A Pilot Evaluation of Mindfulness-based Cognitive Therapy for People With Huntington's Disease
2 other identifiers
interventional
16
1 country
1
Brief Summary
This is a pilot study to see whether mindfulness-based cognitive therapy, which is a type of psychological therapy, is able to improve the psychological wellbeing of people who have the gene for Huntington's disease.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jun 2015
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2015
CompletedFirst Submitted
Initial submission to the registry
June 3, 2015
CompletedFirst Posted
Study publicly available on registry
June 8, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 31, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
January 31, 2018
CompletedJanuary 7, 2020
January 1, 2020
2.7 years
June 3, 2015
January 6, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
depression post intervention
Change in Hospital Anxiety and Depression Scale (HADS) depression score pre to post intervention (People with HD only)
immediately post-intervention (up to two weeks afterwards)
depression at 3 months
Change in HADS depression score pre to 3 months post intervention
3 months post-intervention
depression at 1 year
Change in HADS depression score pre to 1 year post intervention
1 year post-intervention
Secondary Outcomes (29)
depression mid-course
4 weeks after start of intervention
anxiety mid-course
4 weeks after start of intervention
anxiety post intervention
immediately post-intervention (up to two weeks afterwards)
anxiety at 3 months
3 months post-intervention
anxiety at 1 year
1 year post-intervention
- +24 more secondary outcomes
Study Arms (1)
mindfulness-based cognitive therapy
EXPERIMENTALInterventions
An 8 week course of mindfulness-based cognitive therapy
Eligibility Criteria
You may qualify if:
- For those with HD:
- Patient at Manchester Centre for Genomic Medicine (UK)
- All participants will have had genetic testing and shown to have the requisite CAG expansion on the huntingtin gene.
- Participants must be pre-symptomatic or at stage 1 (still able to function at home and at work and handle financial affairs)
- Clinical sign of depression (score on HADS of 7 or above)
- No significant medication changes in 6 weeks prior to starting the course
- For those who are relatives or friends of those with HD:
- Must be a relative or friend of someone participating in the MBCT course
You may not qualify if:
- Active suicidal intent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Lancaster Universitylead
- Manchester University NHS Foundation Trustcollaborator
Study Sites (1)
Central Manchester University Hospitals NHS Foundation Trust
Manchester, United Kingdom
Related Publications (47)
Arran N, Craufurd D, Simpson J. Illness perceptions, coping styles and psychological distress in adults with Huntington's disease. Psychol Health Med. 2014;19(2):169-79. doi: 10.1080/13548506.2013.802355. Epub 2013 Jun 14.
PMID: 23767964BACKGROUNDKristjanson LJ, Aoun SM, Oldham L. Palliative care and support for people with neurodegenerative conditions and their carers. Int J Palliat Nurs. 2006 Aug;12(8):368-77. doi: 10.12968/ijpn.2006.12.8.368.
PMID: 17077795BACKGROUNDAubeeluck A, Buchanan H. The Huntington's disease quality of life battery for carers: reliability and validity. Clin Genet. 2007 May;71(5):434-45. doi: 10.1111/j.1399-0004.2007.00784.x.
PMID: 17489849BACKGROUNDAubeeluck AV, Buchanan H, Stupple EJ. 'All the burden on all the carers': exploring quality of life with family caregivers of Huntington's disease patients. Qual Life Res. 2012 Oct;21(8):1425-35. doi: 10.1007/s11136-011-0062-x. Epub 2011 Nov 13.
PMID: 22081218BACKGROUNDBanaszkiewicz K, Sitek EJ, Rudzinska M, Soltan W, Slawek J, Szczudlik A. Huntington's disease from the patient, caregiver and physician's perspectives: three sides of the same coin? J Neural Transm (Vienna). 2012 Nov;119(11):1361-5. doi: 10.1007/s00702-012-0787-x. Epub 2012 Mar 8.
PMID: 22398875BACKGROUNDBarnes S, Brown KW, Krusemark E, Campbell WK, Rogge RD. The role of mindfulness in romantic relationship satisfaction and responses to relationship stress. J Marital Fam Ther. 2007 Oct;33(4):482-500. doi: 10.1111/j.1752-0606.2007.00033.x.
