Trial document



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  DRKS00012970

Trial Description

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Title

Change in olfactory perception during psychotherapeutic treatment of patients with depressive disorder

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Trial Acronym

COPD

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URL of the Trial

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Brief Summary in Lay Language

Empirical studies show that patients with a depressive disorder have deficits in olfactory perception. However, the meaning of these deficits has not yet been conclusively clarified. The aim of the planned investigation is to check whether the olfactory performance is improved in the course of an improvement of the depressive symptoms, or whether the deficits persist. In addition, it should be checked whether the initial olfactory performance has an influence on the recovery potential of the patients suffering from depressive disorders. For this aim, the olfactory performance of patients with Major Depression will be examined before, during and after a psychotherapeutic treatment.

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Brief Summary in Scientific Language

Deficits of olfactory perception are widespread in mental disorders, including depression, posttraumatic stress disorder, and obsessive-compulsive disorder. Especially in depressive disorder, all dimensions of olfactory perception appear to be deficient. However, the findings are heterogeneous, and there are also conflictive findings. It is also not known whether the olfactory deficits are a secondary symptom of depressive disorders, regressing in the course of the recovery from depressive symptoms, or whether the olfactory deficits represent a biological marker of dysfunctional cerebral processing. If the first assumption is true, it is expected that the olfactory performance improves in the course of the psychotherapeutic treatment. If the second assumption is true, it is expected that the severity of the olfactory deficits predicts the change of symptom severity in the course of a psychotherapeutic treatment . The aim of the planned study is to answer these questions and to examine the relationship between olfactory perception depressive symptoms.

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Organizational Data

  •   DRKS00012970
  •   2017/10/24
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  •   yes
  •   Approved
  •   16-11, Ethikkomission der Fakultät für Empirische Humanwissenschaften und Wirtschaftswissenschaft der Universität des Saarlandes
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Secondary IDs

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Health Condition or Problem studied

  •   F32 -  Depressive episode
  •   F33 -  Recurrent depressive disorder
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Interventions/Observational Groups

  •   The olfactory perception (perception threshold, discrimination, identification) of Patients with depressive disorder will be examined at three time points (before the start of a psychotherapy, after the 12th and after the 24th session). In addition, the symptom severity will be assessed by questionnaires (BDI-II and BSI) and clinical diagnostics are assessed by the SKID.
  •   The olfactory perception and the symptom severity of healthy controls will be assessed at the same time points and by the same measurements as described in Arm 1.
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Characteristics

  •   Non-interventional
  •   Other
  •   Non-randomized controlled trial
  •   Open (masking not used)
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  •   Other
  •   Treatment
  •   Parallel
  •   N/A
  •   N/A
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Primary Outcome

Examination of the presence of deficits in olfactory perception (perception threshold, discrimination, identification) in patients with depression compared to a healthy control group adjusted for age and sex. The olfactory perception is measured in all dimensions with the Sniffin 'Sticks.

Change of the olfactory perception (perception threshold, discrimination, identification) in the course of the therapy.

Predictability of the change in symptom stress, recorded by the BDI, in the course of the therapy based on the olfactory perception.

Three survey days: 1) before the start of therapy (during or after the probatory sessions), 2) after the 12th therapies session, 3) after the 24th therapies session.

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Secondary Outcome

Diagnostic Interview using SKID. Examination of the correlation between olfactory performance and the severity of comorbidities like e.g. anxiety disorders (BSI).

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Countries of Recruitment

  •   Germany
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Locations of Recruitment

  • other 
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Recruitment

  •   Actual
  •   2017/10/12
  •   60
  •   Monocenter trial
  •   National
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Inclusion Criteria

  •   Both, male and female
  •   18   Years
  •   no maximum age
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Additional Inclusion Criteria

Patient sample: Depressive disorder as primary diagnosis, participation in cognitive behavioral therapy

Control group: healthy volunteers

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Exclusion Criteria

Patients: Drug or substance abuse, permanent use of medication (exception: oral contraceptives or occasional use of headache tablets up to one week before the beginning of the study, prescribed psychopharmaceuticals)

Control group: Mental disorder, drug or substance abuse, permanent administration of medications (exception: oral contraceptives or occasional use of headache tablets up to one week before the start of the study)

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Addresses

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Sources of Monetary or Material Support

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    • Universität des Saarlandes, Klinische Psychologie und Psychotherapie
    • Campus, Geb. A1.3
    • 66123  Saarbrücken
    • Germany
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Status

  •   Recruiting ongoing
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Trial Publications, Results and other Documents

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