Moment-to-moment Neural Variability as a Predictor of Treatment Outcome in Patients With Common Psychiatric Disorders: Major Depressive Disorder, Insomnia and Social Anxiety Disorder

Status: Recruiting
Location: See location...
Intervention Type: Behavioral
Study Type: Observational
SUMMARY

Many psychiatric patients are not sufficiently improved by current interventions. Functional magnetic imaging brain imaging (fMRI) has proven to be a promising method for predicting treatment outcomes in psychiatric treatment. Individuals moment-to-moment variability have not yet been evaluated as a predictor of treatment of three common forms of mental illness: depression, insomnia and health anxiety. The goal is to investigate whether objective measurements of brain function contribute to a better prediction of a patient's success in treatment than experiences and self-reports, e.g., treatment credibility and patients expectations about the treatment. The prediction model will be tested on internet-delivered CBT (iCBT) for depression, insomnia and social anxiety. Patients in each diagnostic group are asked for participation before treatment. The total number of participants in this study will amount to 225 participants. The goal is that 35% consists of healthy controls and that the remaining part is equally distributed between the three diagnostic patient groups. Being able to better predict how well a psychiatric treatment will work for an individual has great value from both an economic and a treatment perspective. The findings from this study may contribute to increased knowledge about neurobiological complications in mental illness. In the longer term, it can lead to improved routines and help in clinical decision-making when patients should be recommended treatment.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: t
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• Meeting DSM-5 criteria for depression, social anxiety or insomnia. Diagnosis and measures of symptom burden and functional level are made through a structured interview, the Mini-International Neuropsychiatric Interview (M.I.N.I.) and self-assessments of symptoms. Healthy controls should not be relevant to psychiatric treatment nor meet criteria for any psychiatric condition according to the M.I.N.I.

• Being able to read, write and speak Swedish in order to be able to read the treatment texts and be able to make phone calls.

• Having basic computer skills to be able to complete surveys via the Internet and access the treatment platform.

Locations
Other Locations
Sweden
Internetpsykiatri
RECRUITING
Huddinge
Contact Information
Primary
Kristoffer Kristoffer, PhD
kristoffer.mansson@ki.se
+46(0)705803267
Backup
Viktor Kaldo, PhD
viktor.kaldo@ki.se
Time Frame
Start Date: 2022-04-01
Estimated Completion Date: 2026-01
Participants
Target number of participants: 150
Treatments
Depression Internet-delivered CBT
12 weeks of guided internet-delivered CBT for depression.
Insomnia Internet-delivered CBT
12 weeks of guided internet-delivered CBT for insomnia.
Social Anxiety Internet-delivered CBT
12 weeks of guided internet-delivered CBT for social anxiety.
Related Therapeutic Areas
Sponsors
Leads: Karolinska Institutet

This content was sourced from clinicaltrials.gov