中国抑郁症的前瞻性队列研究(PROUD):理论基础和设计。

Jingjing Zhou, Jinjie Xu, Rui Liu, Han Qi, Jian Yang, Tong Guo, Jia Zhou, Xuequan Zhu, Ling Zhang, Xiongying Chen, Nan Lyu, Zizhao Feng, Guofu Zhang, Min Liu, Weiwei Wang, Yun Wang, Zhifang Zhang, Le Xiao, Yuan Feng, Gang Wang
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引用次数: 0

摘要

背景:重度抑郁症(MDD)造成了沉重的全球疾病负担。然而,目前的病因、诊断和治疗仍不令人满意,以前没有研究解决这个问题。基于以往MDD队列研究的优势和局限性,抑郁症前瞻性队列研究(PROUD)是一项为期3年的大规模队列研究,旨在通过灵活的随访计划和策略收集多维数据。目标是建立一个具有全国代表性的、高质量的、标准化的抑郁症队列,以支持重度抑郁症的精确诊断和治疗,并解决当前研究中的差距。方法:PROUD是一项以患者为基础,具有全国代表性的多中心前瞻性队列研究,具有基线和3年随访评估。将于2022年1月至2026年12月在全国52家具备条件的三级医院开展。根据DSM-5标准,共有14000名年龄≥16岁的重度抑郁症患者将被招募到PROUD中。年龄在18-65岁之间且在抑郁发作期间未接受任何治疗的参与者将被纳入PROUD的精准医学队列(PMC) (n=4,000)。符合一般资格标准但不符合PMC标准的患者将被纳入PROUD的自然观察队列(NOC) (n=10,000)。将根据各中心实施的严格标准操作程序,实施包括预约、远程、电话、外部访问和患者自我报告在内的多重随访策略,收集全面的社会人口统计学、临床信息、生物标本、神经影像学、认知功能和电生理数据以及数字表型。试验注册:ChiCTR2200059053,于2022年4月23日注册,http://www.chictr.org.cn/showproj.aspx?proj=165790.Conclusions: PROUD是一项针对中国MDD患者的前瞻性队列研究。它将提供一个全面的数据库,促进进一步的分析,并帮助中国的稳态和精准医学的发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A prospective cohort study of depression (PROUD) in China: rationale and design.

A prospective cohort study of depression (PROUD) in China: rationale and design.

A prospective cohort study of depression (PROUD) in China: rationale and design.

A prospective cohort study of depression (PROUD) in China: rationale and design.

Background: Major depressive disorder (MDD) imposes a heavy global disease burden. However, current etiology, diagnosis and treatment remain unsatisfactory and no previous study has resolved this problem. Building on the strengths and limitations of previous cohort studies of MDD, the prospective cohort study of depression (PROUD) is a 3-year large-scale cohort study designed to collect multidimensional data with a flexible follow-up schedule and strategy. The goal is to establish a nationally representative, high-quality, standardized depression cohort to support precise diagnosis and treatment of MDD and address the gap in current research.

Methods: PROUD is a patient-based, nationally representative multicenter prospective cohort study with baseline and 3-year follow-up assessments. It will be carried out from January 2022 to December 2026 in 52 qualified tertiary hospitals in China. A total of 14,000 patients diagnosed with MDD, according to the DSM-5 criteria, and aged ≥ 16 years, will be recruited to PROUD. Participants aged 18-65 years who have not received any treatment during a depressive episode will be included in the precision medicine cohort (PMC) of PROUD (n=4,000). Patients who meet the general eligibility criteria but not the PMC criteria will be included in the naturalistic observation cohort (NOC) of PROUD (n=10,000). A multiple follow-up strategy, including scheduled, remote, telephone, external visits and patient self-reports, will be implemented to collect comprehensive sociodemographic, clinical information, biospecimens, neuroimaging, cognitive function and electrophysiology data and digital phenotypes according to strict standard operating procedures implemented across centers. Trial registration: ChiCTR2200059053, registered on 23 April 2022, http://www.chictr.org.cn/showproj.aspx?proj=165790.

Conclusions: PROUD is a prospective cohort study of MDD patients in China. It will provide a comprehensive database facilitating further analyses and aiding the development of homeostatic and precision medicine in China.

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