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FAQ

  1. What is the PRE-D project about?
  2. How do I benefit from the PRE-D study?
  3. How does the study work? What will I be doing?
  4. How can I become a participant?
  5. Will I be eligible if I am currently depressed?
  6. What is depression?
  1. What if I start feeling depressed again?
  2. What do I do in case of an emergency (i.e., my physical health is threatened)?
  3. How do I contact the clinic conducting this study?
  4. I am experiencing technical problem. Who do I contact?
  5. What if I do not have a computer available?
  6. I am a doctor and would like to refer some of my patients to the PRE-D study. How do I proceed?

1. What is the PRE-D project about?

Along with their clinicians, such women need convenient methods to detect and prevent depression. This study is being done to evaluate the safety, feasibility, and acceptability of new methods to:

  1. Monitor symptoms of depression by means of Clinician-Assisted Internet Monitoring (C-AIM) alone, or
  2. Prevent symptoms of depression through Preventive Cognitive Therapy (PRE-CT) plus Clinician-Assisted Internet Monitoring (C-AIM).

Future studies may test how good these new methods are for identifying symptoms and keeping women from becoming depressed again while pregnant or trying to get pregnant, and/or during the year after the baby is born (postpartum depression). This small study is to develop such tools and get feedback from users.

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2. How do I benefit from the PRE-D study?

If you agree to take part in this study, there may or may not be direct benefits to you. The researchers cannot guarantee that you will benefit from participation in this research or that you will avoid depression. However, through your study participation, you will receive a higher level of monitoring of your depressive symptoms than is standard in our community for women not currently depressed, but with a history of depression.

We hope the study information will benefit women who have a history of depression and who want to maintain their recovery while they attempt conception, during their pregnancy, or after giving birth. Information gained from this research could lead to better treatment for depression before, during, and after pregnancy.

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3. How does the study work? What will I be doing?

Study activities will include clinic appointments, completing questionnaires in person at the clinic and later online (some sessions are videotaped), and interacting with research personnel and clinicians both in person and through the Internet as described below. If you are eligible for this study, you will be assigned randomly to receive either Clinician-Assisted Internet Monitoring (C-AIM) or C-AIM plus Preventive Cognitive Therapy (PRE-CT).

  1. The purpose of Clinician-Assisted Internet Monitoring (C-AIM) is to allow clinicians and patients to monitor depressive symptoms and patient safety in real time outside the clinic and involves four components: 1) scheduled evaluations conducted by an evaluator using video-conferencing every four months, 2) self-monitoring by you, the patient, through the PRE-D website, 3) continuous follow-up by a Clinician Guide who contacts you if you do not complete the assessment or if you request assistance of any type, and 4) as needed evaluations by any research staff, clinician, or blind evaluator.
  2. Preventive Cognitive Therapy (P-CT) focuses on: a) preventing depressive relapse by teaching you to identify and cope with situations and symptoms associated with cognitive, interpersonal, or emotional vulnerabilities, with particular attention to cognitions regarding pregnancy and parenting; b) continued practice using CT basic self-help skills; and c) dealing with new crises as they arise.

Our experienced clinicians will be prepared and glad to assist participants along the way.

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4. How can I become a participant?

If you want to be a participant in our study please contact the Psychosocial Research and Depression Clinic at (214) 648-5351 or email us at: Psychosocial.Research@UTSouthwestern.edu. A member of our research team will be glad to help you.

You may be eligible for this study if you:

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5. Will I be eligible if I am currently depressed?

No, but you might only show some depressive symptoms but not have a Major Depressive Episode. Call the Psychosocial Research and Depression Clinic at (214) 648-5351 or email us at: Psychosocial.Research@UTSouthwestern.edu and we'll be glad to help.

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6.What is depression?

According to the DSM-IV, a manual used to diagnose mental disorders, one or both of the following symptoms need to be present for at least two weeks and interfere with normal functioning:

Additionally, for a diagnosis of depression, five (or more) of the following symptoms have to be present during the same 2-week period:

For additional information, please see the National Institute of Mental Health (NIMH) website.

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.

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7. What if I start feeling depressed again?

If you are not currently enrolled in the PRE-D study, contact your Primary Care Physician or if it is an emergency call 911 or go to the nearest emergency room. If you are already enrolled in the PRE-D study, please contact the Psychosocial Research and Depression and work with your Clinician Guide to update your Individualized Action Plan (a plan that helps you remember useful action steps).

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8. What do I do in case of an emergency (i.e., my physical health is threatened)?

The PRE-D website is not equipped for emergencies. In case of emergency call 911 or go to the nearest emergency room.

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9. How do I contact the clinic conducting this study?

By mail: Psychosocial Research & Depression Clinic
The University of Texas Southwestern Medical Center
5323 Harry Hines Blvd.
Dallas, TX 75390-9149
Email: email us at: Psychosocial.Research@UTSouthwestern.edu
By phone: (214) 648-5351 or if you are already a participant in the study ask to speak with your Clinician Guide
FAX: (214) 648-5340

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10. I am experiencing technical problems. Who do I contact?


MediSpin LLC
1040 Avenue of Americas
24th Floor
New York, NY 10018
(212) 382-4622
Support@Medispin.com

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11. What if I do not have a computer with Internet access?

Not having a computer available should not keep you from being part of this study and taking advantage of this new approach if you are worried about your depression returning. The Psychosocial Research and Depression Clinic will allow you to use its computers onsite but you will need to come into the research clinic frequently to do so.

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12. I am a doctor and would like to refer some of my patients to the PRE-D study. How do I proceed?

If you are interested in this project and are thinking about referring some of your patients, please fill out the Referral Form or contact us at:

Psychosocial Research & Depression Clinic
Department of Psychiatry
The University of Texas Southwestern Medical Center
5323 Harry Hines Blvd.
Dallas, TX 75390-9149
(214) 648-5351
Psychosocial.Research@UTSouthwestern.edu

We will screen women for study eligibility who are:

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