Symptoms of Anxiety Clinical Trial
Official title:
Group Mindfulness-Based Cognitive Therapy for the Treatment of Late-Life Depression and Anxiety Symptoms in Primary Care: A Randomized Controlled Trial
About 10-20% of older patients in primary care suffer from symptoms of depression and/or
anxiety. Depression and anxiety are associated with higher rates of cognitive decline, lower
quality of life, increased medical comorbidity, and higher mortality rates in these patients.
Given the world's aging population and consequent rapid increase in older patients in primary
care, many traditional therapeutic approaches for depression or anxiety in this patient
population - e.g. assessment by a mental health practitioner, individual psychotherapy and/or
appropriate psychotropic medication - have been inadequate, with many patients having
undetected depression and anxiety. Additionally, geriatric depression and anxiety are very
common, but difficult to treat with psychotropic medications: patients are more sensitive to
adverse effects and respond relatively less well to medication.
To help with this issue, the investigators are conducting a randomized controlled trial of
mindfulness-based cognitive therapy (MBCT), a treatment that has been highly effective in
treating depression and anxiety, but has not yet been assessed in older adults. There has
been relatively little information about MBCT's effectiveness, particularly in the primary
care setting and in the acute treatment of depression and anxiety(vs. maintenance treatment).
This study will be conducted in 75-100 older adults in primary care with symptoms of anxiety
and depression. The study will take place in the "centre local de services communautaires"
CLSC Benny Farm, a primary health care centre in Montreal, Canada. Most patients aged 60+
with symptoms of depression (Patient Health Questionnaire 9 (PHQ-9) score ≥10) or anxiety
(General Anxiety Disorder-7 (GAD- 7) score ≥10) will be eligible. Patients who are eligible
for the study will be randomized: half the patients will get 8-week MBCT with a trained
interventionist (occupational therapist, psychiatry resident, or psychiatrist). The other
half (control group) will get patient treatment as usual with patient primary care
physician/primary care team during the study, but then after the study, patients will be
offered the treatment if patients would like.
n/a
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Recruiting |
NCT05973461 -
Effects of Exercise and Virtual Reality on Depression
|
N/A |