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Published in: BMC Complementary Medicine and Therapies 1/2014

Open Access 01-12-2014 | Study protocol

A randomized controlled longitudinal naturalistic trial testing the effects of automatic self transcending meditation on heart rate variability in late life depression: study protocol

Authors: Zareen Amtul, Amanda Arena, Hussein Hirjee, Zaineb U Khan, Pramudith M Maldeniya, Ronnie I Newman, Amer M Burhan, Stephen Wetmore, Akshya Vasudev

Published in: BMC Complementary Medicine and Therapies | Issue 1/2014

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Abstract

Background

The prevalence and socioeconomic cost of late life depression (LLD) is on the rise, while the response rate to antidepressant trials remains poor. Various mind-body therapies are being embraced by patients as they are considered safe and potentially effective, yet little is known regarding the effectiveness of such therapies to improve LLD symptoms. Among the mind-body therapies currently in practice, the results of our pilot study have shown that a particular meditation technique called Sahaj Samadhi Meditation, which belongs to the category of meditation termed automatic self-transcending meditation (ASTM) may have some promise in improving cardiovascular autonomic disturbances associated with LLD as well as ameliorating symptoms of depression and anxiety.

Methods/Design

Patients between the ages of 60 and 85 with LLD will be randomized either to ASTM plus treatment as usual (TAU) or TAU alone to assess changes in cardiovascular autonomic parameters, neuropsychological symptoms of depression and anxiety as well as quality of life. The instructional phase of the intervention consists of 4 consecutive days of meditation training, after which participants are encouraged to meditate twice daily for twenty minutes each time at home. The intervention also includes once weekly follow up sessions for the subsequent 11 weeks. The planned study has one and a half year recruitment period. Participants will be assessed at baseline and at 4, 8, 12 and 24 weeks post intervention.

Discussion

This study should provide a unique data source from a randomized, controlled, longitudinal trial to investigate the effects of a form of ASTM on cardiovascular autonomic and neuropsychological health in LLD.

