Cancer, major depressive disorder Cancer Cancer, major depressive disorder
Conditions
Interventions
Usual care:
The patients' general practitioner and oncologist will be informed of their diagnosis of MDD. Patients will then receive the usual clinical management of depression as currently practised
Sponsors
University of Edinburgh, Lothian Health Board, University Hospitals Division (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Have a diagnosis of cancer 2. Be aged 18 or over 3. Be under specialist oncology care 4. Have a predicted survival, estimated by their cancer specialist, of between three and twelve months 5. Have symptoms which meet the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) criteria for Major Depressive Disorder (MDD) (using the inclusive approach to diagnosis)
Exclusion criteria
Exclusion criteria: 1. Unable to provide informed consent to participate 2. Episode of MDD is chronic (defined as a history of continuous depression for at least two years) 3. Judged to require urgent psychiatric care 4. Receiving active psychiatric or psychological treatment from specialist mental health services 5. Cognitive impairment or communication difficulties which are incompatible with the intervention 6. Known cerebral metastases 7. Unable to attend regularly for treatment sessions 8. Intervention is judged to be inappropriate due to a medical condition which requires alternative treatment 9. Intervention is judged to be inappropriate due to a psychiatric condition which requires alternative treatment (psychotic illness, bipolar affective disorder, obsessive compulsive disorder, substance abuse or dependence) 10. Participation in the trial is judged to be inappropriate on clinical grounds
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Acceptability and feasibility of the trial procedures | — |
Secondary
| Measure | Time frame |
|---|---|
| The following data will be collected at baseline, 4, 8, 12, 16, 20 and 24 weeks: 1. Hopkin's Symptom Checklist Depression Scale (SCL-20) 2. European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-C30 3. EuroQuol-5D 4. Satisfaction with depression care item | — |
Countries
United Kingdom
Outcome results
None listed