Objective Vascular Biomarkers as Triage for Depression in Chronic Atrophic Gastritis
NCT07319338 · Status: NOT_YET_RECRUITING · Type: OBSERVATIONAL · Enrollment: 520
Last updated 2026-01-06
Summary
Depressive symptoms are highly prevalent in patients with chronic atrophic gastritis (CAG) but are frequently under-detected due to stigma and reliance on subjective questionnaires. This multicenter, cross-sectional observational study aims to validate a novel clinical triage workflow. It repurposes routine vascular assessments (specifically dorsalis pedis artery ultrasound and arterial stiffness metrics) as objective "biological entry points" to facilitate mental health referrals. The study will enroll approximately 450-520 adults with histologically confirmed CAG across four clinical centers in China. The primary objective is to determine the diagnostic accuracy of these vascular biomarkers for identifying patients with moderate-to-severe depressive symptoms (PHQ-9 score \>= 10). Secondary objectives include evaluating the implementation feasibility (e.g., referral uptake, screening completion rate) of this integrated care model in routine gastroenterology practice.
Conditions
- Chronic Atrophic Gastritis
- Depressive Symptoms
- Depression
- Gastrointestinal Diseases
Interventions
- DIAGNOSTIC_TEST
-
Vascular-Psychological Triage Workflow
Participants undergo a multimodal assessment including high-frequency ultrasound of the dorsalis pedis artery, measurement of brachial-ankle pulse wave velocity (baPWV), and completion of the PHQ-9 depression screening scale.
Sponsors & Collaborators
-
Beijing Anzhen Hospital
collaborator OTHER -
Hengshui Hospital of Traditional Chinese Medicine
collaborator UNKNOWN -
Liyang Hospital of Traditional Chinese Medicine
collaborator UNKNOWN -
China Academy of Chinese Medical Sciences
lead OTHER
Eligibility
- Min Age
- 20 Years
- Max Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-02-01
- Primary Completion
- 2026-06-20
- Completion
- 2026-08-30
Countries
- China
Study Locations
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