Neurofeedback to Treat Depression - 2

University of Pennsylvania80 enrolled

Overview

This study tests the efficacy of a new psychotherapeutic strategy for reducing negative attention bias (and therefore depression severity) in participants with MDD. This real-time fMRI neurofeedback therapy uses cloud-based pattern classification to decode a patient's attentional state and dynamically modulate task stimuli (in a closed loop) based on this state.

The investigators will compare cloud based real time fMRI feedback with placebo (sham feedback) in reducing negative attention bias and depressive symptoms. This study will be the first dose-finding test of real-time fMRI effect on negative attention bias. Measures include: Structured Clinical Interview for DSM-5 (SCID), Clinician-administered diagnostic exam, Montgomery Asberg Depression Rating Scale (MADRS), Clinician-administered scale used to assess the severity of depression, State-Trait Anxiety Inventory (STAI), Self-report questionnaire used to measure types of anxiety and mood symptoms, Mood and Anxiety Symptom Questionnaire (MASQ), Negative perseveration during a go/no-go task, Go/no-go task with overlaid face/scene stimuli; brain response triggers next stimulus, Negative gaze, Negative gaze collected in gaze data following each real time fMRI feedback session

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Major Depressive Disorder (MDD)

Interventions

Active Closed Loop Real Time fMRI NeurofeedbackBEHAVIORAL

Active neurofeedback to target neural mechanisms underlying attentional bias in participants with major depressive discover (MDD)

Sham Closed Loop Real Time fMRI NeurofeedbackBEHAVIORAL

Sham (placebo) neurofeedback to target neural mechanisms underlying attentional bias in participants with major depressive discover (MDD)

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Gender, inclusive * Adult aged 18 - 65 * Meets Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria for MDD according to the Clinician-Administered MDD Scale for DSM-5 (unipolar depression or bipolar II depressed) * Scores at least a minimum score of 16 on Montgomery Asberg Depression Rating Scale (MADRS) * Normal cognition * Participants must be able to read and understand English * Participants must be able to provide consent Exclusion Criteria: * Pregnancy (female participants) * Outside age range * MRI contraindications (medical implant, claustrophobia, etc.) * Use of psychoactive medication (including antidepressants) or currently in therapy * Neurological disorder or any condition that in the view of the PI could impact brain data, cause depression, require medication that could cause depressive symptoms, or otherwise result in participant being unfit for study (for example, co-morbid psychotic, neurological disorders, developmentally or cognitively disabled/impaired, active alcohol or drug abuse/dependence within the past 6 months). * Non-English speaking * Non-correctable vision loss * Refusal to provide informed consent * representing an active suicide risk

Locations (1)

Center for Neuromodulation in Depression and Stress

Philadelphia, Pennsylvania, United States

RECRUITING

Outcomes

Primary Outcomes

Montgomery Asberg Depression Rating Scale (MADRS)

Clinician administered scale to assess the severity of depression. MADRS scores will be compare the effect of real-time neurofeedback vs sham neurofeedback on depression outcome in patients with MDD. A MADRS score of 16 or higher is needed in order to be eligible to be enrolled in the study. The higher the MADRS score, the more depressed the individual will be. A lower MADRS score indicates that the individual's depressive symptoms have improved. A higher MADRS score indicates that the individual's depressive symptoms have worsened.

Time frame: 3 months

Central Contacts

Yvette Sheline, M.D.

CONTACT

(215) 746-2637 cndslab@pennmedicine.upenn.edu

Data from ClinicalTrials.gov

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