Investigating Magnetic Seizure Therapy in Major Depressive Disorder.
- Conditions
- Treatment Resistant Major DepressionMental Health - Depression
- Registration Number
- ACTRN12611000054910
- Lead Sponsor
- Professor Paul Fitzgerald
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 40
Age 18-75 and a DSM-IV diagnosis of a major depressive episode (uni or bipolar depression) (diagnosis made using the standard structured clinical interview for the DSM-IV (SCID I) instrument).
Patients with psychotic symptoms as part of their mood episode will not be excluded if able to give informed consent.
Are referred for or are otherwise suitable for a course of ECT as determined by their treating psychiatrist
Hamilton Depression Rating Scale (17 item version) score of > 18 (moderate – severe depression): note – some authors have defined moderate depression on the 17 item HAMD as >14. We have selected a higher cut off to ensure all patients clearly have depression of substantial clinical severity. It is likely that most patients will have scores in the severe or extremely severe ranges.
Score greater than 23 on the Mini Mental State Examination
Have treatment resistant depression at Stage II of the Thase and Rush classification. This requires failure to respond to adequate courses of several courses of antidepressants.
Demonstrated capacity to give informed consent
Patients who are too unwell to undergo general anesthetic.
Patients with metallic implants in the head, cardiac pacemakers, cochlear implants or other implanted electronic devices
Treatment with ECT in the last three months
Presence of another DSM-IV Axis I psychiatric disorder (on SCID I) other than bipolar disorder
Presence of substance abuse or dependence during the last six months (on SCID I)
Current pregnancy
Past history of stroke, neurodegenerative disorder or other major neurological illness
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method