Major Depressive Disorder, Recurrent Clinical Trial
Official title:
Neural, Molecular and Psychological Mechanisms and Predictors of Treatment Response to Mindfulness-based Cognitive Therapy in the Treatment of Recurrent Major Depressive Disorder
The primary purpose of this study is to investigate neural mechanisms and predictors of treatment outcome in Mindfulness-Based Cognitive Therapy (MBCT) for recurrent Major Depressive Disorder.
AIM AND HYPOTHESES
The primary aim is to investigate treatment mechanisms of MBCT and markers of relapse risk.
Controlled design:
First, we aim to first investigate the effect of treatment on clinical outcomes in the
controlled design post treatment and at 3 months follow up. Second, we will run mediation
analyses of hypothesized mechanisms (increased mindfulness skills, decentering, interoceptive
and decreased rumination, and change in neural connectivity in a priori networks), and
finally check for moderating influences of vulnerability markers (childhood trauma, no.
episodes of depression and residual symptoms).
Prospective design:
We aim to investigate predictors of relapse risk at 12 month follow treatment using i)
baseline markers and ii) mechanism outcomes that change significantly due to treatment, and
iii) check for moderating influences of vulnerability markers
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