major depressive disorder
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. The subject did not receive any antidepressant drugs(≥4 weeks at minimal effective dose) for major depression 2. Total HDRS-17 score ≥17 3. The major depressive episode is the focus of the treatment and the treating physician has judged escitalopram to be its appropriate 1st line drug 4. A native Japanese speaker 5. The participant is able to understand and sign written informed consent.
Exclusion criteria
Exclusion criteria: 1. History of schizophrenia, schizoaffective disorder or bipolar disorder (DSM-IV) as judged by treating physician. 2. Current dementia, borderline personality disorder, eating disorder or substance dependence (DSM-IV) as judged by treating physician. 3. Imminent high risk of suicide as judged by treating physician. 4. Use of antipsychotic drugs and antidepressant drugs within 1 week of the visit 5. Physical diseases which may contraindicate treatment with escitalopram. 6. Currently pregnant or breast-feeding women 7. Regular consumption of polyunsaturated fatty acid supplements within the last 3 months 8. A habit of eating fish >= 4 times per week, to ensure comparability to patients studied in Western countries.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hamilton Raing Scale for Depression[Time frame: 12 weeks] | — |
Secondary
| Measure | Time frame |
|---|---|
| MADRS SDS BDI QIDS-J CGI-S RS-14 Serum BDNF, proBDNF, MMP-9, fatty acid level Plasma IL-6 | — |
Countries
Japan
Contacts
University of Occupational and Environmental Health Department of Psychiatry