Trial registration

Clinicaltrials.gov NCT02149810, date registered: 05/28/2014.
Appendix
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Literature
1.
go back to reference Steffens DC, Skoog I, Norton MC, Hart AD, Tschanz JT, Plassman BL, Wyse BW, Welsh-Bohmer KA, Breitner JC: Prevalence of depression and its treatment in an elderly population: the Cache County study. Arch Gen Psychiatry. 2000, 57: 601-607.CrossRefPubMed Steffens DC, Skoog I, Norton MC, Hart AD, Tschanz JT, Plassman BL, Wyse BW, Welsh-Bohmer KA, Breitner JC: Prevalence of depression and its treatment in an elderly population: the Cache County study. Arch Gen Psychiatry. 2000, 57: 601-607.CrossRefPubMed
3.
go back to reference Stahl SM, Grady MM: Differences in mechanism of action between current and future antidepressants. J Clin Psychiatry. 2003, 64 (Suppl 13): 13-17.PubMed Stahl SM, Grady MM: Differences in mechanism of action between current and future antidepressants. J Clin Psychiatry. 2003, 64 (Suppl 13): 13-17.PubMed
4.
go back to reference Vasudev A, O’Brien JT, Tan MP, Parry SW, Thomas AJ: A study of orthostatic hypotension, heart rate variability and baroreflex sensitivity in late-life depression. J Affect Disord. 2011, 131: 374-378.CrossRefPubMed Vasudev A, O’Brien JT, Tan MP, Parry SW, Thomas AJ: A study of orthostatic hypotension, heart rate variability and baroreflex sensitivity in late-life depression. J Affect Disord. 2011, 131: 374-378.CrossRefPubMed
5.
go back to reference Gorman JM, Sloan RP: Heart rate variability in depressive and anxiety disorders2. Am Heart J. 2000, 140: 77-83.CrossRefPubMed Gorman JM, Sloan RP: Heart rate variability in depressive and anxiety disorders2. Am Heart J. 2000, 140: 77-83.CrossRefPubMed
6.
go back to reference Roth R: Maharishi Mahesh Yogi’s Transcendental Meditation. 1994, Washington DC: Primus Roth R: Maharishi Mahesh Yogi’s Transcendental Meditation. 1994, Washington DC: Primus
7.
go back to reference Trivedi MH, Rush AJ, Wisniewski SR, Nierenberg AA, Warden D, Ritz L, Norquist G, Howland RH, Lebowitz B, McGrath PJ, Shores-Wilson K, Biggs MM, Balasubramani GK, Fava M: Evaluation of outcomes with citalopram for depression using measurement-based care in STAR*D: implications for clinical practice. Am J Psychiatry. 2006, 163: 28-40.CrossRefPubMed Trivedi MH, Rush AJ, Wisniewski SR, Nierenberg AA, Warden D, Ritz L, Norquist G, Howland RH, Lebowitz B, McGrath PJ, Shores-Wilson K, Biggs MM, Balasubramani GK, Fava M: Evaluation of outcomes with citalopram for depression using measurement-based care in STAR*D: implications for clinical practice. Am J Psychiatry. 2006, 163: 28-40.CrossRefPubMed
8.
go back to reference Kelly K, Posternak M, Alpert JE: Toward achieving optimal response: understanding and managing antidepressant side effects. Dialogues Clin Neurosci. 2008, 10: 409-418.PubMedPubMedCentral Kelly K, Posternak M, Alpert JE: Toward achieving optimal response: understanding and managing antidepressant side effects. Dialogues Clin Neurosci. 2008, 10: 409-418.PubMedPubMedCentral
9.
go back to reference Purohit MP, Wells RE, Zafonte R, Davis RB, Yeh GY, Phillips RS: Neuropsychiatric symptoms and the use of mind-body therapies. J Clin Psychiatry. 2013, 74: e520-e526.CrossRefPubMed Purohit MP, Wells RE, Zafonte R, Davis RB, Yeh GY, Phillips RS: Neuropsychiatric symptoms and the use of mind-body therapies. J Clin Psychiatry. 2013, 74: e520-e526.CrossRefPubMed
11.
go back to reference Travis F, Pearson C: Pure consciousness: distinct phenomenological and physiological correlates of “consciousness itself”. Int J Neurosci. 2000, 100: 77-89.CrossRefPubMed Travis F, Pearson C: Pure consciousness: distinct phenomenological and physiological correlates of “consciousness itself”. Int J Neurosci. 2000, 100: 77-89.CrossRefPubMed
12.
go back to reference Alexander CN, Langer EJ, Newman RI, Chandler HM, Davies JL: Transcendental meditation, mindfulness, and longevity: an experimental study with the elderly. J Pers Soc Psychol. 1989, 57: 950-964.CrossRefPubMed Alexander CN, Langer EJ, Newman RI, Chandler HM, Davies JL: Transcendental meditation, mindfulness, and longevity: an experimental study with the elderly. J Pers Soc Psychol. 1989, 57: 950-964.CrossRefPubMed
13.
go back to reference Barnes VA, Orme-Johnson DW: Prevention and treatment of cardiovascular disease in adolescents and adults through the transcendental meditation ((R)) program: a research review update. Curr Hypertens Rev. 2012, 8: 227-242.CrossRefPubMedPubMedCentral Barnes VA, Orme-Johnson DW: Prevention and treatment of cardiovascular disease in adolescents and adults through the transcendental meditation ((R)) program: a research review update. Curr Hypertens Rev. 2012, 8: 227-242.CrossRefPubMedPubMedCentral
14.
go back to reference Eppley KR, Abrams AI, Shear J: Differential effects of relaxation techniques on trait anxiety: a meta-analysis. J Clin Psychol. 1989, 45: 957-974.CrossRefPubMed Eppley KR, Abrams AI, Shear J: Differential effects of relaxation techniques on trait anxiety: a meta-analysis. J Clin Psychol. 1989, 45: 957-974.CrossRefPubMed
