Prognosis of Depression in the Elderly (PRODE). A Multicentre, Longitudinal Study of Elderly Depressed Patients.

NCT ID: NCT01952366

Last Updated: 2023-11-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

169 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-12-31

Study Completion Date

2016-04-30

Brief Summary

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PRODE is a Norwegian multicentre study investigating the prognosis of depression in the elderly. The study has included 169 patients who will be followed with assessments after one and three years.

The study hypothesis is that elderly patients referred to specialist health service have a poor long term prognosis.

Detailed Description

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Objective: Depression in the elderly is difficult to treat and is often of chronic or recurrent nature. There is little knowledge about the course and the risk factors for recurrence of depression among elderly people in Norway. The aim of the PRODE-study is to examine the short- and long-term prognosis of elderly depressed patients who are referred for treatment in departments of old age psychiatry.

Method: PRODE is a multicentre case-control and longitudinal study of elderly (\>60 years) depressed and non-depressed patients with a one and three year follow-up. Nine participating departments of old age psychiatry used the same standardized instruments to collect data of the patients on depression and other mental health issues, cognition, physical health, medications, functions in activities of daily living, quality of life and family carers' situation. The included patients and controls underwent an MRI scan of the brain according to a comprehensive protocol developed for this project. Furthermore, blood and saliva from the included patients are stored in a Biobank for analyses of pro- and anti-inflammatory cytokines and cortisol.

The study included 169 patients (December 2009-January 2013) and will include the same number of non-depressed controls.

Outcome Measures (short-term):

* Depression as measured with the Montgomery and Asberg Depression Rating Scale (MADRS), Cornell Scale for Depression in Dementia (CSDD) and Hospital Anxiety and Depression Scale (HADS), trajectories and clinical assessments.
* Function in activities of daily living

Outcome measures (long-term):

* Cognition as measured by Mini Mental State Examination (MMSE) and diagnosis of dementia.
* Depression, recurrence of depression and as measured wtih the MADRS and CSDD.
* Use of health care facilities; nursing home.
* Mortality
* Function in activities of daily living

Conditions

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Depression Dementia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Depressed patients

Patients admitted to specialist health care service of old age psychiatry

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Patients with depression referred to treatment at specialist health care in Norway.
* Patients above 60 years

Exclusion Criteria

\- Demented patients with severe aphasia and patients with life threatening diseases will be excluded
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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South-Eastern Norway Regional Health Authority

OTHER

Sponsor Role collaborator

Norwegian Centre for Ageing and Health

OTHER

Sponsor Role collaborator

Leagacy of Josef and Haldis Andresen

UNKNOWN

Sponsor Role collaborator

Solveig and Johan P's Foundation for Psychiatric Research

UNKNOWN

Sponsor Role collaborator

Sykehuset Innlandet HF

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Geir Selbaek, MD/Ph.D

Role: STUDY_DIRECTOR

Norwegian Centre for Ageing and Health

Tom Borza, MD/PhD cand

Role: PRINCIPAL_INVESTIGATOR

Innlandet Hospital Trust (Sykehuset Innlandet HF)

Locations

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Innlandet Hospital Trust

Ottestad, , Norway

Site Status

Countries

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Norway

References

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Borza T, Engedal K, Bergh S, Benth JS, Selbaek G. The course of depression in late life as measured by the Montgomery and Asberg Depression Rating Scale in an observational study of hospitalized patients. BMC Psychiatry. 2015 Aug 5;15:191. doi: 10.1186/s12888-015-0577-8.

Reference Type DERIVED
PMID: 26242794 (View on PubMed)

Other Identifiers

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PRODE-2013

Identifier Type: -

Identifier Source: org_study_id