Depression Major depressive disorder
Conditions
Interventions
Patients will be randomized to schema-ECT or control-ECT, stratified for
research center. Schema-ECT consists of reactivation of depressive schemas
using the arrow-down technique that is used in cog
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: -Major depressive disorder (MDD) without psychotic symptoms -Clinical indication for ECT -18-70 years of age
Exclusion criteria
Exclusion criteria: -Bipolar disorder, schizophrenia, primary alcohol or drug abuse, or any cognitive disorder
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Treatment efficacy as measured with the Hamilton Rating Scale for Depression (HAM-D; 17-items). Response is defined as a 50% reduction and remission as a score | — |
Secondary
| Measure | Time frame |
|---|---|
| -Hippocampal magnetic resonance spectroscopy (MRS) -Structural connectivity using diffusion tensor imaging (DTI) -Functional connectivity using functional magnetic resonance imaging (fMRI) -Dopaminergic (dys-)function measured by a functional MRI of a probabilistic reward-related learning task (UMCG only) -Biomarker levels determined from blood samples | — |
Countries
Netherlands
Outcome results
None listed