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Telehealth Cognitive Behavioral Therapy for Depression in Parkinson's Disease (PD)

CompletedNA

Sponsor: VA Office of Research and Development

Conditions: Depression, Parkinson's Disease

Interventions: TH-CBT, Standard Care

Countries: United States

When Veterans with Parkinson's disease (PD) suffer from depression, they are more likely to experience disease complications, interpersonal difficulties with caregivers, and poorer quality of life. Unfortunately, depression in Veterans with PD is inadequately treated at the current time. Treatment for depressed Veterans with PD will require the elimination of geographical barriers to care and approaches that address the unique aspects of PD. The proposed study will be the first to explore a novel and innovative, PD-informed psychotherapy package for depressed Veterans with PD and their Caregivers, delivered through video-to-home telehealth. If the results of this proposal are promising, a much needed treatment can be made available to Veterans with PD and their Caregivers across the country, regardless of geographical location.

Eligibility overview

Sex: ALL

Age: 35 Years to 85 Years

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

* Confirmed PD diagnosis in the VA medical record
* Primary Major Depression, Dysthymia, or Depression Not Otherwise Specified (NOS) of at least moderate severity per the Structured Clinical Interview (SCID) for Diagnostic and Statistical Manual of Mental Disorders (DSM5) Disorders.
* Access to a computer/tablet with high-speed internet access. primary
* Ages 35-85
* Stable medication and mental health regimen greater than or equal to 6 weeks, including:

  * applicable antidepressants
  * other psychotropic agents
  * movement disorder drugs
  * clinic-based psychotherapies
* Willingness to involve a family member or friend to participate

Exclusion Criteria:

* Possible dementia or marked cognitive impairment \[Montreal Cognitive
* Assessment Score (MoCA) less than 21
* Motor fluctuations greater than or equal to 50% of the day
* Suicidal plans or intent (determined by clinical interview)
* Unstable medical conditions

Locations (1)

Lyons, New Jersey, United States