Treatment for Depression in the Primary Care Setting
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Purpose
This study will compare a brief form of counseling to usual care for the treatment of minor depression in the primary care setting.
| Condition | Intervention | Phase |
|---|---|---|
|
Depression |
Behavioral: Problem-Solving Treatment for Primary Care |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Problem-Solving Treatment for Primary Care Depression |
| Estimated Enrollment: | 300 |
| Study Start Date: | December 2002 |
| Study Completion Date: | December 2006 |
Minor depression is one of the most common types of depressive disorders seen in primary care. The effectiveness and tolerability of antidepressants in patients with minor depression is unclear, and the development of alternative treatments is necessary.
In the first phase of this study, participants are observed for 4 weeks to identify those most in need of depression-specific treatment. Participants are then exposed to the Problem-Solving Treatment for Primary Care (PST-PC), a six-session behavioral treatment for depression. After 4 weeks, patients who do not respond adequately to the treatment are randomly assigned to either continued PST-PC or to usual care for 9 weeks. Participants are followed for 6 months after the study.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Primary care patient at Dartmouth-Hitchcock Medical Center (DHMC)
- Hamilton Depression Score >= 10 and minor depression at time of entry and after 4 weeks of observation
Exclusion Criteria:
- Psychosis, Obsessive Compulsive Disorder (OCD), or Post Traumatic Stress Disorder (PTSD)
- Active substance abuse
- Receiving treatment for depression
Contacts and Locations
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00055328 History of Changes |
| Other Study ID Numbers: | R01 MH62322, DATR A4-GPS |
| Study First Received: | February 25, 2003 |
| Last Updated: | August 19, 2008 |
| Health Authority: | United States: Federal Government |
Additional relevant MeSH terms:
|
Depression Depressive Disorder Behavioral Symptoms Mood Disorders Mental Disorders |
ClinicalTrials.gov processed this record on May 22, 2013