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The addition of fluoxetine to cognitive behavioural therapy for youth depression (YoDA-C): study protocol for a randomised control trial.

Identifieur interne : 002017 ( Main/Exploration ); précédent : 002016; suivant : 002018

The addition of fluoxetine to cognitive behavioural therapy for youth depression (YoDA-C): study protocol for a randomised control trial.

Auteurs : Christopher G. Davey [Australie] ; Andrew M. Chanen ; Sue M. Cotton ; Sarah E. Hetrick ; Melissa J. Kerr ; Michael Berk ; Olivia M. Dean ; Kally Yuen ; Mark Phelan ; Aswin Ratheesh ; Miriam R. Sch Fer ; G Paul Amminger ; Alexandra G. Parker ; Danijela Piskulic ; Susy Harrigan ; Andrew J. Mackinnon ; Ben J. Harrison ; Patrick D. Mcgorry

Source :

RBID : pubmed:25370185

Descripteurs français

English descriptors

Abstract

BACKGROUND

The aim of the Youth Depression Alleviation-Combined Treatment (YoDA-C) study is to determine whether antidepressant medication should be started as a first-line treatment for youth depression delivered concurrently with psychotherapy. Doubts about the use of medication have been raised by meta-analyses in which the efficacy and safety of antidepressants in young people have been questioned, and subsequent treatment guidelines for youth depression have provided only qualified support.

METHODS/DESIGN

YoDA-C is a double-blind, randomised controlled trial funded by the Australian government's National Health and Medical Research Council. Participants between the ages of 15 and 25 years with moderate to severe major depressive disorder will be randomised to receive either (1) cognitive behavioural therapy (CBT) and fluoxetine or (2) CBT and placebo. The treatment duration will be 12 weeks, and follow-up will be conducted at 26 weeks. The primary outcome measure is change in the Montgomery-Åsberg Depression Rating Scale (MADRS) after 12 weeks of treatment. The MADRS will be administered at baseline and at weeks 4, 8, 12 and 26. Secondary outcome measures will address additional clinical outcomes, functioning, quality of life and safety.

TRIAL REGISTRATION

Australian and New Zealand Clinical Trials Registry ID: ACTRN12612001281886 (registered on 11 December 2012).


DOI: 10.1186/1745-6215-15-425
PubMed: 25370185
PubMed Central: PMC4230740


Affiliations:


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Le document en format XML

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<term>Adolescent (MeSH)</term>
<term>Adolescent Behavior (drug effects)</term>
<term>Adult (MeSH)</term>
<term>Age Factors (MeSH)</term>
<term>Antidepressive Agents, Second-Generation (adverse effects)</term>
<term>Antidepressive Agents, Second-Generation (therapeutic use)</term>
<term>Clinical Protocols (MeSH)</term>
<term>Cognitive Behavioral Therapy (MeSH)</term>
<term>Combined Modality Therapy (MeSH)</term>
<term>Depressive Disorder, Major (diagnosis)</term>
<term>Depressive Disorder, Major (psychology)</term>
<term>Depressive Disorder, Major (therapy)</term>
<term>Double-Blind Method (MeSH)</term>
<term>Female (MeSH)</term>
<term>Fluoxetine (adverse effects)</term>
<term>Fluoxetine (therapeutic use)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Predictive Value of Tests (MeSH)</term>
<term>Psychiatric Status Rating Scales (MeSH)</term>
<term>Quality of Life (MeSH)</term>
<term>Research Design (MeSH)</term>
<term>Serotonin Uptake Inhibitors (adverse effects)</term>
<term>Serotonin Uptake Inhibitors (therapeutic use)</term>
<term>Time Factors (MeSH)</term>
<term>Treatment Outcome (MeSH)</term>
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<term>Young Adult (MeSH)</term>
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<term>Adulte (MeSH)</term>
<term>Antidépresseurs de seconde génération (effets indésirables)</term>
<term>Antidépresseurs de seconde génération (usage thérapeutique)</term>
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<term>Facteurs âges (MeSH)</term>
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<term>Fluoxétine (effets indésirables)</term>
<term>Fluoxétine (usage thérapeutique)</term>
<term>Humains (MeSH)</term>
<term>Inhibiteurs de la capture de la sérotonine (effets indésirables)</term>
<term>Inhibiteurs de la capture de la sérotonine (usage thérapeutique)</term>
<term>Jeune adulte (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Méthode en double aveugle (MeSH)</term>
<term>Plan de recherche (MeSH)</term>
<term>Protocoles cliniques (MeSH)</term>
<term>Qualité de vie (MeSH)</term>
<term>Résultat thérapeutique (MeSH)</term>
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<term>Trouble dépressif majeur (psychologie)</term>
<term>Trouble dépressif majeur (thérapie)</term>
<term>Valeur prédictive des tests (MeSH)</term>
<term>Victoria (MeSH)</term>
<term>Échelles d'évaluation en psychiatrie (MeSH)</term>
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<term>Antidepressive Agents, Second-Generation</term>
<term>Fluoxetine</term>
<term>Serotonin Uptake Inhibitors</term>
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<term>Adolescent Behavior</term>
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<term>Fluoxétine</term>
<term>Inhibiteurs de la capture de la sérotonine</term>
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<term>Depressive Disorder, Major</term>
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<term>Trouble dépressif majeur</term>
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<term>Antidépresseurs de seconde génération</term>
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<term>Humans</term>
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<term>Predictive Value of Tests</term>
<term>Psychiatric Status Rating Scales</term>
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<term>Research Design</term>
<term>Time Factors</term>
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<term>Adolescent</term>
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<term>Facteurs âges</term>
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<term>Méthode en double aveugle</term>
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<term>Résultat thérapeutique</term>
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<term>Valeur prédictive des tests</term>
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<b>BACKGROUND</b>
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<p>The aim of the Youth Depression Alleviation-Combined Treatment (YoDA-C) study is to determine whether antidepressant medication should be started as a first-line treatment for youth depression delivered concurrently with psychotherapy. Doubts about the use of medication have been raised by meta-analyses in which the efficacy and safety of antidepressants in young people have been questioned, and subsequent treatment guidelines for youth depression have provided only qualified support.</p>
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<b>METHODS/DESIGN</b>
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<p>YoDA-C is a double-blind, randomised controlled trial funded by the Australian government's National Health and Medical Research Council. Participants between the ages of 15 and 25 years with moderate to severe major depressive disorder will be randomised to receive either (1) cognitive behavioural therapy (CBT) and fluoxetine or (2) CBT and placebo. The treatment duration will be 12 weeks, and follow-up will be conducted at 26 weeks. The primary outcome measure is change in the Montgomery-Åsberg Depression Rating Scale (MADRS) after 12 weeks of treatment. The MADRS will be administered at baseline and at weeks 4, 8, 12 and 26. Secondary outcome measures will address additional clinical outcomes, functioning, quality of life and safety.</p>
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<p>Australian and New Zealand Clinical Trials Registry ID: ACTRN12612001281886 (registered on 11 December 2012).</p>
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