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Preventing Depression in Patients with Macular Degeneration



Preventing Depression in Patients with Macular Degeneration

For Condition: Depression,Macular Degeneration
Status: Recruiting
Sponsor(s): National Institute of Mental Health (NIMH) ,
Synopsis: The purpose of this study is to evaluate the efficacy of a brief, standardized cognitive psychotherapy called Problem Solving Treatment (PST) to prevent depression in elderly patients with age-related macular degeneration (AMD).
Details: AMD is the most common cause of blindness in older adults. The disease limits the ability to read, see familiar faces, and walk independently. Almost 2 million persons (about 5 percent of the U.S. population over age 65) are now affected, and this number will triple by the year 2020. This study will target patients with neovascular AMD (NV-AMD), a form of AMD which can lead to sudden vision loss, substantial disability, and depression. Because depression is itself disabling and not likely to be recognized nor treated by ophthalmologists, preventing depression in people with NV-AMD is important. Patients are randomly assigned to either PST or a usual care control condition. The primary outcome measure is a DSM-IV diagnosis of depression. Patients are evaluated at baseline, Month 2 (immediately post-intervention), Month 6 (for the primary efficacy analysis), and Month 12 (to evaluate sustained effects). The study will also assess the impact of PST on levels of disability and vision-related quality of life.
Eligibility:
Study Type:
  Interventional, Prevention, Randomized, Single Blind, Active Control, Parallel Assignment, Efficacy Study
Minimum Age/Maximum Age: 65 Years/
Genders: Both
Protocol Entry Criteria: Inclusion criteria: - Bilateral macular degeneration - Visual acuity of 20/40 or worse in better eye - Residence within 40 miles of Wills Eye Hospital in Philadelphia, PA
Total Enrollment: 230

Location and Contact Information:

Jefferson Medical College and Wills Eye Hospital *Recruiting*
Philadelphia,  Pennsylvania,  19107
United States
Recruiting Robin  Casten 215-503-1250


Additional Information:
Study ID Numbers:
  61331-01A1; 
Study Start Date: February 2001
Record last reviewed: January 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00042211

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