A randomised, controlled trial of interpersonal psychotherapy (IPT) and citalopram for depression in coronary artery disease

Montreal Heart Institute Research Center (Canada)0 个研究点目标入组 280 人开始时间: 2005年8月17日最近更新: 2015年1月13日

适应症

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•Persons of either sex in age groups: 18 years and above.
•1. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) diagnosis of current major depressive episode based on the Structured Clinical Interview for Depression (SCID) with at least 4 weeks duration
•2. Baseline score greater than 19 on the centralized, telephone-administered 24-item, Hamilton Depression Rating Scale (HAM-D)
•3. Evidence of coronary artery disease (CAD) based on hospital chart evidence of a previous hospitalization for acute myocardial infarction, or coronary angiographic evidence of greater than 50% blockage in at least one major coronary artery, or prior revascularization
•4. Stable CAD based on physician?s clinical judgement
•5. Provision of informed consent

•1. Less than 18 years of age
•2. Coronary bypass surgery planned during the next 4 months
•3. Canadian Cardiovascular Society Angina Class (CCS) = 4
•4. SCID documented bipolar disorder, major depression with psychotic features or evidence of substance abuse or dependency during the previous 12 months
•5. Serious suicide or risk based on clinical judgment
•6. Use of anti-depressants, lithium or anti-convulsants for mood disorder
•7. Currently undergoing any form of psychotherapy
•8. Absence of response to a previous adequate trial of citalopram or IPT
•9. Two previous unsuccessful trials of treatment for depression for the index episode
•10. Lifetime history of early termination (less than 8 weeks) of citalopram because of adverse events or side-effects
•11. Lifetime history of early termination (less than 8 weeks) of two other selective serotonin reuptake inhibitor (SSRI) antidepressants (paroxetine, fluoxetine, fluvoxamine, sertraline) because of adverse events or side-effects
•12. Significant cognitive problems (Mini-Mental Status Exam [MMSE] less than 24)
•13. Depression due to a general medical condition based on clinical judgment
•14. Participation in other trials
•15. Inability to speak French or English
•16. Investigator?s judgment that a patient is unable or unwilling to comply with the study regimen

发起方

Montreal Heart Institute Research Center (Canada)