Overview

Exercise Training Versus Drug Therapy for Treating Depression in Older Adults

Status:
Completed
Trial end date:
2007-05-01
Target enrollment:
0
Participant gender:
All
Summary
This study will evaluate the effectiveness of both center-based and home-based exercise versus the antidepressant drug sertraline in treating depression in middle-aged and older adults.
Phase:
Phase 3
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Duke University
Collaborator:
National Institute of Mental Health (NIMH)
Treatments:
Sertraline
Criteria
Inclusion Criteria:

- DSM-IV diagnosis of major depressive disorder (MDD)

- Score of greater than 11 on the Beck Depression Inventory (BDI)

Exclusion Criteria:

- Primary psychiatric diagnosis other than major depressive disorder (e.g., bipolar
disorder)

- Any of the following DSM-IV diagnoses: dementia or delirium; obsessive compulsive
disorder (OCD); schizophrenia, schizoaffective, or other psychotic disorder; psychotic
features, including any delusions or hallucinations during the current depressive
episode; current alcohol or other substance abuse disorder; acute risk for suicide
(e.g., score of greater than 2 on the suicide item on the HAM-D) or acute risk for
homicide

- May require treatment with additional psychotherapeutic agents (other than chloral
hydrate for sleep) during the course of the study

- Significant medical conditions that may cause an increased risk for a significant
adverse experience during the course of the trial (e.g., unstable angina, myocardial
infarction within 3 months of study entry, etc.)

- Unable to be randomly assigned to the study drug due to a risk for adverse cardiac
events, such as prolonged QT interval, use of other medications that would be
counterindicated for use with sertraline, or other conditions that may make study
participation unsafe

- Unable to be randomly assigned to an exercise condition due to medical conditions such
as musculoskeletal problems or abnormal cardiac response to exercise (e.g.,
exercise-induced ventricular tachycardia, abnormal blood pressure response, etc.)

- Currently receiving antidepressant medication or actively engaged in psychotherapy

- Currently exercising regularly