Depression
Conditions
Brief summary
This study was designed to determine the feasibility of a Randomized Controlled Trial (RCT) that involved treating depression among participants with an elevated risk for cardiovascular disease. It is expected that treating depression through non-pharmacological means will impact heart rate variability, a proximal measure of CVD risk.
Interventions
Behavioral activation involves an exploration of the patient's individualized values and follows with goal setting to improve depression symptoms.
Sponsors
Study design
Eligibility
Inclusion criteria
Males and females age 21-75 Meet diagnostic criteria for major depressive disorder Framingham risk score indicating a greater than negligible 10-year risk (3% or greater) for cardiovascular disease. Levels of depressive symptoms of at least moderate level (beck depression inventory II score \> 19 of 63 possible points; or a Hamilton depression rating scale \> 12 of 50 possible points)
Exclusion criteria
A verbal expression of current, significant, suicidal ideation; a score of \> 15 on the beck scale for suicidal ideation Score of \>1 on any single item of the Beck Scale for Suicidal Ideation Score of \> 1 on the item assessing suicidal ideation on the beck depression inventory II. Psychiatric diagnoses that could potentially interfere with depression treatment (current post traumatic stress disorder, bipolar I disorder, obsessive-compulsive disorder, bulimia or anorexia nervosa, schizophrenia, and panic disorder) Current use of an antidepressant medication Currently in psychotherapy. Current use of a beta blocker, anxiolytic (benzodiazepine), antipsychotic agent Diagnosis of CVD.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility | 2 years. Throughout the course of the study (number recruited/screened, number enrolled, number completing the study) | Feasibility of the study including recruitment, enrollment, and retention rates |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Heart Rate Variability (HRV) | 12 weeks | Change in HRV from enrollment to post-treatment |