The Experience of Older Adults Facing Depression for the First Time in Old Age

MAjor Depressive Disorder Clinical Trial

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT03009448
• Other study ID #: shalvataMHC
• Status: Not yet recruiting
• Phase: N/A
• First received: December 23, 2016
• Last updated: December 31, 2016
• Start date: March 2017

Study information

• Verified date: December 2016
• Source: Shalvata Mental Health Center
• Contact: n/a
• Is FDA regulated: No
• Health authority: Israel: Ministry of Health
• Study type: Observational

Clinical Trial Summary

Analysis of recent studies show that researchers find it hard to distinguish between Late Onset Depression, a first diagnosed major depressive episode which occurs at old age, and Early Onset Depression, a depressive episode at old age with a history of previous episodes. Since current data, about the phenomenology and etiology of Late Onset Depression, lake conicity it is unclear whether this phenomena should be considered as a distinct subtype of depression. Nevertheless, the wide spread assumption is that Late Onset Depression has a stronger correlation with brain damage and environmental risk factors such as the common losses at old age and weaker correlation with family history and genetics when compared to Early Onset. Although many researchers consider brain damage to have the main contribution to the emerge of Late Onset Depression, the fact that depression has a negative effect on one's health supports the claim that it might be the result and not the rick factor. Since Late Onset Depression correlates with the common losses at old age, the investigators propose that an existential approach that deals with one's meaning, freedom, responsibly and death, might be more appropriate. Thus, the investigators ask how do older adults experience depression which they face for the first time in old age? Current study will seek to understand older adults' experience of Late Onset depression through existential paradigm by using a semi constructed interview.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 15
• Est. primary completion date: October 2017
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 62 Years and older

Eligibility

Inclusion Criteria:

1. Men aged 67 or more, women aged 62 or more

2. Diagnosis of Major Depressive Disorder, Minor Depressive Disorder or Adjustment Disorder with depressive features made after the age of 67 with men and 62 with women.

3. Basic understanding and ability to converse in Hebrew.

Exclusion Criteria:

1. History of at least one previous major depressive or minor depressive episode before the age of 62 with women or 67 with men

2. Mental Retardation or Autistic Spectrum Disorder

3. Significant cognitive impairment observed by the primary physician.

4. Schizophrenia or Schizoaffective disorder.

5. Depressive episode with psychotic features

6. Substantial suicidality

Study Design

Observational Model: Case-Only, Time Perspective: Retrospective

Related Conditions & MeSH terms

• Depression
• Depressive Disorder
• Depressive Disorder, Major
• MAjor Depressive Disorder

Intervention

Other:
• Interview
Each subject will be interviewed using a semi constructed interview.

Locations

Country	Name	City	State
Israel	Shalvata MHC	Hod HaSharon

Sponsors (1)

Lead Sponsor	Collaborator
Shalvata Mental Health Center

Country where clinical trial is conducted

Israel, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Data analysis	All the data collected, from each semi structured interview, will be analyzed by the investigator to find similarities or differences between the older adults' experience and to identify specific existential themes.	10 weeks	No