Assessing the Effectiveness of Psychiatric Interventions on the Inpatient Unit
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Depressive Symptoms
- Sponsor
- Stanford University
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- Montgomery-Asberg Depression Rating Scale (MADRS)
- Status
- Enrolling By Invitation
- Last Updated
- 3 years ago
Overview
Brief Summary
This study will monitor the symptoms of patients who have received an intervention on the psychiatric inpatient unit at Stanford hospital up to 6 months after they have received the intervention. Additionally, the acceptability and feasibility of interventions will be assessed using clinician and patient questionnaires.
Detailed Description
Once patients have been discharged from hospital they will be contacted weekly for 4 weeks and then every 2 weeks until 6 months post-intervention in order to monitor their symptoms. Participants will be followed up until the end of the study (6 months after the intervention) or until they no longer meet responder criteria (MADRS score\>50% of score before they received the intervention) During the follow-ups for the first 8 weeks, the following assessments will be conducted: Montgomery-Åsberg Depression Rating Scale (MADRS) Scale of suicidal ideation (SSI) Hamilton depression rating scale (HAMD-6) Young Mania Rating Scale (YMRS) Pittsburgh insomnia rating scale (PIRS-20) Quick inventory of depressive symptomatology (QIDS) Immediate Mood Scaler (IMS-12) Beck Depression Inventory (BDI-II) C-SSRS self-report short version Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (Q-LES-Q-SF) will be collected at one month post-intervention. If the participant has a psychiatric diagnosis(/es) other than MDD, questionnaires measuring the symptoms associated with the participant's other psychiatric diagnosis/(es) will also be administered. Follow-up assessments from 10-24 weeks will include: MADRS SSI BDI-II C-SSRS self-report short version If the participant has a psychiatric diagnosis other than MDD, questionnaires measuring the symptoms associated with the participant's other psychiatric diagnosis/(es) will also be administered. The questionnaires that will be used to assess symptoms associated with primary psychiatric diagnoses are: * Bipolar disorder: YMRS * Schizoaffective disorder/ Schizophrenia/Schizophreniform disorder: positive and negative symptom scale (PANSS) and the Calgary Depression Scale for Schizophrenia (CDSS) * Alcohol use disorder: Alcohol craving questionnaire self-report (ACQ-SR) and obsessive compulsive drinking scale (OCDS) * Drug use disorders: Modified versions of the alcohol scales to make these relevant to the particular drug of abuse. * Anorexia Nervosa: Yale-Brown-Cornell Eating Disorder Scale \[YBC-EDS\], Eating disorder examination questionnaire (EDE-Q) * Bulimia Nervosa: Yale-Brown-Cornell Eating Disorder Scale \[YBC-EDS\], Eating disorder examination questionnaire (EDE-Q) * Binge eating disorder: Young-Brown Obsessive Compulsive Scale Modified for Binge Eating \[YBOCS-BE\] * OCD: Obsessive compulsive inventory (OCI) and Yale-Brown Obsessive Compulsive Scale (YBOCS) * PTSD: Post-traumatic Stress Disorder Checklist-Civilian Version \[PCL-C\] * Generalized anxiety disorder: Generalized Anxiety Disorder 7-item (GAD-7) scale * Chronic pain: Numeric Rating Scale (NRS) for Chronic Pain * Panic Disorder: Panic Disorder Severity Scale (PDSS) * Somatoform Disorders: The Somatic Symptom Scale (SSS-8) * Impulse Control disorders: Massachusetts General Hospital Hairpulling Scale (This questionnaire will be adapted depending on the urges the patient cannot control e.g. compulsive picking) BPD: The Borderline Evaluation of Severity Over Time (BEST) At all time points, information regarding medication changes and other psychiatric treatments will be collected.
Investigators
Nolan R
Associate Professor, Psychiatrist, Neurologist
Stanford University
Eligibility Criteria
Inclusion Criteria
- •Received an intervention on the psychiatric inpatient unit at Stanford Hospital aimed at treating a major depressive episode or suicidal ideation
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Montgomery-Asberg Depression Rating Scale (MADRS)
Time Frame: Weekly for first 4 weeks, followed by bi-weekly up until 24 weeks post-intervention
This is a ten-item clinician rated questionnaire in which the clinician rates each item from 0-6. Scores of 6 indicate more severe depressive symptoms. Total scores are between 0 and 60 with scores \>35 indicating severe depression. Response is defined as a 50% reduction or greater in MADRS score compared to baseline. Remission is defined as a MADRS score of \<10.
Secondary Outcomes
- Scale for Suicide Ideation (SSI)(Weekly for first 4 weeks, followed by bi-weekly up until 24 weeks post-intervention)
- Young Mania Rating Scale (YMRS)(Weekly for first 4 weeks, followed by bi-weekly up until 8 weeks post-intervention.)
- Columbia-Suicide Severity Rating Scale (C-SSRS)(Weekly for first 4 weeks, followed by bi-weekly up until 24 weeks post-intervention)
- Pittsburgh Insomnia Rating Scale (PIRS-20)(Weekly for first 4 weeks, followed by bi-weekly up until 8 weeks post-intervention.)
- Quick Inventory Depressive Symptomatology (QIDS)(Weekly for first 4 weeks, followed by bi-weekly up until 8 weeks post-intervention.)
- Number of hospital re-admissions and service use(Bi-weekly up until 24 weeks post-intervention)
- Beck Depression Inventory II (BDI-II)(Weekly for first 4 weeks, followed by bi-weekly up until 24 weeks post-intervention)
- Hamilton Rating Scale for Depression Six Item (HAMD-6)(Weekly for first 4 weeks, followed by bi-weekly up until 8 weeks post-intervention.)
- Immediate Mood Scaler (IMS-12)(weekly for first 4 weeks, followed by bi-weekly up until 8 weeks post-intervention.)