PMID: 17935531BACKGROUNDBarnhofer T, Crane C, Hargus E, Amarasinghe M, Winder R, Williams JM. Mindfulness-based cognitive therapy as a treatment for chronic depression: A preliminary study. Behav Res Ther. 2009 May;47(5):366-73. doi: 10.1016/j.brat.2009.01.019. Epub 2009 Feb 5.
PMID: 19249017BACKGROUNDBihari, J, Mullan, E. Relating Mindfully: A Qualitative Exploration of Changes in Relationships Through Mindfulness-Based Cognitive Therapy. Mindfulness 5(1): 46-59, 2014.
BACKGROUNDCairns V, Murray C. How do the features of mindfulness-based cognitive therapy contribute to positive therapeutic change? A meta-synthesis of qualitative studies. Behav Cogn Psychother. 2015 May;43(3):342-59. doi: 10.1017/S1352465813000945. Epub 2013 Nov 11.
PMID: 24229765BACKGROUNDCraufurd, D, Snowden, JS. Neuropsychiatry and Neuropsychology. In G Bates, SJ Tabrizi, L Jones (Eds.), Huntington's disease (4th ed., pp. 36-65). Oxford: Oxford University Press. (2014)
BACKGROUNDCraufurd D, Thompson JC, Snowden JS. Behavioral changes in Huntington Disease. Neuropsychiatry Neuropsychol Behav Neurol. 2001 Oct-Dec;14(4):219-26.
PMID: 11725215BACKGROUNDDobkin RD, Menza M, Allen LA, Gara MA, Mark MH, Tiu J, Bienfait KL, Friedman J. Cognitive-behavioral therapy for depression in Parkinson's disease: a randomized, controlled trial. Am J Psychiatry. 2011 Oct;168(10):1066-74. doi: 10.1176/appi.ajp.2011.10111669. Epub 2011 Jun 15.
PMID: 21676990BACKGROUNDEisendrath SJ, Delucchi K, Bitner R, Fenimore P, Smit M, McLane M. Mindfulness-based cognitive therapy for treatment-resistant depression: a pilot study. Psychother Psychosom. 2008;77(5):319-20. doi: 10.1159/000142525. Epub 2008 Jul 4. No abstract available.
PMID: 18600038BACKGROUNDEvans SJ, Douglas I, Rawlins MD, Wexler NS, Tabrizi SJ, Smeeth L. Prevalence of adult Huntington's disease in the UK based on diagnoses recorded in general practice records. J Neurol Neurosurg Psychiatry. 2013 Oct;84(10):1156-60. doi: 10.1136/jnnp-2012-304636. Epub 2013 Mar 12.
PMID: 23482661BACKGROUNDFitzpatrick L, Simpson J, Smith A. A qualitative analysis of mindfulness-based cognitive therapy (MBCT) in Parkinson's disease. Psychol Psychother. 2010 Jun;83(Pt 2):179-92. doi: 10.1348/147608309X471514. Epub 2009 Oct 19.
PMID: 19843353BACKGROUNDGriffiths K, Camic PM, Hutton JM. Participant experiences of a mindfulness-based cognitive therapy group for cardiac rehabilitation. J Health Psychol. 2009 Jul;14(5):675-81. doi: 10.1177/1359105309104911.
PMID: 19515682BACKGROUNDHelder DI, Kaptein AA, Van Kempen GM, Weinman J, Van Houwelingen HC, Roos RA. Living with Huntington's disease: Illness perceptions, coping mechanisms, and patients' well-being. Br J Health Psychol. 2002 Nov;7(Part 4):449-462. doi: 10.1348/135910702320645417.
PMID: 12614496BACKGROUNDHo AK, Gilbert AS, Mason SL, Goodman AO, Barker RA. Health-related quality of life in Huntington's disease: Which factors matter most? Mov Disord. 2009 Mar 15;24(4):574-8. doi: 10.1002/mds.22412.
PMID: 19097181BACKGROUNDHo AK, Hocaoglu MB; European Huntington's Disease Network Quality of Life Working Group. Impact of Huntington's across the entire disease spectrum: the phases and stages of disease from the patient perspective. Clin Genet. 2011 Sep;80(3):235-9. doi: 10.1111/j.1399-0004.2011.01748.x. Epub 2011 Aug 4.
PMID: 21736564BACKGROUNDJha AP, Stanley EA, Kiyonaga A, Wong L, Gelfand L. Examining the protective effects of mindfulness training on working memory capacity and affective experience. Emotion. 2010 Feb;10(1):54-64. doi: 10.1037/a0018438.
