The purpose of this project is to develop and pilot-test a guided cognitive-behavioral self-help program for mild-to-moderate depression in Parkinson's disease (dPD). We will pilot-test the guided self-help treatment on 20 people with PD and their caregivers. The manual will be revised based on participant feedback. Several feasibility measures regarding the guided self-help program (i.e., recruitment, retention, enjoyment, helpfulness, adherence) will also be assessed. Moreover, preliminary estimates of effect size for this guided self-help program will be calculated and used in future research. We hypothesize that people with PD will report decreases in depression, anxiety, and negative thoughts and improvements in quality life and sleep and that caregivers will report decreases in burden after participating in the guided self-help program
To our knowledge, Cognitive-Behavioral self-help interventions remain unexplored for depression in PD to date. The results of this study will be used to support future treatment development efforts for depression and other psychiatric complications in PD that may improve the access to and quality of mental health care in this medical population.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
34
Participants will complete the study treatment at home. Bi-weekly telephone support will be provided by study staff.
Rutgers University-Robert Wood Johnson Medical School
Piscataway, New Jersey, United States
The Hamilton Depression Rating Scale
A clinician-administered rating scale for depression
Time frame: 14 weeks
Beck Depression Inventory
A self-report measure of depression
Time frame: 14 weeks
Hamilton Anxiety Rating Scale
A clinician-administered rating scale of anxiety
Time frame: 14 weeks
Inference Questionnaire
Self-report measure of negative thoughts
Time frame: 14 weeks
Caregiver Distress Scale
Self-report measure of caregiver stress
Time frame: 14 weeks
Insomnia Severity Index
Self-report sleep scale
Time frame: 14 weeks
Medical Outcomes Short Form
Self-report quality of life scale
Time frame: 14 weeks
Feasibility and adherence measures
Feasibility \[Likert ratings (0-10) on the dimensions of readability, clarity, effort, enjoyment, fatigue, helpfulness, and progress regarding treatment materials\] and adherence measures \[a numerical rating regarding the % of recommended activities accomplished\]
Time frame: 10 weeks
Clinical Global Impression-Improvement Scale
Clinician-rated scale of depression improvement
Time frame: 14 weeks
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