Chronic Depression
Conditions
Keywords
Depression, Duloxetine, Psychotherapy, Magnetic Resonance Imaging
Brief summary
The purpose of this study is to determine how psychotherapy and pharmacotherapy respectively change brain activity in patients suffering from chronic depression.
Interventions
Duloxetine 30mg up to 120mg per day.
Cognitive Behavioural Analysis System of Psychotherapy (CBASP): 20 sessions of psychotherapy, beginning with twice weekly, then weekly sessions.
Sponsors
Study design
Eligibility
Inclusion criteria
* Chronic Depression (Double Depression, Chronic MDE, MDE with incomplete remission) * HAMD-24\>20
Exclusion criteria
* Concurrent Psychotherapy or Psychopharmacotherapy * Previous Non-Response to Duloxetine * Non-Response to three Antidepressants of two different groups given at adequate doses or Non-Response to two empirically tested forms of Psychotherapy in the current Depressive Episode * Serious Psychiatric comorbidity * Serious Neurologic comorbidity * Contraindications to Duloxetine * Contraindications to fMRI
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Neuroimaging Data (fMRI) | Before and After Therapy |
Secondary
| Measure | Time frame |
|---|---|
| HAMD | Weekly |
| Salivary Cortisol | Before and After Therapy |
Countries
Germany