Major Depression
Conditions
Keywords
Depression, Inflammation, Cognition, Pain, Allostatic load
Brief summary
Major depression is accompanied by cognitive changes as well as alterations in multiple physical functions. The inflammatory system is altered generally toward a pro-inflammatory state. Antidepressants are associated with a decrease in this proinflammatory state. This study aims to generate pilot data concerning a possible link between cognition, inflammation and response to treatment. The cognitive function of subjects with major depression will be tested before and after treatment with duloxetine. Inflammatory markers will be measured at both time points.
Interventions
Subjects with major depression will be entered into the trial and treated with duloxetine 30 mg for one week, followed by 60 mg for 8 weeks. The option of increasing the dose as clinically indicated to 120mg is possible for the last 4 weeks of the study intervention
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 20-50 Primary diagnosis of major depression Ability to give informed consent
Exclusion criteria
* Neurologic disorders affecting cognition * Unstable or untreated medical disorders * Medical disorders associated with pain * Recent pregnancy or delivery * Psychiatric disorders other than MD which are the primary focus of treatment * Treatment with antidepressants in the past 4 weeks
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cognitive function measured by CANTAB | 12 weeks | Correlation between cytokines and cognitive function |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pain inhibition | 12 weeks | Correlation between depression, antidepressant treatment status, inflammation and inhibition of perception of pain stimulus |
| Allostatic load | 12 weeks | Correlation between depressive symptoms, antidepressant treatment status and allostatic load |
Countries
Canada