PMID: 20141302BACKGROUNDJulien CL, Thompson JC, Wild S, Yardumian P, Snowden JS, Turner G, Craufurd D. Psychiatric disorders in preclinical Huntington's disease. J Neurol Neurosurg Psychiatry. 2007 Sep;78(9):939-43. doi: 10.1136/jnnp.2006.103309. Epub 2006 Dec 18.
PMID: 17178819BACKGROUNDKaptein, A.A, Helder, DI, Scharloo, M, Van Kempen, GMJ, Weinman, J, Van Houwelingen, HJC, Roos, RAC. Illness perceptions and coping explain well-being in patients with Huntington's disease. Psychology & Health, 21(4): 431-446. (2006)
BACKGROUNDKaptein AA, Scharloo M, Helder DI, Snoei L, van Kempen GM, Weinman J, van Houwelingen JC, Roos RA. Quality of life in couples living with Huntington's disease: the role of patients' and partners' illness perceptions. Qual Life Res. 2007 Jun;16(5):793-801. doi: 10.1007/s11136-007-9194-4. Epub 2007 Mar 21.
PMID: 17375373BACKGROUNDKay, C, Fisher, E, Hayden, MR. Epidemiology. In G. Bates, S. J. Tabrizi & L. Jones (Eds.), Huntington's disease (4th ed., pp. 131-164). Oxford: Oxford University Press. 2014.
BACKGROUNDLowit A, van Teijlingen ER. Avoidance as a strategy of (not) coping: qualitative interviews with carers of Huntington's Disease patients. BMC Fam Pract. 2005 Sep 14;6:38. doi: 10.1186/1471-2296-6-38.
PMID: 16162290BACKGROUNDMa SH, Teasdale JD. Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. J Consult Clin Psychol. 2004 Feb;72(1):31-40. doi: 10.1037/0022-006X.72.1.31.
PMID: 14756612BACKGROUNDMarciniak R, Sheardova K, Cermakova P, Hudecek D, Sumec R, Hort J. Effect of meditation on cognitive functions in context of aging and neurodegenerative diseases. Front Behav Neurosci. 2014 Jan 27;8:17. doi: 10.3389/fnbeh.2014.00017. eCollection 2014.
PMID: 24478663BACKGROUNDMcCabe MP, Firth L, O'Connor E. A comparison of mood and quality of life among people with progressive neurological illnesses and their caregivers. J Clin Psychol Med Settings. 2009 Dec;16(4):355-62. doi: 10.1007/s10880-009-9168-5. Epub 2009 Jul 29.
PMID: 19639395BACKGROUNDMestre TA, Ferreira JJ. An evidence-based approach in the treatment of Huntington's disease. Parkinsonism Relat Disord. 2012 May;18(4):316-20. doi: 10.1016/j.parkreldis.2011.10.021. Epub 2011 Dec 16.
PMID: 22177624BACKGROUNDNewberg AB, Serruya M, Wintering N, Moss AS, Reibel D, Monti DA. Meditation and neurodegenerative diseases. Ann N Y Acad Sci. 2014 Jan;1307:112-123. doi: 10.1111/nyas.12187. Epub 2013 Aug 7.
PMID: 23924172BACKGROUNDO'Connor EJ, McCabe MP. Predictors of quality of life in carers for people with a progressive neurological illness: a longitudinal study. Qual Life Res. 2011 Jun;20(5):703-11. doi: 10.1007/s11136-010-9804-4. Epub 2010 Dec 2.
PMID: 21127997BACKGROUNDPaulsen JS, Ready RE, Hamilton JM, Mega MS, Cummings JL. Neuropsychiatric aspects of Huntington's disease. J Neurol Neurosurg Psychiatry. 2001 Sep;71(3):310-4. doi: 10.1136/jnnp.71.3.310.
PMID: 11511702BACKGROUNDPickett T, Altmaier E, Paulsen, JS. Caregiver burden in Huntington's disease. Rehabilitation Psychology 52(3): 311-318. 2007.
BACKGROUNDRead J, Jones R, Owen G, Leavitt BR, Coleman A, Roos RA, Dumas EM, Durr A, Justo D, Say M, Stout JC, Tabrizi SJ, Craufurd D; TRACK-HD investigators. Quality of life in Huntington's disease: a comparative study investigating the impact for those with pre-manifest and early manifest disease, and their partners. J Huntingtons Dis. 2013;2(2):159-75. doi: 10.3233/JHD-130051.
