Automatic Self Transcending Meditation (ASTM) Versus Heart Rate Variability (HRV) Biofeedback in Patients With Late Life Depression (LLD): a Longitudinal Pilot Feasibility Study
|ClinicalTrials.gov Identifier: NCT01908673|
Recruitment Status : Completed
First Posted : July 26, 2013
Last Update Posted : February 26, 2014
Background: Depression in the elderly, also known as late life depression (LLD) is common and its prevalence ranges from 2 to 6% in the community. Heart Rate Variability (HRV), a physiological autonomic variable is reduced in LLD and this might have implications for cardiovascular events including death. Methods to improve HRV in LLD have not been adequately assessed. Automatic Self-Transcending Meditation (ASTM) is a simple yet powerful technique that allows the mind to become calm and peaceful. HRV biofeedback is a method of teaching individuals to voluntarily improve HRV and other physiological functions to a prescribed range.This pilot study attempts to investigate feasibility of these interventions and provide preliminary data regarding the effectiveness of these techniques.
Hypothesis: ASTM and HRV biofeedback are feasible and their effectiveness for improving HRV in patients with LLD can be assessed.
Methods: Participants with LLD between the ages of 66 and 80 will be randomized to either ASTM or HRV biofeedback after optimizing them on antidepressant therapy. Participants will receive training and continue practice in either of these techniques over a period of twelve weeks. HRV and secondary measures will be assessed pre and post at the end of study period.
Expected Results and Significance: The investigators expect to find both techniques to be feasible treatments for those with LLD. Results from this pilot study will help to assess the potential for successful implementation of a future larger study which will evaluate the efficacy of these treatments for improving HRV.
|Condition or disease||Intervention/treatment||Phase|
|Late Life Depression||Behavioral: HRV biofeedback Behavioral: ASTM||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||8 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Single (Outcomes Assessor)|
|Official Title:||Automatic Self Transcending Meditation (ASTM) Versus Heart Rate Variability (HRV) Biofeedback in Patients With Late Life Depression (LLD): a Randomized Controlled Longitudinal Pilot Feasibility Study|
|Study Start Date :||August 2013|
|Actual Primary Completion Date :||February 2014|
|Actual Study Completion Date :||February 2014|
Active Comparator: HRV biofeedback
heart rate variability biofeedback
|Behavioral: HRV biofeedback|
Active Comparator: ASTM
Automatic Self Transcedental Meditation
Other Name: Automatic Self Transcedental Meditation
- Change in Heart Rate Variability (HRV) [ Time Frame: Week 0 and week 12 ]HRV will be assessed at baseline and at end of study period (week 12)
- Change in depression severity [ Time Frame: week 0 and week 12 ]Depression symptoms will be assessed on the Hamilton depression rating scale (HAM-D, 24 items), Clinical Global Impression (CGI), and self-rated Geriatric Depression Scale (GDS)
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01908673
|London Health Sciences Centre|
|London, Ontario, Canada, N6A 5W9|
|Principal Investigator:||Akshya Vasudev, MBBS MD MRCPSych||University of Western Ontario, Canada|