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Therapy for Depressed Elders With Thought Problems

Phase 3
Completed
Conditions
Cognition Disorders
Depression
Interventions
Behavioral: Problem Solving Therapy
Behavioral: Brief Supportive Therapy
Registration Number
NCT00052091
Lead Sponsor
University of Washington
Brief Summary

This study will compare the effectiveness of Problem Solving Therapy and Brief Supportive Therapy in treating elderly patients with major depression and thought problems.

Detailed Description

Patients who suffer from a combination of major depression and executive dysfunction symptoms often respond poorly to treatment with antidepressants. It is important, therefore, to find effective alternative therapies to treat these symptoms.

Patients are randomly assigned to receive 12 sessions (1 session/week for 12 weeks) of either PST or BST. Following treatment, patients are followed for 6 months to determine functional and clinical outcomes. Depression scales, disability scales, and scales that measure problem solving skills are used to assess patients.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
221
Inclusion Criteria
  • Nonpsychotic, unipolar major depression
  • Cognitive impairment
  • English speaking
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Exclusion Criteria
  • High suicide risk
  • Dementia
  • Acute or severe medical illness
  • Current psychotherapy
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1 Problem Solving TherapyProblem Solving Therapy12 weekly sessions of problem solving therapy (PST)
2 Brief Supportive TherapyBrief Supportive Therapy12 weekly sessions of brief supportive therapy (BST)
Primary Outcome Measures
NameTimeMethod
Hamilton Rating Scale for DepressionMeasured at screening, weeks 1 through 12, and week 36
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (2)

Weill Medical College of Cornell University

🇺🇸

White Plains, New York, United States

University of California at San Francisco

🇺🇸

San Francisco, California, United States

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