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

NCT03009448 | Unknown DMC

• 1 other identifier: shalvataMHC
• Study Type: observational
• Target: 15
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

MAjor Depressive Disorder

Outcome Measures

Primary Outcomes (1)

• 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

Study Arms (1)

Late onset depression

Other: Interview

Interventions

Interview OTHER

Each subject will be interviewed using a semi constructed interview.

Late onset depression

Eligibility Criteria

• Age: 62 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Israeli men and women after the age of retirement, 67 and 62 respectably, who are diagnosed with a major depressive episode, minor depressive episode or show depressive symptoms for the first time in their lives at old age.

You may qualify if:

• Men aged 67 or more, women aged 62 or more
• 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.
• Basic understanding and ability to converse in Hebrew.

You may not qualify if:

• History of at least one previous major depressive or minor depressive episode before the age of 62 with women or 67 with men
• Mental Retardation or Autistic Spectrum Disorder
• Significant cognitive impairment observed by the primary physician.
• Schizophrenia or Schizoaffective disorder.
• Depressive episode with psychotic features
• Substantial suicidality

Sponsors & Collaborators

• Shalvata Mental Health Center: lead

Study Sites (1)

Shalvata MHC

Hod HaSharon, Israel

Location

MeSH Terms

Conditions

Depressive Disorder, Major

Interventions

Interviews as Topic

Condition Hierarchy (Ancestors)

Depressive Disorder; Mood Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 23, 2016
• First Posted: January 4, 2017
• Study Start: March 1, 2017
• Primary Completion: October 1, 2017
• Last Updated: January 4, 2017

Record last verified: 2016-12

Locations

IL (1)