cognitieve stoornissen cognitive impairment depression
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Patients with ileal NET with metastatic disease, diagnosed between 2012 and 2017 - Signed informed consent
Exclusion criteria
Exclusion criteria: - No sufficient understanding of the Dutch language. - A previous cerebro vascular accident (assessed through review of the chart and checked with the patient) - Severe cognitive problems such as a dementia. - Delirium in the past 3 months - Use of 5-HT modulating medication, such as SSRIs or SNRIs, or tryptophan - Current chemotherapy, or chemotherapy in the past 5 years - Previous malignancy in the past 5 years, except for adequately treated basal cell carcinoma of the skin. - Life expectancy shorter than 3 months - Patients with a primary psychotic disorder (schizophrenia)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the severity of cognitive dysfunction and depressive symptoms in ileal NET patients and to relate this to peripheral 5-HT production. | — |
Secondary
| Measure | Time frame |
|---|---|
| - To assess the prevalence of formal psychiatric diagnoses (depressive disorder, anxiety disorder) in patients with metastatic ileal NET and relate this to peripheral 5-HT production - To assess the severity of irritability and anger in patients with metastatic ileal NET and to relate this to peripheral 5-HT production. - To identify subgroups of patients with metastatic ileal NET that are more vulnerable for depressive symptoms (e.g. with a (family) history of depression or a polymorphism in serotonin transporter genes). - To assess the prevalence of cognitive problems on specific domains in patients with metastatic ileal NET and relate this to peripheral 5-HT production. - To assess the emotional bias in NET patients and to relate this to 5-HT production, depressive symptoms and irritability - To assess the association between psychiatric symptoms and cognitive impairment and peripheral 5-HT production. - To assess the quality of life of the patients and to relate this to peripheral 5-HT | — |
Countries
Netherlands