Mindfulness-based cognitive therapy vs. a health enhancement program for the treatment of late-life depression: Study protocol for a multi-site randomized controlled trial.

behavioral activation cognitive function executive function late-life depression memory mindfulness processing speed

Journal

Frontiers in aging neuroscience
ISSN: 1663-4365
Titre abrégé: Front Aging Neurosci
Pays: Switzerland
ID NLM: 101525824

Informations de publication

Date de publication:
2022
Historique:
received: 23 06 2022
accepted: 11 08 2022
pubmed: 20 9 2022
medline: 20 9 2022
entrez: 19 9 2022
Statut: epublish

Résumé

Late-life depression (LLD) affects up to 18% of older adults and has been linked to elevated dementia risk. Mindfulness-based cognitive therapy (MBCT) holds promise for treating symptoms of depression and ameliorating cognitive deficits in older adults. While preliminary findings are promising, a definitive RCT investigating its effects on late life depression and cognition have not yet been conducted. We present a protocol describing a multi-site blinded randomized controlled trial, comparing the effects of MBCT and of an active control, a Health Enhancement Program (HEP), on depressive symptoms, executive functioning, and brain biomarkers of LLD, among several other exploratory outcomes. Two-hundred and thirteen ( The proposed study will assess the clinical potential of MBCT to improve symptoms of depression, as well as examine its impact on cognitive impairments and neurobiological markers, and thus inform its use as a promising adjunct in the treatment of LLD. www.ClinicalTrials.gov, identifier: NCT05366088.

Sections du résumé

Background UNASSIGNED
Late-life depression (LLD) affects up to 18% of older adults and has been linked to elevated dementia risk. Mindfulness-based cognitive therapy (MBCT) holds promise for treating symptoms of depression and ameliorating cognitive deficits in older adults. While preliminary findings are promising, a definitive RCT investigating its effects on late life depression and cognition have not yet been conducted. We present a protocol describing a multi-site blinded randomized controlled trial, comparing the effects of MBCT and of an active control, a Health Enhancement Program (HEP), on depressive symptoms, executive functioning, and brain biomarkers of LLD, among several other exploratory outcomes.
Methods UNASSIGNED
Two-hundred and thirteen (
Discussion UNASSIGNED
The proposed study will assess the clinical potential of MBCT to improve symptoms of depression, as well as examine its impact on cognitive impairments and neurobiological markers, and thus inform its use as a promising adjunct in the treatment of LLD.
Clinical trial registration UNASSIGNED
www.ClinicalTrials.gov, identifier: NCT05366088.

Identifiants

pubmed: 36118690
doi: 10.3389/fnagi.2022.976636
pmc: PMC9476649
doi:

Banques de données

ClinicalTrials.gov
['NCT05366088']

Types de publication

Journal Article

Langues

eng

Pagination

976636

Informations de copyright

Copyright © 2022 Bein, Lesage, Dikaios, Chakravarty, Segal, Royal, Speechley, Schiavetto, Blumberger, Sacchet, Therriault, Gruber, Tourjman, Richard-Devantoy, Nair, Bruneau, Rej, Lifshitz and Sekhon.

Déclaration de conflit d'intérêts

SR receives a salary award from the Fonds de Recherche de Québec Santé FRQS, is a consultant for AbbVie, and is a shareholder of Aifred Health. HS has a CIHR fellowship award, MITACS fellowship award, and AGE-WELL award. ZS is a cofounder of Mindful Noggin and receives royalties from Guilford Press. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Auteurs

Magnus Bein (M)

Department of Psychiatry, GeriPARTy Research Group, Jewish General Hospital, Montréal, QC, Canada.

Myriam Lesage (M)

Department of Psychiatry, GeriPARTy Research Group, Jewish General Hospital, Montréal, QC, Canada.

Elena Dikaios (E)

Department of Psychiatry, GeriPARTy Research Group, Jewish General Hospital, Montréal, QC, Canada.

Mallar Chakravarty (M)

Departments of Biological and Biomedical Engineering and Psychiatry, Centre d'imagerie cérébrale, Douglas Mental Health Institute, Verdun, QC, Canada.

Zindel Segal (Z)

University of Toronto-Scarborough, Toronto, ON, Canada.

Isabelle Royal (I)

Neuropsychology Service, Department of Psychiatry, Jewish General Hospital, Montréal, QC, Canada.

Mark Speechley (M)

Department of Epidemiology and Biostatistics, University of Western Ontario, London, ON, Canada.

Alessandra Schiavetto (A)

Department of Psychiatry, Jewish General Hospital, McGill University, Montréal, QC, Canada.

Daniel Blumberger (D)

Department of Psychiatry, Centre for Addiction and Mental Health, University of Toronto, Toronto, ON, Canada.

Matthew D Sacchet (MD)

Meditation Research Program, Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, Boston, MA, United States.

Joseph Therriault (J)

Department of Neurology and Neurosurgery, Translational Neuroimaging Laboratory, McGill Research Centre for Studies in Aging, Douglas Mental Health Institute, Le Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Ouest de l'Île de Montréal, Montréal, QC, Canada.

Johanna Gruber (J)

Department of Psychiatry, GeriPARTy Research Group, Jewish General Hospital, Montréal, QC, Canada.

Valerie Tourjman (V)

Department of Psychiatry, Institut Universitaire en Santé Mentale de Montréal, Montréal, QC, Canada.

Stephane Richard-Devantoy (S)

Department of Psychiatry, Douglas Mental Health Institute, Verdun, QC, Canada.

Vasavan Nair (V)

Department of Psychiatry, Douglas Mental Health Institute, Verdun, QC, Canada.

Marie-Andrée Bruneau (MA)

Département de psychiatrie et d'addictologie, Research Centre, Institut Universitaire de Gériatrie de Montréal, Montréal, QC, Canada.

Soham Rej (S)

Department of Psychiatry, GeriPARTy Research Group, Jewish General Hospital, Montréal, QC, Canada.
Department of Psychiatry, Jewish General Hospital, McGill University, Montréal, QC, Canada.

Michael Lifshitz (M)

Department of Psychiatry, Jewish General Hospital, McGill University, Montréal, QC, Canada.
Division of Social and Transcultural Psychiatry, Department of Psychiatry, McGill University, Montréal, QC, Canada.

Harmehr Sekhon (H)

Department of Psychiatry, GeriPARTy Research Group, Jewish General Hospital, Montréal, QC, Canada.
Division of Geriatric Psychiatry, Harvard Medical School, McLean Hospital, Cambridge, MA, United States.

Classifications MeSH