Major Depressive Disorder
Conditions
Keywords
Buddhist monks, CBT, elderly, depression
Brief summary
This research is to study the effectiveness of cognitive behavioral therapy-CBT and Psychotherapy by trained buddhist monks. There are generally accepted that both cognitive and Buddhist concepts are related. This randomized controlled trial is to study the elderly participants who suffer major depressive disorder according to DSM-IV. The subjects will be divided into two groups. The experimental group will receive 12 sessions of CBT 2 times per week for 6 weeks in addition to usual treatment. The control group will receive treatment as usual and general conversation (non-CBT) with monks. Pretreatment factors (such as attachment style, interpersonal factors) of both therapist monks and patient participants will be studied.
Interventions
BEHAVIORALTreatment as usual
Treatment as usual (TAU)is defined as the routine care provided to each individual patient at the geriatric psychiatry clinic of Maharaj Nakorn Chiang Mai Hospital.
BEHAVIORALCognitive-behavioral therapy
Cognitive behavioral therapy(CBT)includes psychoeducational components combined with cognitive interventions targeted at challenging negative automatic thoughts.
Sponsors
Chiang Mai University
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
60 Years to 95 Years
Healthy volunteers
No
Inclusion criteria
* Meet criteria for Major depressive disorder * receiving antidepressant
Exclusion criteria
* presence of intense suicidal intent behaviors that require inpatient admission * history of alcohol or drug dependence * presence of hallucinations or delusions * currently receiving electroconvulsive therapy or repetitive-transcranial magnetic stimulation, * patients' involvement in other clinical trials.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evidence of clinically depression confirmed by clinician | 2 months after the end of the intervention | Depression will be assessed by HAMD-7 (McIntyre, 2005) |
| Depression- self report | 2 month after the end of the inetrvention | depression will be assessed by Geriatric Depression Scale (GDS)(Shiekh & Yesavage, 1986) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dimensional psychological distress (anxiety, depression,and somatization) | week 6, 12, 20 | anxiety, depression,and somatization symptom will be assessed by the Core symptom index (CSI) (Wongpakaran, unpublished), |
| Dimensional psychological distress ( perception of stress) | Week 6, 12, 20 | Perception of stress will be assessed by Perceived Stress Scale-10 (PSS-10) (Cohen 1983 ; Wongpakaran, 2010) |
Other
| Measure | Time frame | Description |
|---|---|---|
| working alliance | after session 3, 6, and 12 | Working alliance will be assessed by the Helping Alliance Questionnaire (HAQ)(Luborsky, 1996) |
| Pretreatment measure (attachment) | at baseline | The part includes participants' attachment which will be assessed by the revised Experience of Close Relationships Questionnaire (ECR-R 18)(Wongpakaran, 2012) |
| Pretreatment measure (interpersonal problems) | at baseline | Interpersonal problems will be assessed by the inventory of interpersonal problems(Horowitz, 2000) |
| Pretreatment measure(neuroticism) | at baseline | Neuroticism will be assessed by the Neuroticsm Inventory (Wongpakaran,unpublished) |
Countries
Thailand
Contacts
Primary ContactNahathai - Wongpakaran, M.D.
Outcome results
None listed