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Investigating Magnetic Seizure Therapy in Major Depressive Disorder.

Completed
Conditions
Treatment Resistant Major Depression
Mental 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
Inclusion Criteria

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

Exclusion Criteria

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
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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