adult onset diabetes Depression
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Healthy subjects (pilot studie): (1) Age 18-75 years (2) Physically and psychiatrically healthy, as judged by an expert panel;Patients: (1) Age 18 years or older (2) Type 2 Diabetes Mellitus, as judged by an expert panel (3) Depression (DSM-IV)
Exclusion criteria
Exclusion criteria: Healthy subjects (pilot studie): (1) A recent history of a serious medical event, as judged by an expert panel (2) Hypersensitivity to drugs used (3) Pregnancy (4) Poor commandment of the Dutch language or any (mental) disorder that precludes full understanding the purpose, instruction and hence participation in the study (5) Individuals who are investigator site personnel directly affiliated with the study, or are immediate family;Patients: (1) Recent history (
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Depression o Mean change in depressive symptoms (IDS-SR) in the active versus placebo condition (T0-T8). o Depression (sustained) remission rates in the active versus placebo condition (remission is a priori defined as a score of 13 or less (IDS-SR) at T4; sustained remission is a priori defined as a score of 13 or less (IDS-SR) at T4 and T8). o Temporal changes in depressive symptoms (IDS-SR) in the active versus placebo condition (T0,T1, T2, T3, T4, T8). Diabetes o Mean change HEC-derived M-value, as measure of whole-body insulin sensitivity in the active versus placebo condition (T0-T4). o Mean change in HbA1c in the active versus placebo condition (T0-T4, T0-T8). o Mean change in fasting plasma glucose in the active versus placebo condition (T0-T4, T0-T8). o Mean change in self-reported glucose measures and insulin dosages (if applicable) in the active versus placebo condition (T0-T4, T0-T8). Anxiety, emotional functioning in diabetes, quality of life, and disability o Mean change in anxiety symptoms in the active versus placebo condition (T0-T4, T0-T8). o Temporal changes in anxiety symptoms in the active versus placebo condition (T0-T4, T0-T8). o Mean change in emotional functioning in diabetes in the active versus placebo condition (T0-T4, T0-T8). o Mean change in quality of life in the active versus placebo condition (T0-T4, T0-T8). o Mean change in disability in the active versus placebo condition (T0-T4, T0-T8) Primary mediators o Mean change in diurnal cortisol variability in the active versus placebo condition (T0-T4, T0-T8). o Mean change in objective actigraphic measures of sleep duration and circadian rhythmicity in the active versus placebo condition (T0-T4, T0-T8). o Mean change in subjective measures of sleep duration and quality and circadian rhythmicity in the active versus placebo condition (T0-T4, T0-T8). Secondary mediators o Mean change in the ANS-balance in the active versus placebo condition (subgroup) ( | — |
Primary
| Measure | Time frame |
|---|---|
| o Mean change in IDS-SR scores in the active versus placebo condition (T0-T4). | — |
Countries
Netherlands