Depression Clinical Trial
Official title:
Prevention of Post-Stroke Depression - Treatment Strategy
This study will evaluate the effectiveness of both drug and non-drug treatments in preventing depression after a stroke.
The development of depression after a stroke is a serious condition that can have negative
effects on thought, emotions, and overall daily functioning, particularly in the first year
following the stroke. Evidence suggests that antidepressants may be used to prevent
post-stroke depression. This study will treat nondepressed stroke patients with
antidepressants or problem solving therapy (PST) to determine the most effective treatments
for preventing depression.
Participants in this study will be randomly assigned to receive PST, escitalopram, or placebo
(an inactive pill) for 12 months. Participants who display depressive symptoms for 2 weeks or
more will be removed from the study. After 12 months, treatment will be discontinued and
participants will be monitored for an additional 6 months.
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