Depression Clinical Trial
Official title:
A Multicentre Prospective Cohort Study of Traditional Chinese Medicine Treating Depression With The Use of Cloud Data
Chinese Medicine syndrome differentiation has been a prevalent therapy in China for
thousands of years. It is based on patients' symptoms, pulse, tongue and coating on the
tongue. Therefore, the syndrome of patients and corresponding Traditional Chinese Medicine
(TCM) may vary.
This multicenter prospective cohort studies the efficiency and safety of TCM compared with
antidepressants. A total number of 4600 cases with primary depression are expected to be
collected and divided into 3 cohorts based on the patients' requirement and choices.
Patients in one group will receive TCM, and patients in the other two groups will
respectively receive antidepressants only and integrated treatment of TCM and
antidepressants. This study has 2 phases: treating period and the follow-up.
The main purpose of this long-term study is to evaluate the efficiency of TCM compared with
antidepressants in reducing relapse and suicide rate, changing lifestyle, improving patient
compliance as well as the safety.
This multicenter prospective cohort uses a modern technique. With its help participants can
assess themselves at any time and doctors can supervise patients in case of some adverse
events or intervene when patients commit suicide.
The main purpose of this study is to observe the differences between cohorts. However, the
intra-group differences are also needed to be evaluated, as the therapies of different
participants are various. Therefore, the number of participants treated with each therapy
and the time of recovery need to be counted and analyzed. This is a long-term and natural
study that participants lost, drug withdrawal and changes in participants'choices of the
therapy cannot be avoided. So the reason and number of the previous conditions need to be
observed. The safety of TCM and antidepressants is also a considerable outcome which will be
evaluated by laboratory examination, Treatment Emergent Symptom Scale (TESS) and the number
of participants with adverse events.
Some of the outcomes are measured by questionnaires which can be divided into two parts. One
is self-rated assessments including Self-rating Depression Scale (SDS) and Self-reporting
Inventory (SCL-90). The other one is evaluated by doctors, such as Hamilton Depression
Rating Scale of 24 items (HAMD), Montgomery-Asberg Depression Rating Scale (MADRS), Social
Disability Screening Schedule (SDSS), Mini-mental State Examination (MMSE), Montreal
Cognitive Assessment (MoCA)and Traditional Chinese Medicine syndrome score.
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Observational Model: Cohort, Time Perspective: Prospective
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