15.
go back to reference Paul-Labrador M, Polk D, Dwyer JH, Velasquez I, Nidich S, Rainforth M, Schneider R, Merz CN: Effects of a randomized controlled trial of transcendental meditation on components of the metabolic syndrome in subjects with coronary heart disease. Arch Intern Med. 2006, 166: 1218-1224.CrossRefPubMed Paul-Labrador M, Polk D, Dwyer JH, Velasquez I, Nidich S, Rainforth M, Schneider R, Merz CN: Effects of a randomized controlled trial of transcendental meditation on components of the metabolic syndrome in subjects with coronary heart disease. Arch Intern Med. 2006, 166: 1218-1224.CrossRefPubMed
16.
go back to reference Nidich S, Toomey M, Myers H, Rainforth M, Grandinetti A, Salerno J, Gaylord-King C, Schneider R: Change in Symptoms of Depression in Minority Subjects at Risk for CVD: Randomized Controlled Mind-Body Intervention Trials. 31st Annual Meeting and Scientific Sessions of the Society of Behavioral Medicine. Rapid Communications. 2010, Seattle, WA, C-038h Nidich S, Toomey M, Myers H, Rainforth M, Grandinetti A, Salerno J, Gaylord-King C, Schneider R: Change in Symptoms of Depression in Minority Subjects at Risk for CVD: Randomized Controlled Mind-Body Intervention Trials. 31st Annual Meeting and Scientific Sessions of the Society of Behavioral Medicine. Rapid Communications. 2010, Seattle, WA, C-038h
17.
go back to reference Schneider RH, Alexander CN, Staggers F, Orme-Johnson DW, Rainforth M, Salerno JW, Sheppard W, Castillo-Richmond A, Barnes VA, Nidich SI: A randomized controlled trial of stress reduction in African Americans treated for hypertension for over one year3. Am J Hypertens. 2005, 18: 88-98.CrossRefPubMedPubMedCentral Schneider RH, Alexander CN, Staggers F, Orme-Johnson DW, Rainforth M, Salerno JW, Sheppard W, Castillo-Richmond A, Barnes VA, Nidich SI: A randomized controlled trial of stress reduction in African Americans treated for hypertension for over one year3. Am J Hypertens. 2005, 18: 88-98.CrossRefPubMedPubMedCentral
18.
go back to reference First MB, Gibbon M, Spitzer RL, Williams JBW: User’s Guide for the Structured Clinical Interview for DSM-IV-TR Axis I Disorders - Research Version - (SCID-I for DSM-IV-TR). 2002, New York: Biometric Research Department, New York State Psychiatric Intitute First MB, Gibbon M, Spitzer RL, Williams JBW: User’s Guide for the Structured Clinical Interview for DSM-IV-TR Axis I Disorders - Research Version - (SCID-I for DSM-IV-TR). 2002, New York: Biometric Research Department, New York State Psychiatric Intitute
21.
go back to reference Miller MD, Paradis CF, Houck PR, Mazumdar S, Stack JA, Rifai AH, Mulsant B, Reynolds CF: Rating chronic medical illness burden in geropsychiatric practice and research: application of the Cumulative Illness Rating Scale. Psychiatry Res. 1992, 41: 237-248.CrossRefPubMed Miller MD, Paradis CF, Houck PR, Mazumdar S, Stack JA, Rifai AH, Mulsant B, Reynolds CF: Rating chronic medical illness burden in geropsychiatric practice and research: application of the Cumulative Illness Rating Scale. Psychiatry Res. 1992, 41: 237-248.CrossRefPubMed
22.
go back to reference Washburn RA, Smith KW, Jette AM, Janney CA: The Physical Activity Scale for the Elderly (PASE): development and evaluation. J Clin Epidemiol. 1993, 46: 153-162.CrossRefPubMed Washburn RA, Smith KW, Jette AM, Janney CA: The Physical Activity Scale for the Elderly (PASE): development and evaluation. J Clin Epidemiol. 1993, 46: 153-162.CrossRefPubMed
23.
go back to reference Folstein MF, Folstein SE, McHugh PR: “Mini-mental state”. a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975, 12: 189-198.CrossRefPubMed Folstein MF, Folstein SE, McHugh PR: “Mini-mental state”. a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975, 12: 189-198.CrossRefPubMed
24.
go back to reference Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, Leirer VO: Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982, 17: 37-49.CrossRefPubMed Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, Leirer VO: Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982, 17: 37-49.CrossRefPubMed
25.
go back to reference Pachana NA, Byrne GJ, Siddle H, Koloski N, Harley E, Arnold E: Development and validation of the Geriatric Anxiety Inventory. Int Psychogeriatr. 2007, 19: 103-114.CrossRefPubMed Pachana NA, Byrne GJ, Siddle H, Koloski N, Harley E, Arnold E: Development and validation of the Geriatric Anxiety Inventory. Int Psychogeriatr. 2007, 19: 103-114.CrossRefPubMed
26.
go back to reference Raphael D, Brown I, Renwick R, Cava M, Weir N, Heathcote K: Measuring the quality of life of older persons: a model with implications for community and public health nursing. Int J Nurs Stud. 1997, 34: 231-239.CrossRefPubMed Raphael D, Brown I, Renwick R, Cava M, Weir N, Heathcote K: Measuring the quality of life of older persons: a model with implications for community and public health nursing. Int J Nurs Stud. 1997, 34: 231-239.CrossRefPubMed
