About this trial
This study will test the efficacy of transcranial direct current stimulation (tDCS) combined with mindfulness, remotely-delivered using a telemedicine protocol in 25 adults with unipolar depression.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Clinically stable patients that meet criteria for diagnosis of MDD according to DSM-V-TR and confirmed with the Mini International Neuropsychiatric interview
Currently experiencing a major depressive episode of at least 4 week's duration as part of a unipolar depression
QIDS-SR score >11 on all three days of screening week (Days 1,3, 7)
Scored at least 17 (inclusive) on the HDRS-17 at trial entry
Disqualifiers
Failure to respond to at least 2 antidepressant medications
Drug or alcohol abuse or dependence in the preceding 3 months
Concurrent benzodiazepine medication
High suicide risk assessed during clinician screening at baseline interview.
Trial design
Parallel
Treatments tested in this trial
transcranial direct current stimulation (tDCS) and mindfulness instruction
DevicetDCS together with audio providing mindfulness instruction and music
Sham tDCS and Mindfulness
DevicePlacebo electrical sitmulation and audio-guided mindfulness instruction
Treatment groups
Trial outcomes
Primary outcomes
Hamilton Depression Rating Scale (HDRS)
Change in HDRS score from Baseline
Blinding Integrity
Participants will be asked to guess whether they received active or sham treatment, providing a third option of "don't know"
Secondary outcomes
Response and Remission rates defined by HDRS
Response rate, defined as a reduction in the HDRS score by 50% or more, and the remission rate, defined as an HDRS score ≤7.
Quick Inventory of Depressive Symptomatology- Self Report (QIDS-SR)
Safety outcome will be tested using the QIDS-SR through a web portal
Quality of Life Enjoyment and Satisfaction Questionnaire Short Form (Q-LES-Q-SF
Participants will enter responses to the Q-LES-Q-SF questionnaire through the web interface
Clinical Global Impression severity (CGI-S) and improvement (CGI-I) subscales
Participants will enter responses to the CGI-S and CGI-I questionnaires through the web interface
Other outcomes
Adverse Event Questionnaire
Participants will report any side effects experienced, their severity (mild, moderate, severe), pain scores based on the Wong-Baker pain scale, and temporal relationship with the tDCS session (before, during, after)
Current Mood Score
Participants will enter a daily mood score on a scale of 0-10 (0= feeling normal and not depressed at all and 10= feeling as depressed as they possibly could be) on the web interface
Sponsors and contacts
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