Major Depressive Disorder
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Subjects with DSM-IV Major Depressive Disorder based on Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorder (SCID) at screening. 2. Subjects with HAMD-17 score >=8/<=18 at screening. 3. Subjects who give full consent in the participation of the study.
Exclusion criteria
Exclusion criteria: 1. No comorbid alcohol or substance use disorder in 2 years prior to the screening. 2. No history or concurrent manic or psychotic episode. 3. No other primary DSM-IV Axis I Disorders in 6 months prior to the screening. 4. No comorbid of antisocial personality disorder. 5. No serious and imminent suicidal ideation at screening. 6. No prior experience with previous MBCT program (4 or more sessions) or CBGT program (4 or more sessions). 7. Unlikely to attend more than 4 visits during the 8-week trial phase (eg, due to relocation). 8. No intention of engaging in homework 9. No organic brain lesions or major cognitive deficits in a year prior to the screening. 10. No severe or unstable medical illness at screening. 11. Contraindication to MRI (including cardiac pacemaker, claustrophobia)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Group differences in total GRID-Hamilton Depression Rating Scale (HAMD17) scores between MBCT and CBGT groups at post-intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| -Depression symptoms: GRID-Hamilton Depression Rating Scale, Beck Depression Inventory, Quick Inventory of Depressive Symptomatology -Remission: defined as HAMD-17=<7, QIDS score<5 -Response: defined as 50% reduction of baseline HAMD-17 total score or QIDS score -Anxiety symptoms: Generalized Anxiety Disorder -7 -Anger rumination: Anger Rumination Scale -Automatic thoughts: Automatic Thoughts Questionnaire Revised, -Decentering: Experiences Questionnaire -Mindfulness: Five Facet Mindfulness Questionnaire -Well-being: Satisfaction With Life Scale -Rumination: Ruminative Response Scale -resting state functional connectivity (resting-fMRI) | — |
Countries
Japan
Contacts
Keio University School of Medicine Nauro-psychiatry department