Treatment for Depressed, Obese Individuals at Risk for Cardiovascular Disease (CVD) (TODI)
18. august 2016 opdateret af: University of Pennsylvania
Treatment of Obesity in Depressed Individuals: A Randomized Controlled Trial
To determine whether individuals who suffer from depression and obesity are able to lose weight and show improvements in mood and cardiovascular disease risk factors following 20 weeks of a combined treatment of cognitive-behavior therapy for depression and behavior modification for weight loss.
Participants will be assigned to one of three treatments: 1) cognitive-behavior therapy for the treatment of depression combined with an alternative approach to weight loss, 2) a weight loss intervention combined with a depression support and education , or 3) cognitive-behavioral therapy for depression combined with a weight loss intervention.
Studieoversigt
Status
Afsluttet
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
76
Fase
- Ikke anvendelig
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
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Pennsylvania
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Philadelphia, Pennsylvania, Forenede Stater, 19104
- University of Pennsylvania: Center for Weight and Eating Disorders
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Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
18 år til 70 år (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria
- Female and male participants, with a BMI of 27 kg/m2 to 45 kg/m2
- Age 18 - 70 years old
- Presence of current major depressive disorder or dysthymic disorder
At least 2 CVD risk factors, as characterized by the metabolic syndrome, including:
- Elevated waist circumference (males 40 inches or 102 cm; females 35 inches of 88 cm)
- Fasting blood glucose 100 mg/dL
- Blood pressure 130/85 mm Hg
- Triglycerides 150 mg/dL
- Reduced HDL cholesterol (males 40 mg/dL; females 50 mg/dL)
- OR medications for these conditions
- Able to comply will all study procedures and schedule
- Able to speak and read English
Exclusion Criteria
- Cardiovascular event (e.g., myocardial infarction, stroke) within the past 12 months
- Use of tricyclic anti-depressants, monoamine oxidase inhibitors or paroxetine, mood stabilizers, or antipsychotic medications. (Note: participants who take SSRI/SNRI may be acceptable, provided they have been on a stable dose of these medications 3 months.)
- Use of weight-loss medications or any medications known to significantly affect weight (e.g., oral steroids) in past 3 months
- Weight loss of 5% or more in past 6 months
- Enrollment in weight reduction program in prior 3 months
- Treatment in individual psychotherapy for any psychiatric disorder in prior 3 months (Note: participants in couples or family counseling will be allowed.)
- Severe depression or severe impairment of functioning as judged by the assessor or PI
- Presence of active suicidal ideation
- Diabetes
- Alcohol/drug abuse/dependence
- Renal/hepatic disease
- Change in thyroid medications in last 3 months
- Pregnant/lactating, within 6-months post-partum
- Current diagnoses, or history within the last 5 years, of anorexia or bulimia
- Psychotic symptoms or hospitalization for a psychiatric disorder in previous 12 months
- Mood disorder NOS, substance-induced mood disorders, mood disorders due to a general medical condition
- History of bipolar disorder
- History of head trauma
- Any changes in smoking behavior in prior 3 months (or plans to change in the next 3 months)
- Plans for bariatric surgery
- Any other uncontrolled major medical problems
- Women who are pregnant
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Faktoriel opgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Eksperimentel: Combined
Group cognitive-behavior therapy for depression combined with behavior modification for weight loss
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Aktiv komparator: GCBT-ND
Group cognitive-behavior therapy for depression combined with an alternative approach to weight loss
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Aktiv komparator: DSE
Behavior modification for weight loss combined with depression support and education.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Weight loss
Tidsramme: Baseline to 20 weeks of treatment, follow-up at week 46
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To determine whether depressed, obese individuals who receive the combined treatment of cognitive-behavior therapy for depression and behavior modification for weight loss are able to lose 5% of their initial weight at the end of 20 weeks of treatment.
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Baseline to 20 weeks of treatment, follow-up at week 46
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Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Changes in metabolic cardiovascular disease risk factors and inflammatory markers
Tidsramme: Baseline to 20 weeks of treatment, follow up at week 46
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Baseline to 20 weeks of treatment, follow up at week 46
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Andre resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Changes in mood
Tidsramme: Baseline to 20 weeks of treatment, follow up at week 46
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Baseline to 20 weeks of treatment, follow up at week 46
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Lucy F Hemsley-Faulconbridge, PhD, University of Pennsylvania Center for Weight and Eating Disorders
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. august 2012
Primær færdiggørelse (Faktiske)
1. november 2015
Studieafslutning (Faktiske)
1. november 2015
Datoer for studieregistrering
Først indsendt
20. september 2012
Først indsendt, der opfyldte QC-kriterier
20. september 2012
Først opslået (Skøn)
25. september 2012
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
22. august 2016
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
18. august 2016
Sidst verificeret
1. august 2016
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 813829
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .