Health Condition 1: F321- Major depressive disorder, singleepisode, moderate
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: INCLUSION CRITERIA 1. Age >60years 2. Major depressive disorder according to DSM-5(single or recurrent episodes) 3. Willing to give Consent 4. Serum vitamin B12 level â??187-350pg/ml 5. Hindi Mental Status Examination > 24
Exclusion criteria
Exclusion criteria: 1. Not willing to give consent 2. Patient taking MAO inhibitors. 3. History of allergy to escitalopram 4. History of active suicidal ideation and psychotic symptoms 5. History of substance use except tobacco 6. History of stroke or neurodegenerative disorders. 7. Uncooperative for assessment 8. Patients taking Antidepressant in last 15 days at point of entry in study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measures will be assessed on change in severity scale- Hamilton Depression Rating Scale at baselines, 1st week and 4th week. Hindi mental status examination scale will be also used to assess cognition.Timepoint: The primary outcome measures will be assessed on change in severity scale- Hamilton Depression Rating Scale at baseline, 1st week and 4 th week.Hindi mental status examination scale will be also used to assess cognition. | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess prediction of treatment response after 4 weeks of Antidepressants therapy in late life depression with baseline vitamin B12 and serum homocystiene. 2. To assess prediction of treatment response after 4 weeks of Antidepressants therapy in late life depression with baseline Tumour necrosis factor-Alpha Timepoint: Baseline, 1st week and 4th week. | — |
Countries
India
Contacts
Department of Geriatric Mental Health