ClinicalTrials.gg
CompletedNCT07649187Updated Jun 17, 2026

Depressive Tendency and Counseling Outcomes in Thymoma-Associated MG

An interventional study of Psychological counseling intervention in Myasthenia Gravis, Depression and Thymoma, sponsored by Ming-Hsing Chang. Completed at 1 site in Taiwan. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2026-06-17.

Sponsored by Ming-Hsing Chang · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 1 year 11 months after the study started (first participant enrolled Jan 2024, registered Dec 2025).

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Not applicable
Study type
Interventional
Enrollment
19
Allocation
Not applicable
Ages
20 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 21 studies in Myasthenia Gravis with a site in Taiwan — 6 open to participants now, 11 under way, 7 of them phase 3. Myasthenia Gravis · Taiwan.

Enrollment
18th of 21
19 · median 112
Started
2024
with 3 others
No phase
7 of 21
3 open now
Registered
20th of 21
by date

Among the 21 studies in Myasthenia Gravis with a site in Taiwan, this one is the 18th largest by enrollment, is one of 4 that started in 2024, is one of 7 with no phase, and was the 20th registered.

Myasthenia Gravis

330 studies on the registry are indexed under Myasthenia Gravis; 144 are open to participants now.

Browse Myasthenia Gravis studies →

Open to participants now

6 of the 21 studies in Myasthenia Gravis with a site in Taiwan are open now. Recruiting first, the newest first:

1 more — sign in →

All 6 open studies →

A study can be open while its sites in Taiwan have not opened yet or have stopped. Only those recruiting at a site in Taiwan →

Who these studies take

Of the 104 Myasthenia Gravis studies recruiting now, 64 (62%) set no upper age limit and 23 (22%) stop at 75 or younger; 16 take children under 18; 13 take healthy volunteers.

This study: 20 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 21 studies in Myasthenia Gravis with a site in Taiwan, or all of them as a file.
02

Study summary

This study aimed to examine whether baseline depressive tendency independently predicts post-counseling clinical outcomes in patients with thymoma-associated MG. This single-group pre-post exploratory pilot study enrolled patients with thymoma-associated MG who received eight sessions of Gestalt-oriented psychological counseling. Depressive tendency was defined as a baseline Patient Health Question-naire-9 (PHQ-9) score ≥10. Clinical outcomes, including the Myasthenia Gravis Activities of Daily Living scale (MG-ADL), Myasthenia Gravis Quality of Life 15-item scale (MG-QoL15), and mental BMI (mBMI), were assessed before and after the intervention. Multivariable regression analyses were performed to evaluate whether baseline clinical severity independently predicted post-intervention outcomes after sequential adjustment for baseline scores, age, and sex.

03

Conditions studied

  • Myasthenia Gravis
  • Depression
  • Thymoma
  • Depression and Quality of Life
  • Quality of Life
  • Activities of Daily Living

Keywords

  • myasthenia gravis
  • thymoma
  • depressive tendency
  • psychological well-being
  • mental health BMI
04

Who can participate

Ages eligible
20 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. A confirmed diagnosis of MG associated with thymoma and prior completion of surgical treatment
  2. Age ≥ 20 years
  3. Ability to communicate clearly and provide reliable responses
  4. Absence of cognitive impairment or severe psychiatric illness that could interfere with participation
  5. Willingness to participate in the study with provision of written

Exclusion criteria

Exclusion Criteria:

  1. The absence of a confirmed diagnosis of myasthenia gravis
  2. Failure to confirm thymoma on postoperative pathological examination
  3. Inability to communicate adequately in Mandarin, Taiwanese, English, or written form
  4. The presence of conditions that could compromise verbal communication or regular participation in counseling sessions, such as significant traumatic brain injury, severe psychiatric disorders, or cognitive impairment
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
19 participants (actual)

Study arms

  • Experimental
    Intervention Group

    All participants were enrolled into a single study group and received the same eight sessions of Gestalt-oriented psychological counseling. Pre-test and post-test assessments were completed by participants to measure psychological outcomes. Clinical outcomes, including the Myasthenia Gravis Activities of Daily Living scale (MG-ADL), Myasthenia Gravis Quality of Life 15-item scale (MG-QoL15), and mental BMI (mBMI), were assessed before and after the intervention.

    Behavioral: Psychological counseling intervention

Interventions

  • BehavioralPsychological counseling intervention

    The psychological counseling intervention was primarily based on Gestalt therapy, emphasizing awareness and expression of suppressed emotions and resolution of unfinished emotional experiences. It also incorporated Somatic Experiencing techniques to enhance bodily awareness, release tension, and support emotional regulation and psychological well-being. Each participant received eight individualized face-to-face sessions, delivered weekly or biweekly, with each session lasting approximately 60 minutes. Sessions were conducted by licensed counseling psychologists in a private consultation setting. No audio or video recordings were made; session records were encrypted and securely stored. The intervention followed a structured framework consisting of initial, working, and termination phases. Session content and pacing could be adjusted according to individual needs, while the overall therapeutic structure remained consistent across participants.

06

What researchers measure

Primary outcomes

  1. Change in Myasthenia Gravis Activities of Daily Living (MG-ADL) Score from baseline to post-intervention

    The Myasthenia Gravis Activities of Daily Living scale (MG-ADL) is an 8-item measure used to assess symptom severity and the impact of myasthenia gravis on daily functioning. The scale consists of eight items covering ocular function (two items: diplopia and ptosis), bulbar function (three items: speech, chewing, and swallowing), respiratory function (one item), and limb muscle function (two items: personal hygiene and ability to rise from a chair). Each item is scored on a 4-point scale ranging from 0 (normal) to 3 (most severe). Higher scores indicate greater functional impairment. Total scores range from 0 to 24, with higher scores indicating greater disease-related impairment and therefore a worse outcome. Participants completed the MG-ADL before the intervention and again after completing the four-unit online program to evaluate changes in disease-related functional status.

