Fluoxetine vs. Brief Psychotherapy for Major Depression
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Purpose
In this study we compare two treatments for major depression - fluoxetine and brief psychodynamic psychotherapy. In addition to more traditional outcome measures, we also measure the densities of 5HT-1A and D-2 receptors before and after the treatment. The main hypothesis is that brief psychotherapy is as effective as fluoxetine.
| Condition | Intervention |
|---|---|
|
Major Depressive Disorder |
Drug: Fluoxetine Behavioral: Short-term psychodynamic psychotherapy |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Fluoxetine vs. Brief Psychotherapy in the Treatment of Major Depression - a Randomized Comparative Study |
- HAM-D [ Time Frame: 0, 16 weeks, one year ]
| Enrollment: | 85 |
| Study Start Date: | January 2000 |
| Study Completion Date: | December 2004 |
| Primary Completion Date: | December 2004 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: 1
Fluoxetine
|
Drug: Fluoxetine
20-40 mg / day orally
|
|
Active Comparator: 2
Short-term psychodynamic psychotherapy
|
Behavioral: Short-term psychodynamic psychotherapy
1 session / week for 16 weeks
|
Detailed Description:
This study is a randomized comparison of two treatments for major depression - fluoxetine and brief psychodynamic psychotherapy. The patients are recruited from occupational health services and suffer from mild to moderate major depressive disorder. The treatments last for 16 weeks. The main outcome measures include HAM-D, BDI, SOFAS, Rand-36. In addition to more traditional outcome measures, we also measure the densities of 5HT-1A and D-2 receptors before and after the treatment using Positron Emission Tomography (PET) . The main hypothesis is that brief psychotherapy is as effective as fluoxetine, but differences between the treatments are seen in PET scanning.
Eligibility| Ages Eligible for Study: | 20 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- MDD (mild to moderate)
- HDRS 15 or more, age 20-60 years
- No treatment for preceding 4 months
- No DSM-IV axis I or II comorbidity
- No severe somatic illness
- No contraindications for fluoxetine treatment
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Professor Hasse Karlsson, University of Turku |
| ClinicalTrials.gov Identifier: | NCT00714779 History of Changes |
| Other Study ID Numbers: | HK123 |
| Study First Received: | July 7, 2008 |
| Last Updated: | July 7, 2008 |
| Health Authority: | Finland: Ethics Committee |
Keywords provided by University of Turku:
|
Major depressive Disorder fluoxetine short-term psychodynamic psychotherapy PET |
Additional relevant MeSH terms:
|
Depression Depressive Disorder Depressive Disorder, Major Behavioral Symptoms Mood Disorders Mental Disorders Fluoxetine Serotonin Uptake Inhibitors Neurotransmitter Uptake Inhibitors Neurotransmitter Agents |
Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Serotonin Agents Physiological Effects of Drugs Antidepressive Agents, Second-Generation Antidepressive Agents Psychotropic Drugs Central Nervous System Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 16, 2013