Major Depressive Disorder
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: PATIENTS: 1. Age 35-65 yr; 2. Both sexes; 3. ≥2 MDD episodes according to a structured interview for DSM-IV (SCID); 4. In stable remission defined as a Hamilton depression rating scale (HDRS) ≤7 and Inventory for depressive symptomatology (IDS-SR) ≤14 for at least 10 weeks. CONTROLS: 1. Matched for age, sex and years of education; 2. IDS-SR ≤14.
Exclusion criteria
Exclusion criteria: PATIENTS: 1. Current diagnosis of alcohol or drug dependence, psychotic or bipolar disorder, predominant anxiety disorder; 2. Standard fMRI exclusion criteria (claustrophobia, implanted metal objects in the bodies); 3. Electroconvulsive therapy within two months before scanning; 4. A history of head trauma or neurological disease, severe general physical illness. CONTROLS: 1. Personal (assessed by SCID) or 1st degree relative with psychiatric disorder; 2. Current diagnosis of alcohol or drug dependence; 3. Standard fMRI exclusion criteria (claustrophobia, implanted metal objects in the bodies); 4. A history of head trauma or neurological disease, severe general physical illness.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prospective Recurrence of MDD during 2.5 years of follow-up. | — |
Secondary
| Measure | Time frame |
|---|---|
| Clinical: Retrospective Recurrence of MDD during 2.5 years of follow-up. Neuroimaging: sMRI, DTI, fMRI (reward-aversive paradigm, emotion regulation task, resting state [before/after mood-induction], Cued Emotional Conflict Task), MRS. Blood & Saliva: Poly Unsaturated Fatty Acids, Brain Derived Neurotrophic Factor, DNA and mRNA Genetics, Salivary cortisol and DHEA-s. Experience Sampling Method: Daily positive and negative affect measurements during 6 days. | — |
Contacts
Academic Medical Center (AMC), Program for Mood Disorders, Department of Psychiatry, P.O. Box 22660