Effectiveness of Case Management Versus Case Management Plus Problem-solving Therapy to Treat Depression in Low-income Elders

Completed · Not applicable

Conditions studied: Depression

In brief

This study will compare the effectiveness of case management combined with problem-solving therapy (CM-PST) versus case management (CM) alone for assisting elderly people with depression.

Key facts

Study ID

NCT00540865

Run by

Weill Medical College of Cornell University

People needed

187

Starts

2007-05-01

Expected to finish

2013-10-01

Last updated by the study team

2014-12-10

Who can join

Age: 60 and older, up to 95. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Receives home-delivered meal service
• Has at least one instrumental activity of daily living (IADL) impairment
• Meets Diagnostic and Statistical Manual of Mental Disorders (DSM)IV criteria for unipolar major depression
• Considered low income (30% of the local median income)
• Has a need for social services
• Experiences problem-solving difficulties
• Speaks English

You may not qualify if…

• Diagnosis of psychotic depression or experiences delusions
• Suicidal
• Diagnosed with any Axis I psychiatric disorder other than unipolar major depression
• History of substance abuse
• Axis II diagnosis of antisocial personality
• History of psychiatric disorders other than unipolar major depression or generalized anxiety disorder, such as bipolar disorder, hypomania, or dysthymia
• Diagnosed with dementia
• Acute or severe medical illness, such as delirium, metastatic cancer, major surgery, stroke, heart attack, or decompensated heart, liver, or kidney failure within 3 months of study entry
• Use of drugs known to cause depression, such as steroids, reserpine, alpha-methyl-dopa, tamoxifen, or vincristine
• Use of antidepressants
• Currently receiving psychotherapy
• Inability to perform any of the activities of daily living (ADLs) even with assistance
• Aphasia interfering with communication

Where it is running

• University of California - San Francisco — San Francisco, California, United States
• Weill Medical College of Cornell University — White Plains, New York, United States

Full record on ClinicalTrials.gov

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