Depressive episode secondary to somatic/neurological disease or substance dependence -Severe neurological or internistic concomitant disease that may falsify the examination results (e.g. fresh myocardial infarction, Cushing's disease, underlying rheumatic diseases) -Other additional severe psychiatric comorbidities -The patient cannot understand the nature and scope of the study and is therefore not capable of giving consent. -Enrolment not voluntary -Regular systemic use of steroids or non-steroidal anti-inflammatory drugs (NSAID). -Incompatibility with MR measurement (MR questionnaire)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Diagnosis and disease course: - when: for 6 timepoints: Baseline before ECT treatment, weeks 1, 2, 3, 4, 6 during ECT treatment - how: questionnaires HAMD-21, BDI | — |
Secondary
| Measure | Time frame |
|---|---|
| Assessment of neurosteroids (e.g. allopregnanolone), inflammatory markers (e.g. IL-1beta and mRNA), DNA (determination of TSPO polymorphism) and TSPO protein quantification from blood samples at the following time points: Baseline before ECT treatment and weeks 1, 2, 3, 4 and 6 during ECT treatment. (Total blood volume: 300 ml). MRI Session with functional, metabolic and structural imaging at baseline, week 1, 2, 3 and 4. | — |
Countries
Germany
Contacts
Medizinische Einrichtungen des Bezirks Oberpfalz