Depressive Disorder Clinical Trial
— STEP-MDDOfficial title:
Multi-dimensional Diagnosis,Individualized Therapy,and Management Technique for Major Depressive Disorder:Based on Clinical and Pathological Characteristics
Major Depressive Disorder is one of the most common mental diseases,which increases health-care costs and the financial burden to families and societies. Considering its complex clinical symptoms and diversity of comorbidity, depressive disorder's recognition,diagnosis,and antihistone are based on symptomatology,which is lack of multidimensional diagnosis technique based on clinical pathological characteristics,as well as lack of individualized therapy strategy based on quantified evaluation. Besides, other physical diseases,such as nervous system diseases, cardiovascular diseases,endocrine diseases, have the high comorbidity of depressive disorder. However,there is no precise diagnosis technique or standardized therapy strategy. With all those taken into consideration,our study is aimed to adopt E-mental health and m-Health to explore multi-dimensional diagnosis, individualized therapy and management technique based on molecular biology,nerve electrophysiology,and neuroimaging technology etc.
Status | Recruiting |
Enrollment | 800 |
Est. completion date | December 2020 |
Est. primary completion date | December 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility |
Inclusion Criteria: - aged 18-65 years; - clinical diagnosis of major depressive disorder; - 17-Hamilton Depression Scale>20; - 14-Hamilton Anxiety Scale score<7; - outpatient treatment; - first episode; - medication-naive; Exclusion Criteria: - clinical diagnosis of schizophrenia, schizoaffective disorder; - any prescription or psychotropic medications in the past 4 week; - serious medical or neurological illness; - current pregnancy or breastfeeding. |
Country | Name | City | State |
---|---|---|---|
China | ShanghaiMHC | Shanghai |
Lead Sponsor | Collaborator |
---|---|
Shanghai Mental Health Center | Central South University, Chinese Academy of Sciences, Corning Hospital, Shenzhen City, First Affiliated Hospital Xi'an Jiaotong University, Fourth Military Medical University, Hangzhou Seventh People's Hospital, Peking University Sixth Hospital, Renmin Hospital of Wuhan University, Second Military Medical University, Shandong Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanxi Medical University, The First Affiliated Hospital of Kunming Medical College, the First Specialized Subject Hospital of Harbin, Wuhan Mental Health Center, Zhejiang University |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change from baseline in levels of microRNA,apolipoproteins, meta ion (Composite measure) | The potential biomarkers in our study include microRNA,apolipoproteins,metallic ion etc.We use quantitative analysis technique to test miRNA,proteins and metallic ion by patients' blood and urines before interventions and after interventions. | at 2,4,6,8,12 week. | |
Secondary | Hamilton Depression Scale(HADA) scores,reductive ratio | HADA,created by Hamilton in 1960,is one of the most common questionnaires to evaluate the severity of depression and the efficiency of medicine. we adopt the Hamilton Depression Scale(HADA)to evaluate different medicines efficiency by analyzing reductive ratio.The investigators record the total scores of HADA at baseline and 2,4,6,8,12 week. | at 0,2,4,6,8,12 week. | |
Secondary | Patient health questionnaire(PHQ-9):the clinical remission ratio | PHQ-9 is a self-report scale composed of 9 items to evaluate the state of depression.The investigators in our study record the total scores of PHQ-9 at 0,2,4,6,8,12 week to analyze the clinical remission ratio. | change from baseline PHQ-9 total scores at 2,4,6,8,12 week | |
Secondary | life event scale(LES) | LES is one of the common questionnaires to evaluate individual's mental and stress stimulation in daily life.The investigators record the total scores of LES at baseline. | at baseline | |
Secondary | social support scale(SSS) | SSS is one of the common questionnaires to evaluate individual's social support and social relationship network to explore the correlation between social support and mental health. the investigators in our study record the total scores of SSS at baseline. | at baseline | |
Secondary | dysfunctional attitudes scales(DAS) | The DAS is a self-report scale composed of 40 items to assess typical, stable depressogenic attitudes or schemas that make individuals vulnerable to depression. The investigators in our study record the total scores od DAS at baseline. | at baseline | |
Secondary | the gray matter volume, | The investigators in our study use voxel-based morphometry (VBM8)to record the gray matter volume. | change from baseline neuroimaging data at 2,4,6,8,12 week | |
Secondary | fractional amplitudes of low-frequency fluctuation(fLAFF) | The investigators in our study use region-of-interest(ROI)to record fLAFF. | change from baseline neuroimaging data at 2,4,6,8,12 week | |
Secondary | Neuroelectrophysiological examination: electroencephalogram(EEG) | EEG is used to record individual's brain activity. The investigators in our study record individual's brain wave. | at baseline | |
Secondary | Neuroelectrophysiological examination:electrocardiograph(ECG) | ECG is used to record the individual's cardiac cycle. | at baseline. |
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