Depression Clinical Trial
Official title:
Vascular Depression and Magnetic Stimulation Therapy
This 12-week study will evaluate the effectiveness of repetitive transcranial magnetic stimulation (rTMS) of the brain, followed by citalopram (Celexa®), for treatment of depression associated with small vascular lesions in the brain (vascular depression).
Vascular depression is a condition that typically affects the elderly and is associated with
small vascular lesions. It is more resistant to treatment and has a poorer outcome than
nonvascular depression. By altering excitability in the cortical area of the brain, rTMS may
be an effective treatment neuropsychiatric conditions, particularly depression.
Participants in this study will be randomly assigned to 15 treatments of either rTMS or sham
rTMS for 3 weeks. Following treatment, participants will receive citalopram for 9 weeks.
Response rates to treatment; relapse rates; the size, number, and location of the vascular
lesions; and the amount of regional brain atrophy will be measured. Improvements in
activities of daily living, quality of life, and cognitive function will also be also
measured.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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