PMID: 25063513BACKGROUNDReady RE, Mathews M, Leserman A, Paulsen JS. Patient and caregiver quality of life in Huntington's disease. Mov Disord. 2008 Apr 15;23(5):721-6. doi: 10.1002/mds.21920.
PMID: 18175350BACKGROUNDRee MJ, Craigie M A. Outcomes following mindfulness-based cognitive therapy in a heterogeneous sample of adult outpatients. Behavior Change 24(2): 70-86, 2007.
BACKGROUNDSmith JA. Interpretative phenomenological analysis : theory, method and research. London: Sage. 2009.
BACKGROUNDSpinney L. Uncovering the true prevalence of Huntington's disease. Lancet Neurol. 2010 Aug;9(8):760-1. doi: 10.1016/S1474-4422(10)70160-5. Epub 2010 Jun 30. No abstract available.
PMID: 20594915BACKGROUNDSplevins K, Smith A, Simpson J. Do improvements in emotional distress correlate with becoming more mindful? A study of older adults. Aging Ment Health. 2009 May;13(3):328-35. doi: 10.1080/13607860802459807.
PMID: 19484596BACKGROUNDTeasdale JD, Segal ZV, Williams JM, Ridgeway VA, Soulsby JM, Lau MA. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J Consult Clin Psychol. 2000 Aug;68(4):615-23. doi: 10.1037//0022-006x.68.4.615.
PMID: 10965637BACKGROUNDTeasdale JD, Williams JMG, Segal, ZV. The Mindful Way Workbook: An 8-week Program to Free Yourself from Depression and Emotional Distress. New York, New York: Guildford Press. 2014.
BACKGROUNDVidenovic A. Treatment of huntington disease. Curr Treat Options Neurol. 2013 Aug;15(4):424-38. doi: 10.1007/s11940-013-0219-8.
PMID: 23417276BACKGROUNDWachs K, Cordova JV. Mindful relating: exploring mindfulness and emotion repertoires in intimate relationships. J Marital Fam Ther. 2007 Oct;33(4):464-81. doi: 10.1111/j.1752-0606.2007.00032.x.
PMID: 17935530BACKGROUNDWilliams JK, Hamilton R, Nehl C, McGonigal-Kenney M, Schutte DL, Sparbel K, Birrer E, Tripp-Reimer T, Friedrich R, Penziner E, Jarmon L, Paulsen J. "No one else sees the difference: "family members' perceptions of changes in persons with preclinical Huntington disease. Am J Med Genet B Neuropsychiatr Genet. 2007 Jul 5;144B(5):636-41. doi: 10.1002/ajmg.b.30479.
PMID: 17219384BACKGROUNDWilliams JK, Skirton H, Paulsen JS, Tripp-Reimer T, Jarmon L, McGonigal Kenney M, Birrer E, Hennig BL, Honeyford J. The emotional experiences of family carers in Huntington disease. J Adv Nurs. 2009 Apr;65(4):789-98. doi: 10.1111/j.1365-2648.2008.04946.x. Epub 2009 Feb 9.
PMID: 19228233BACKGROUNDWinbush NY, Gross CR, Kreitzer MJ. The effects of mindfulness-based stress reduction on sleep disturbance: a systematic review. Explore (NY). 2007 Nov-Dec;3(6):585-91. doi: 10.1016/j.explore.2007.08.003.
PMID: 18005910BACKGROUNDEccles FJR, Craufurd D, Smith A, Davies R, Glenny K, Homberger M, Peeren S, Rogers D, Rose L, Skitt Z, Theed R, Simpson J. A feasibility investigation of mindfulness-based cognitive therapy for people with Huntington's disease. Pilot Feasibility Stud. 2020 Jun 24;6:90. doi: 10.1186/s40814-020-00631-z. eCollection 2020.
PMID: 32595978DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jane Simpson, PhD
Lancaster University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Research Director, Doctorate in Clinical Psychology
Study Record Dates
First Submitted
June 3, 2015
First Posted
June 8, 2015
Study Start
June 1, 2015
Primary Completion
January 31, 2018
Study Completion
January 31, 2018
Last Updated
January 7, 2020
Record last verified: 2020-01