    Time frame: Baseline to 4 months

  2. Change in Myasthenia Gravis Quality of Life 15-item (MG-QOL15) Score from baseline to post-intervention

    The Myasthenia Gravis Quality of Life 15-item scale (MG-QOL15) is a disease-specific measure used to assess the impact of myasthenia gravis on daily functioning and overall quality of life. The MG-QoL15 consists of 15 items encompassing four domains: mobility (9 items), symptoms (3 items), emotional well-being (2 items), and general contentment (1 item). Each item is rated on a 5-point Likert scale ranging from 0 ("not at all") to 4 ("very much"). Total scores range from 0 to 60, with higher scores indicating poorer quality of life and therefore a worse outcome. Participants completed the MG-QOL15 before the intervention and again after completing the four-unit online program to evaluate changes in disease-related quality of life.

    Time frame: Baseline to 4 months

  3. Change in the indicator of mental health BMI on well-being (mBMI) Score from baseline to post-intervention

    The indicator of mental health BMI (mBMI) is a measure of positive psychological well-being that includes three domains: 1. Befriend (B), representing interpersonal support and closeness 2. Mindfulness (M), representing emotional stability and awareness 3. Identity (I), representing self-worth and meaning. Each domain is assessed using a single self-rated item scored from 0 to 10, with higher total scores indicating better psychological well-being. A total score ≥ 20.5 is considered indicative of favorable mental health status. Accordingly, the mBMI is considered a practical and concise instrument for evaluating psychological health in intervention studies. Scores were collected before the intervention and after completion of the four-unit online program to evaluate changes in psychological well-being.

    Time frame: Baseline to 4 months

  4. Change in the indicator of mental health BMI on well-being (PHQ-9) Score from baseline to post-intervention

    The PHQ-9 is a nine-item self-administered questionnaire designed to evaluate the frequency of depression-related symptoms experienced during the preceding two weeks. Total scores range from 0 to 27, with higher scores indicating greater severity of de-pressive symptoms. Depression severity can be categorized as minimal (1-4), mild (5-9), moderate (10-14), moderately severe (15-19), and severe (20-27). Higher PHQ-9 scores are associated with greater predictive value and likelihood ratios for major depressive disorder.

    Time frame: Baseline to 4 months

07

Study locations

1 site
  • Shin Kong Wu Ho-Su Memorial Hospital
    Taipei, Taipei 111045, Taiwan
08

References and documents

Publications

  • Bultz BD, Carlson LE. Emotional distress: the sixth vital sign in cancer care. J Clin Oncol. 2005 Sep 10;23(26):6440-1. doi: 10.1200/JCO.2005.02.3259. No abstract available. PubMed 16155033 ↗
  • Muppidi S, Silvestri NJ, Tan R, Riggs K, Leighton T, Phillips GA. Utilization of MG-ADL in myasthenia gravis clinical research and care. Muscle Nerve. 2022 Jun;65(6):630-639. doi: 10.1002/mus.27476. Epub 2022 Jan 6. PubMed 34989427 ↗
  • Li J, Qi G, Liu Y. Anxiety and depression in thymoma patients in China before surgery. J Cardiothorac Surg. 2022 Dec 16;17(1):313. doi: 10.1186/s13019-022-02081-5. PubMed 36527139 ↗
  • Marbin D, Piper SK, Lehnerer S, Harms U, Meisel A. Mental health in myasthenia gravis patients and its impact on caregiver burden. Sci Rep. 2022 Nov 11;12(1):19275. doi: 10.1038/s41598-022-22078-3. PubMed 36369246 ↗
  • Rodriguez RD, Anderson AEL, Gwathmey KG, Brethenoux CR, Shea LM, Govindarajan R, Souayah N, Peters WD, Jackson LA, Choudhry ZU. Mental Health Experiences and Challenges Among Individuals with Myasthenia Gravis: Insights from Patient-Centered, Qualitative Analyses. Adv Ther. 2025 Dec;42(12):6209-6233. doi: 10.1007/s12325-025-03399-x. Epub 2025 Oct 22. PubMed 41123841 ↗
  • Chang MH, Chang WH, Li YC, Yeh JH. Adverse Childhood Experiences and Psychological Health in Patients with Myasthenia Gravis: A Study Incorporating an Online Positive Mental Health Learning Program. Healthcare (Basel). 2026 Feb 15;14(4):502. doi: 10.3390/healthcare14040502. PubMed 41754015 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared because the study involved a small patient population and sensitive psychological counseling-related data, and the informed consent did not include permission for sharing de-identified individual-level data with external researchers.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2024 to primary completion in Dec 2025, 23 months.

Of 35 interventional studies with no phase under Myasthenia Gravis, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 49. This study's 23 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 4, 2025
First posted
Jun 16, 2026
StartActual
Jan 1, 2024
Primary completionActual
Dec 31, 2025
CompletionActual
Dec 31, 2025
Last update
Jun 17, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07649187
Lead sponsor
Ming-Hsing Chang
Collaborators
Shin Kong Wu Ho-Su Memorial Hospital
Responsible party
Ming-Hsing Chang (Attending Physician, Department of Neurology, Shin Kong Wu Ho-Su Memorial Hospital, Shin Kong Wu Ho-Su Memorial Hospital) — Sponsor-investigator
First posted
Jun 16, 2026
Start date
Jan 1, 2024
Primary completion
Dec 31, 2025
Completion
Dec 31, 2025
Last update
Jun 17, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion