rTMS and Cognitive Training in Youth Depression
Depression
About this trial
This is an interventional treatment trial for Depression focused on measuring rTMS, Depression, Youth, TBS, Brain Stimulation, Electrophysiology, Imaging
Eligibility Criteria
Inclusion Criteria:
- outpatients
- between the ages of 16 and 24
- competent to consent to study participation
- Mini-International Neuropsychiatric Interview (MINI) confirmed diagnosis of MDD single or recurrent
- not taking any oral medication for depression or another psychiatric indication 1-week prior to screening visit
- HRSD-17 score of 20 and higher, to be reviewed on a case by case basis by the study psychiatrists
- at least one failed/refused/intolerant to antidepressant trial in the current episode as determined by ATHF
- No safety concerns endorsed on TMS Screening and Information Form
Exclusion Criteria:
- lifetime MINI diagnosis of bipolar I or II disorder, schizophrenia, schizoaffective disorder, delusional disorder, current psychotic symptoms, obsessive compulsive disorder, autism spectrum disorder, a history of epilepsy or any other major neurological disorder
- diagnosis of borderline personality disorder, assessed on a case by case basis
- at least 6 answers coded "yes" in both substance abuse and dependence sections combined, within the last 3 months as determined by MINI
- concomitant major unstable medical illness
- acutely suicidal or high risk for suicide as assessed by a study psychiatrist
- not eligible to receive TMS or MRI as indicated by TMS Screening and Information Form
- medications are considered a confound including selective serotonin reuptake inhibitors, benzodiazepines, antipsychotics, mood stabilizers, stimulants and anticonvulsants, all to be reviewed on a case by case basis
- have failed brain stimulation in the past
- cannot be an expert musician
Sites / Locations
- Centre for Addiction and Mental Health
Arms of the Study
Arm 1
Arm 2
Active Comparator
Sham Comparator
rTMS + Cognitive Training
rTMS + Sham Cognitive Training
Participants will receive repetitive transcranial magnetic stimulation (rTMS) in an open label fashion. In addition, participants will receive active cognitive training (CT) which consists of completing computer-based tasks designed to enhance executive function.
Participants will receive repetitive transcranial magnetic stimulation (rTMS) in an open label fashion. In addition, participants will receive sham cognitive training (CT) which consists of completing computer-based tasks.