Chronic depression
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Persistent depressive disorder including chronic major depressive disorder and dysthymic disorder assessed by the Structured Clinical Interview for DSM -Scores of at least 14 on the GRID-HAMD -Psychiatric treatment duration for depression of at least 3 years
Exclusion criteria
Exclusion criteria: -Psychiatric hospitalization within 30 days prior to the enrollment -Ineligible to receive the protocol treatment during 2 years -Schizophrenia -Bipolar disorders -Intellectual disabilities -Neurocognitive disorders -Substance-related disorders
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Treatment response was defined as 50% or greater reduction in depressive symptoms (the 17-item GRID-Hamilton Depression Rating Scale; GRID-HAMD) at 104 weeks compared with baseline. The GRID-HAMD will be administered by clinical psychologists who will be blinded to treatment assignments. The 17- and 24-item GRID-HAMD will be assessed at baseline, 26 weeks, 52 weeks, 78 weeks, and 104 weeks. | — |
Secondary
| Measure | Time frame |
|---|---|
| Remission was defined as the 17-item GRID-HAMD score of 7 or less at 104 weeks. Change in observer-rated depression severity was defined as the change score of the 17- and 21-item GRID-HAMD from baseline through 104 weeks. Change in self-rated depression severity was defined as the change score of the Beck Depression Scale-II (BDI-II) from baseline through 104 weeks. The BDI-II will be assessed at baseline, 52 weeks, and 104 weeks. Change in self-rated quality of life was defined as the change score of the EQ-5D-5L. The EQ-5D-5L will be assessed at baseline, 52 weeks, and 104 weeks. Utility scores assessed by the EQ-5D-5L, depression severity assessed by the GRID-HAMD and BDI-II, and the utilization of medical services will be used for estimating cost-effectiveness and cost-utility. | — |
Countries
Japan
Contacts
Initiative for Clinical Epidemiological Research President