Metacognitive Training in the Older Adults With Depressive Symptoms (MCT-Silver)

University of Évora

Status: Enrolling

Conditions: Depressive Symptoms

Treatments: Behavioral: Metacognitive Training for Depression in Later Life (MCT-Silver)

Study type: Interventional

Funder types: Other

Identifiers

NCT05640492

GD/29805/2022

Details and patient eligibility

About

Depression is one of the most common mental disorders in older adults and a major cause of years lived with disability. Depression does not always respond to antidepressants, and non-pharmacological interventions are recommended by international guidelines. The Metacognitive Training for Depression in Later Life (MCT-Silver) is a creative and innovative group intervention that aims to reduce depressive symptoms by challenging the cognitive and metacognitive beliefs characteristic of this disorder, that intends to enable participants to recognize and correct their automatic and dysfunctional thinking patterns and behavior. It was developed by the partner institution's team, and has already demonstrated positive results. This project aims to extend the research study to Portugal, through cultural adaptation, pilot study, and a Randomized Controlled Trial (RCT). To this end, we defined the following aims: To plan and conduct a pilot study to assess the efficacy of the MCT-Silver in the Portuguese population; To conduct a multicenter randomized controlled trial (RCT).

Enrollment: 120 estimated patients

Sex: All

Ages: 60 to 105 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Ability to give informed consent
• Age: 60 years or older
• Sufficient command of the Portuguese language
• Willingness to participate in the intervention for a period of 4 to 8 weeks (participants who do not participate in the intervention will also be included in the analysis)
• Adequate visual and hearing acuity for neuropsychological testing and participation in the group sessions
• Values above 10 on the Hamilton Depression Scale

Exclusion criteria

• Active psychotic symptoms (i.e., hallucinations, delusions, or manias)
• Acute suicidal ideation
• Cognitive impairment
• Dementia or other neurological disease

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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120 participants in 2 patient groups

MCT Group

Experimental group

Description:

Older adults (more than 59 years old) with depressive symptoms

Treatment:

Behavioral: Metacognitive Training for Depression in Later Life (MCT-Silver)

Control Group

No Intervention group