Cognitive Rehabilitation in Patients With Active and Remitted Depression - a Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Depression
- Sponsor
- Lovisenberg Diakonale Hospital
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Behavior Rating Inventory of Executive Function (BRIEF: self and informant form)
- Last Updated
- 8 years ago
Overview
Brief Summary
Depression is a highly prevalent and debilitating mental disorder, ranked one of the leading causes of disability worldwide. Several studies have identified neuropsychological deficits in populations of depressed patients affecting domains including attention, memory and executive functioning. These deficits often persist even in patients whose depressive symptoms have remitted. Cognitive impairment in depression represent a core feature of depression, and a valuable target for intervention. Identification of methods that would lead to amelioration would be of great clinical interest, and cognitive rehabilitation (CR) could be a potential way of achieving this. To date few studies on cognitive rehabilitation in depression has been conducted, but the preliminary results are promising. Still the demonstration of long-term effects and evidence relating to improved daily life executive functioning (i.e., generalization) is lacking. In the present study different group-based cognitive rehabilitation interventions will be compared. The aim of the study is to investigate if a group-based "brain training" intervention can improve executive function in patients with active and remitted depression. Efficacy will be assessed immediately after intervention, but also six months after the intervention.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Completed treatment for mild or moderate MDD
- •Evidence of executive dysfunction in everyday life determined by (a) a structured interview or (b) a self-report Behavior Rating Inventory of Executive Function (BRIEF) T-score \< 55.
Exclusion Criteria
- •Cognitive, sensory, physical, or language impairment affecting the capacity to complete the training program.
- •Premorbid neurological disease or insult and/or comorbid neurological disorder.
- •Reported ongoing alcohol or substance abuse.
- •Psychotic disorders.
- •Actively suicidal.
- •Personality disorder sever enough to interfere with the protocol.
- •Not fluent in Norwegian language.
Outcomes
Primary Outcomes
Behavior Rating Inventory of Executive Function (BRIEF: self and informant form)
Time Frame: Change from baseline up to 6 months
Executive function in daily life (range:70-210). Higher score indicate greater executive dysfunction.
Secondary Outcomes
- Performance on D-KEFS Color Word Interference Test(change from baseline up to 6 months)
- Score on Goal Attainment Scaling (GAS)(change from baseline up to 6 months)
- Performance on Conners Continuous Performance test III incl. CATA(change from baseline up to 6 months)
- Performance on Wisconsin Card Sorting Test(change from baseline up to 6 months)
- Performance on The Emotional Stroop(change from baseline up to 6 months)
- Performance on the Emo 1-back task(change from baseline up to 6 months)
- Score on Cognitive Failures Questionnaire (CFQ)(change from baseline up to 6 months)
- Score on Beck Depression Inventory II (BDI-II)(change from baseline up to 6 months)
- Score on Clinical Outcomes in Routine Evaluation Outcome Measure (CORE-OM)(change from baseline up to 6 months)
- Score on General Perceived Self-Efficacy Scale(change from baseline up to 6 months)
- Score on Return to Work Self-Efficacy Scale (RTW-SE)(change from baseline up to 6 months)
- Score on Difficulties in Emotion Regulation Scale (DERS)(change from baseline up to 6 months)
- Score on The Ruminative Response Scale (RRS)(change from baseline up to 6 months)