Preventing Depression in Patients With Macular Degeneration

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00042211
Recruitment Status : Completed
First Posted : July 26, 2002
Last Update Posted : January 8, 2014
National Institute of Mental Health (NIMH)
Information provided by (Responsible Party):
Thomas Jefferson University

July 24, 2002
July 26, 2002
January 8, 2014
February 2001
January 2006   (Final data collection date for primary outcome measure)
Depression [ Time Frame: 6 Months ]
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Complete list of historical versions of study NCT00042211 on Archive Site
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Preventing Depression in Patients With Macular Degeneration
Preventing Depression in Macular Degeneration
This study will evaluate the effectiveness of a Problem Solving Treatment in preventing depression in elderly patients with age-related macular degeneration (AMD).

AMD is the most common cause of blindness in older adults. The disease limits the ability to read, see familiar faces, and walk independently. Almost 2 million persons (about 5 percent of the U.S. population over age 65) are now affected, and this number will triple by the year 2020. This study will target patients with neovascular AMD (NV-AMD), a form of AMD which can lead to sudden vision loss, substantial disability, and depression. Because depression is itself disabling and not likely to be recognized nor treated by ophthalmologists, preventing depression in people with NV-AMD is important.

Patients are randomly assigned to either PST or a usual care control condition. The primary outcome measure is a DSM-IV diagnosis of depression. Patients are evaluated at baseline, Month 2 (immediately post-intervention), Month 6 (for the primary efficacy analysis), and Month 12 (to evaluate sustained effects). The study will also assess the impact of PST on levels of disability and vision-related quality of life.

Phase 3
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Prevention
  • Depression
  • Macular Degeneration
  • Behavioral: Problem Solving Treatment
    Brief Cognitive Behavioral Therapy
  • Behavioral: Control
    No treatment control
  • Experimental: 1
    Problem Solving Treatment
    Intervention: Behavioral: Problem Solving Treatment
  • Active Comparator: 2
    Intervention: Behavioral: Control

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
January 2006
January 2006   (Final data collection date for primary outcome measure)

Inclusion criteria:

  • Bilateral macular degeneration
  • Visual acuity of 20/40 or worse in better eye
  • Residence within 40 miles of Wills Eye Hospital in Philadelphia, PA
Sexes Eligible for Study: All
65 Years and older   (Adult, Senior)
Contact information is only displayed when the study is recruiting subjects
United States
R01MH061331( U.S. NIH Grant/Contract )
R01MH061331 ( U.S. NIH Grant/Contract )
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Thomas Jefferson University
Thomas Jefferson University
National Institute of Mental Health (NIMH)
Principal Investigator: barry rovner, md Thomas Jefferson University
Thomas Jefferson University
February 2008

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP