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Preventing Post-Stroke Depression



Preventing Post-Stroke Depression

For Condition: Depression,Cerebrovascular Accident
Status: Recruiting
Sponsor(s): National Institute of Mental Health (NIMH) ,
Synopsis: The purpose of this study is to evaluate the effectiveness of both drug and nondrug treatments in preventing depression after a stroke.
Details: The development of depression after a stroke is a serious condition that can have negative effects on thought, emotions, and overall daily functioning, particularly in the first year following the stroke. Evidence suggests that antidepressants may be used to prevent post-stroke depression. This study will treat nondepressed stroke patients with antidepressants or problem solving therapy (PST) to determine the most effective treatments for preventing depression. Participants in this study will be randomly assigned to receive PST, escitalopram, or placebo (an inactive pill) for 12 months. Participants who display depressive symptoms for 2 weeks or more will be removed from the study. After 12 months, treatment will be discontinued and participants will be monitored for an additional 6 months.
Eligibility:
Study Type:
  Interventional, Prevention, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Efficacy Study
Minimum Age/Maximum Age: 31 Years/89 Years
Genders: Both
Protocol Entry Criteria: Inclusion Criteria: - Stroke within the last 120 days Exclusion Criteria: - DSM IV criteria for major or minor depressive disorder - Heart, respiratory, kidney, or liver failure; severely disabling musculoskeletal disorder; or cancer - Diagnosis of neurodegenerative disorders such as Parkinson’s disease, Alzheimer’s disease, Multiple System Atrophy, or Huntington’s disease - Pre-existing dementia or aphasia with severe language comprehension deficits - Alcohol or substance abuse or dependence within the last 12 months - Recurrent unipolar or bipolar disorder prior to the stroke
Total Enrollment: 201

Location and Contact Information:

University of Iowa Hospitals and Clinics *Recruiting*
Iowa City,  Iowa,  52242-1000
United States
Recruiting Stephanie  Rosazza 319-353-5807

Burke Rehabilitation Hospital *Recruiting*
White Plains,  New York,  10605
United States
Recruiting Pasquale  Fonzetti 914-597-2502

University of Chicago *Recruiting*
Chicago,  Illinois,  60637
United States
Recruiting Ana  Solodkin 773-834-7706


Additional Information:
Study ID Numbers:
  65134-01A1; 
Study Start Date: September 2002
Record last reviewed: March 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00071643

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