Anxiety Disorders, Major Depressive Disorder
Conditions
Keywords
major depressive disorder, hippocampal volume, cortisol, c-reactive protein, brain metabolites, MRI, anxiety
Brief summary
The objective of this transversal study is to determine if there is a difference in the volume of the hippocampus with the degree of anxiety.
Interventions
Sertraline will be started in all patients, unless it is contraindicated, in this case, Escitalopram will be indicated.
Sponsors
Study design
Eligibility
Inclusion criteria
* First-time patients, without prior antidepressant treatment that meet the diagnostic criteria of DSM 5 for major depressive disorder. * Patients who meet the current major depressive disorder criteria in the MINI interview. * Patients who signed the informed consent for the investigation.
Exclusion criteria
* Patients presenting insufficient data in the MINI interview for current major depression. * Patients diagnosed with intellectual development disorder, by clinic. * Patients with diagnosis of the schizophrenic spectrum, bipolar disorder, autism spectrum disorder, post-traumatic stress disorder and obsessive-compulsive disorder by clinic and / or by the MINI interview. * Patients with contraindications for MRI. * Patients with serious or unstable medical problems. * Patients undergoing some legal procedure. * Patients with difficulties in understanding the interview or completing the assessment instruments.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Response on Hamilton Anxiety Rating Scale | Change from baseline to week 8 | The Hamilton Anxiety Rating Scale and its correlation with hippocampal size |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Response on Hamilton Depression Rating Scale | Change from baseline to week 8 | Difference between baseline and final score |
| Response on Montgomery-Asberg Scale for Depression | Change from baseline to week 8 | Difference between baseline and final score |
| Response on Columbia Scale for Suicidality | Change from baseline to week 8 | Difference between baseline and final score |
| Response on Clinical Global Impression-Improvement | Change from baseline to week 8 | Difference between baseline and final score |
| Response on Beck Anxiety Inventory | Change from baseline to week 8 | Difference between baseline and final score |
| Response on EQ-5D | Change from baseline to week 8 | Difference between baseline and final score |
| Response on State-Trait Depression Inventory | Change from baseline to week 8 | Difference between baseline and final score |
Countries
Mexico