Effect of Physiotherapy Protocol in Treatment of Depression: Longitudinal Study
Overview
- Phase
- Not Applicable
- Intervention
- Physiotherapy protocol
- Conditions
- Fibromyalgia
- Sponsor
- Cairo University
- Enrollment
- 76
- Locations
- 1
- Primary Endpoint
- Assessing the change in severity of respondents' depression
- Status
- Not yet recruiting
- Last Updated
- 3 years ago
Overview
Brief Summary
The purpose of his study is to investigate the effect of physiotherapy protocol in management of depression in patients with fibromyalgia and in patients with psychogenic depression.
Detailed Description
This study will investigate the effect of physiotherapy protocol in management of depression in patients with fibromyalgia and in patients with psychogenic depression.
Investigators
Mahitab Momen Gamal-Eldien Elansary
Principal Investigator
Cairo University
Eligibility Criteria
Inclusion Criteria
- •Fibromyalgia patients will be included if they meet the diagnosis of FM according to the American College Rheumatology (ACR), diagnosed with depression and referred by a physician.
- •Patients diagnosed with mild and moderate forms of major depression.
- •Their ages range from 20- 60 years old.
- •Patients willing and able to participate in a physiotherapy program and capable of doing physical exercise on their own.
Exclusion Criteria
- •severe spinal injuries
- •severe musculoskeletal abnormalities
- •inflammatory rheumatic diseases
- •respiratory or cardiac pathologies
- •Any vestibular, visual or neurological dysfunction affecting balance.
- •History of suicidal attempts
- •Severe depression
- •Suffering from severe somatic or psychiatric disorders.
Arms & Interventions
Patients with fibromyalgia and depression (1)
Patients in this group will receive physiotherapy protocol and medications.
Intervention: Physiotherapy protocol
Patients with fibromyalgia and depression (1)
Patients in this group will receive physiotherapy protocol and medications.
Intervention: Selective serotonin reuptake inhibitors (SSRI)
Patients with fibromyalgia and depression (2)
Patients in this group will receive medications only.
Intervention: Selective serotonin reuptake inhibitors (SSRI)
Patients with depression only (1)
Patients in this group will receive physiotherapy protocol and medications.
Intervention: Physiotherapy protocol
Patients with depression only (1)
Patients in this group will receive physiotherapy protocol and medications.
Intervention: Selective serotonin reuptake inhibitors (SSRI)
Patients with depression only (2)
Patients in this group will receive medications only.
Intervention: Selective serotonin reuptake inhibitors (SSRI)
Outcomes
Primary Outcomes
Assessing the change in severity of respondents' depression
Time Frame: at baseline, after 2 weeks of intervention, after 4 weeks of intervention and after one month and two months of end of treatment period
Assessment will be done by using Arabic version of Beck Depression Inventory (BDI) which is designed to rate the severity of respondents' depression in the weeks preceding questionnaire completion. Each of the 21 questions presents four different statements and asks respondents to select the option that best represents them. Statements refer to depressive states in varying degrees of severity (from "I do not feel sad" to "I am so sad or unhappy that I can't stand it"), and this is reflected in the scoring process which assigns higher values to responses indicating more acute symptoms of depression. The total score can range from 0 to 63 points, with a total score of 0-9 points indicating minimal depression, 10-18 points mild, 19-29 points moderate, and 30-63 points severe depression.