At a glance
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Adapting Marital Therapy in Older Adults With Depression
In Brief
A Phase 2 clinical trial evaluating Weekly marital therapy and As indicated: Sertraline, bupropion, venlafaxine, mirtazepine, nortriptyline, tranylcypromine, lithium augmentation, etc. for Major Depressive Disorder and Partner Relational Disorder (V61.10). Completed, enrolled 42 participants across 1 site.
Detailed Summary
The primary goal of this study is to develop and test a depression-specific marital therapy tailored for use with older adult populations.
Study Details
Timeline
Interventions
Weekly marital therapy for 6 months.
Study doctor may prescribe antidepressant medication for the treatment of depression. Medications will be prescribed according to empirically supported guidelines outlined in the Duke Somatic Treatment Algorithm for Geriatric Depression (STAGED Approach; Steffens, 2002). SSRIs (daily dose of at least 20 mg for citalopram, 20 mg for fluoxetine, 100 mg for sertraline, 20 mg for paroxetine) SNRIs (e.g., venlafaxine) Bupropion SR (achieve dose of at least 150 mg BID) Mirtazapine Tricyclic antidepressants (nortriptyline with drug levels 80-120 ng/dl) Lithium augmentation MAOI (daily dose of at least 30 mg tranylcypromine or 45 mg of phenelzine)