27.
go back to reference Vanderkooy JD, Kennedy SH, Bagby RM: Antidepressant side effects in depression patients treated in a naturalistic setting: a study of bupropion, moclobemide, paroxetine, sertraline, and venlafaxine. Can J Psychiatry. 2002, 47: 174-180.PubMed Vanderkooy JD, Kennedy SH, Bagby RM: Antidepressant side effects in depression patients treated in a naturalistic setting: a study of bupropion, moclobemide, paroxetine, sertraline, and venlafaxine. Can J Psychiatry. 2002, 47: 174-180.PubMed
28.
go back to reference Burke WJ, Roccaforte WH, Wengel SP: The short form of the geriatric depression scale: a comparison with the 30-item form. J Geriatr Psychiatry Neurol. 1991, 4: 173-178.CrossRefPubMed Burke WJ, Roccaforte WH, Wengel SP: The short form of the geriatric depression scale: a comparison with the 30-item form. J Geriatr Psychiatry Neurol. 1991, 4: 173-178.CrossRefPubMed
29.
go back to reference Trijsburg RW, Van ’t Spijker A, van Dam QD, Duivenvoorden HJ: De Helping Alliance Questionnaire (HAQ-II). Tijdschr Psychother. 1999, 25: 56-65.CrossRef Trijsburg RW, Van ’t Spijker A, van Dam QD, Duivenvoorden HJ: De Helping Alliance Questionnaire (HAQ-II). Tijdschr Psychother. 1999, 25: 56-65.CrossRef
30.
go back to reference Licht CM, De Geus EJ, Van DR, Penninx BW: Association between anxiety disorders and heart rate variability in the Netherlands Study of Depression and Anxiety (NESDA). Psychosom Med. 2009, 71: 508-518.CrossRefPubMed Licht CM, De Geus EJ, Van DR, Penninx BW: Association between anxiety disorders and heart rate variability in the Netherlands Study of Depression and Anxiety (NESDA). Psychosom Med. 2009, 71: 508-518.CrossRefPubMed
32.
go back to reference Faul F, Erdfelder E, Lang AG, Buchner A: G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007, 39: 175-191.CrossRefPubMed Faul F, Erdfelder E, Lang AG, Buchner A: G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007, 39: 175-191.CrossRefPubMed
33.
go back to reference Jasson S, Medigue C, Maison-Blanche P, Montano N, Meyer L, Vermeiren C, Mansier P, Coumel P, Malliani A, Swynghedauw B: Instant power spectrum analysis of heart rate variability during orthostatic tilt using a time-/frequency-domain method. Circulation. 1997, 96: 3521-3526.CrossRefPubMed Jasson S, Medigue C, Maison-Blanche P, Montano N, Meyer L, Vermeiren C, Mansier P, Coumel P, Malliani A, Swynghedauw B: Instant power spectrum analysis of heart rate variability during orthostatic tilt using a time-/frequency-domain method. Circulation. 1997, 96: 3521-3526.CrossRefPubMed
34.
go back to reference Malliani A, Lombardi F, Pagani M: Power spectrum analysis of heart rate variability: a tool to explore neural regulatory mechanisms. Br Heart J. 1994, 71: 1-2.CrossRefPubMedPubMedCentral Malliani A, Lombardi F, Pagani M: Power spectrum analysis of heart rate variability: a tool to explore neural regulatory mechanisms. Br Heart J. 1994, 71: 1-2.CrossRefPubMedPubMedCentral
35.
go back to reference American College of Cardiology Cardiovascular Technology Assessment Committee: Heart rate variability for risk stratification of life-threatening arrhythmias. J Am Coll Cardiol. 1993, 22: 948-950.CrossRef American College of Cardiology Cardiovascular Technology Assessment Committee: Heart rate variability for risk stratification of life-threatening arrhythmias. J Am Coll Cardiol. 1993, 22: 948-950.CrossRef
36.
go back to reference Calear AL, Christensen H: Review of internet-based prevention and treatment programs for anxiety and depression in children and adolescents. Med J Aust. 2010, 192: S12-S14.PubMed Calear AL, Christensen H: Review of internet-based prevention and treatment programs for anxiety and depression in children and adolescents. Med J Aust. 2010, 192: S12-S14.PubMed
37.
go back to reference Orme-Johnson D: Medical care utilization and the transcendental meditation program. Psychosom Med. 1987, 49: 493-507.CrossRefPubMed Orme-Johnson D: Medical care utilization and the transcendental meditation program. Psychosom Med. 1987, 49: 493-507.CrossRefPubMed
38.
go back to reference Herron RE, Hillis SL: The impact of the transcendental meditation program on government payments to physicians in Quebec: an update. Am J Health Promot. 2000, 14: 284-291.CrossRefPubMed Herron RE, Hillis SL: The impact of the transcendental meditation program on government payments to physicians in Quebec: an update. Am J Health Promot. 2000, 14: 284-291.CrossRefPubMed
Metadata
Title
A randomized controlled longitudinal naturalistic trial testing the effects of automatic self transcending meditation on heart rate variability in late life depression: study protocol
Authors
Zareen Amtul
Amanda Arena
Hussein Hirjee
Zaineb U Khan
Pramudith M Maldeniya
Ronnie I Newman
Amer M Burhan
Stephen Wetmore
Akshya Vasudev
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2014
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/1472-6882-14-307

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