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N/A Completed N=77 Randomized Treatment

Internet Based Cognitive Behavioral Therapy Effects on Depressive Cognitions and Brain Function

Source: ClinicalTrials.gov NCT01598922 ↗
Enrolled (actual)
77
Serious AEs
0.0%
Results posted
Dec 2020
Primary outcomePrimary: Change From Pre-treatment to Post-treatment (10 Weeks), Measured by the Hamilton Rating Scale for Depression, 17 Item Version (HRSD-17). — 15.73; 15.70; 9.17; 14.05 score on a scale — p=<0.0001

Summary

The purpose of this study is to understand the effectiveness of a ten-week internet-based cognitive behavioral therapy (iCBT) treatment on improving depressive symptoms, coping and resilience skills, and cognitive processing.

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Pre-treatment to Post-treatment (10 Weeks), Measured by the Hamilton Rating Scale for Depression, 17 Item Version (HRSD-17).
15.73; 15.70; 9.17; 14.05 <0.0001 sig
SECONDARY
Weekly Patient Health Questionnaire (PHQ-9) Score
9.17; 14.05 .024 sig
SECONDARY
Weekly Kessler Psychological Distress Scale (K-10) Score
20.14; 26.73 .003 sig
SECONDARY
Improvement From Baseline in Brain Functioning on the Emotional Interference Task (EIT) and the Monetary Incentive Delay Task (MID)
— —
SECONDARY
Change From Baseline in Positive and Negative Affect Scale (PANAS) Score
— —
SECONDARY
Change From Baseline in Connor Davidson Resilience Scale (CD-RISC) Score
— —
SECONDARY
Change From Baseline in Modified Erikson Flanker Test
— —
SECONDARY
Change From Baseline in Implicit Association Test (IAT)
— —

Eligibility Criteria

Inclusion criteria

  • Age range between 18 and 45.
  • Subjects must be right handed (as measured by Edinburgh Handedness Inventory).
  • The primary language of the subjects must be English
  • Must have regular access to a computer with internet connection and printer (for potential MDD or MAC participants)
  • DSM-IV criteria for current Major Depressive Episode according to SCID (for enrollment into MDD or MAC groups)
  • Absence of any psychotropic medications for at least 2 weeks (6 weeks for fluoxetine; 6 months for neuroleptics; 2 weeks for benzodiazepines; 2 weeks for any other antidepressants)
  • PHQ-9 score below 5 (for enrollment into HC group)

Exclusion criteria

  • Any history of neurological illness or brain injury
  • Current or past DSM-IV Axis I disorder (for enrollment into HC group)
  • Complicating medical conditions that may influence the outcome of neuropsychological assessment or functional imaging (e.g., HIV)
  • Mixed or left-handedness
  • Abnormal visual acuity that is not corrected by contact lenses
  • Metal within the body, claustrophobia, or other contraindications for MRI
  • Less than 9th grade education
  • Past or current alcohol/substance dependence, or current alcohol abuse, or current or past substance abuse (i.e. past alcohol abuse is not exclusionary)
  • Use of illicit drugs within the past year
  • Use of marijuana within the past month
  • Current use of opioid or prescribed stimulant medications
  • History of a psychotic mental illness (schizophrenia or bipolar disorder)
  • Current severe symptoms of depression (total score > 23 or responding > 1 to Question 9 for suicidal ideation in the Patient Health Questionnaire-9 Item [PHQ-9] (Kroenke et al., 2001))
  • A PHQ-9 score below 10 (for potential MDD or MAC participants)
  • Currently participating in Cognitive Behavior Therapy
  • History of ECT treatment
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01598922). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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