Telephone-Based Counseling for Depression in Parkinson's Disease (TH-CBT)
Depression, Parkinson's Disease
About this trial
This is an interventional treatment trial for Depression
Eligibility Criteria
Inclusion Criteria:
- Confirmed diagnosis of Parkinson's disease.
- Clinically significant depressive symptoms (e.g., symptoms are pervasive, distressing, and make life harder). The presence of a formal depressive disorder will be determined by study staff based on standardized criteria (e.g., SCID).
- 35-85 years old
- Stable medication regimen ≥ 6 weeks
- No change in mental health treatment in the past 2 months
- Family member or friend willing to participate
- Access to a telephone
- Live in the United States of America (USA)
Exclusion Criteria:
- Suicidal plans or intent
- Probable Dementia or Significant Cognitive Impairment
- Significant motor fluctuations (i.e., ≥ 50% of the day)
- Unstable medical conditions
- Bipolar, Psychotic Spectrum, or Substance Abuse Disorders
Sites / Locations
- Rutgers University-Robert Wood Johnson Medical School
Arms of the Study
Arm 1
Arm 2
Experimental
Other
TH-CBT
Enhanced Usual Care
The treatment works by teaching people with PD (PWP) the coping skills needed to manage their emotional reactions to the numerous challenges posed by the disease. Specifically, the treatment targets maladaptive thought patterns (e.g., I have no control; I am helpless) and behaviors (e.g., social isolation, lack of exercise, poor sleep habits, excessive worry), and critically, provides caregivers with the tools needed to encourage the PWPs' practice of their newly acquired coping skills. Treatment is administered over the phone and no travel is required.
All participants will continue to receive their routine medical treatment under the supervision of their personal doctors (e.g., neurologists, psychiatrists, primary care physicians, therapists) while participating in the study. This routine treatment (e.g., usual care) will be further enhanced with the provision of written educational materials for effective coping with PD, the close clinical monitoring of depressive symptoms by study staff, and the provision of counseling resources in the local community.