- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01952366
Prognosis of Depression in the Elderly (PRODE). A Multicentre, Longitudinal Study of Elderly Depressed Patients. (PRODE)
Prognosis of Depression in the Elderly (PRODE)
PRODE is a Norwegian multicentre study investigating the prognosis of depression in the elderly. The study has included 169 patients who will be followed with assessments after one and three years.
The study hypothesis is that elderly patients referred to specialist health service have a poor long term prognosis.
Study Overview
Status
Conditions
Detailed Description
Objective: Depression in the elderly is difficult to treat and is often of chronic or recurrent nature. There is little knowledge about the course and the risk factors for recurrence of depression among elderly people in Norway. The aim of the PRODE-study is to examine the short- and long-term prognosis of elderly depressed patients who are referred for treatment in departments of old age psychiatry.
Method: PRODE is a multicentre case-control and longitudinal study of elderly (>60 years) depressed and non-depressed patients with a one and three year follow-up. Nine participating departments of old age psychiatry used the same standardized instruments to collect data of the patients on depression and other mental health issues, cognition, physical health, medications, functions in activities of daily living, quality of life and family carers' situation. The included patients and controls underwent an MRI scan of the brain according to a comprehensive protocol developed for this project. Furthermore, blood and saliva from the included patients are stored in a Biobank for analyses of pro- and anti-inflammatory cytokines and cortisol.
The study included 169 patients (December 2009-January 2013) and will include the same number of non-depressed controls.
Outcome Measures (short-term):
- Depression as measured with the Montgomery and Asberg Depression Rating Scale (MADRS), Cornell Scale for Depression in Dementia (CSDD) and Hospital Anxiety and Depression Scale (HADS), trajectories and clinical assessments.
- Function in activities of daily living
Outcome measures (long-term):
- Cognition as measured by Mini Mental State Examination (MMSE) and diagnosis of dementia.
- Depression, recurrence of depression and as measured wtih the MADRS and CSDD.
- Use of health care facilities; nursing home.
- Mortality
- Function in activities of daily living
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Ottestad, Norway, 2315
- Innlandet Hospital Trust
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patients with depression referred to treatment at specialist health care in Norway.
- Patients above 60 years
Exclusion Criteria:
- Demented patients with severe aphasia and patients with life threatening diseases will be excluded
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
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Depressed patients
Patients admitted to specialist health care service of old age psychiatry
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Depression
Time Frame: 1 year after inclusion to the study
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Relapse/recurrence of depression
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1 year after inclusion to the study
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Depression During Three Years
Time Frame: Three years follow-up (mean follow-up time: 1167 days (SD=41)
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We have described the course of depression after treatment in departments of old-age psychiatry at specialist healthcare services using assessments at one- and year follow-up.
The patients were decribed in the following categories courses: Favourable/less favourable/unfavourable/unclassifiable.
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Three years follow-up (mean follow-up time: 1167 days (SD=41)
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of Patients With a Diagnosis of Dementia (According to ICD-10) One Year After Inclusion to the Study.
Time Frame: 1 year after inclusion to the study
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One year after inclusion to the study, there will be a clinical assessment of the patient including a MMSE, if possible, and to evaluate if the patients have dementia.
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1 year after inclusion to the study
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Number of Patients With a Diagnosis of Dementia (According to ICD-10) Three Years After Inclusion to the Study.
Time Frame: 3 years after inclusion to the study (mean time 1167 days, SD 41).
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3 years after inclusion to the study there was an assessment inluding all available information on cognition; i.e. information from previous follow-ups, clinical or telephone assessment of cognition using Mini Mental Status Examination (MMSE, clinical or telephone-version), and information from next-of-kin or caregivers including the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) and The Clinical Dementia Rating (CDR).
Three Senior Consultants with a PhD then used all available information to diagnose dementia according to the ICD-10 classification.
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3 years after inclusion to the study (mean time 1167 days, SD 41).
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Director: Geir Selbaek, MD/Ph.D, Norwegian Centre for Ageing and Health
- Principal Investigator: Tom Borza, MD/PhD cand, Innlandet Hospital Trust (Sykehuset Innlandet HF)
Publications and helpful links
General Publications
- Borza T, Engedal K, Bergh S, Benth JS, Selbaek G. The course of depression in late life as measured by the Montgomery and Asberg Depression Rating Scale in an observational study of hospitalized patients. BMC Psychiatry. 2015 Aug 5;15:191. doi: 10.1186/s12888-015-0577-8.
- Bocharova M, Borza T, Watne LO, Engedal K, O'Brien JT, Selbaek G, Idland AV, Hodsoll J, Young AH, Aarsland D. The role of plasma inflammatory markers in late-life depression and conversion to dementia: a 3-year follow-up study. Mol Psychiatry. 2025 Jul;30(7):3029-3038. doi: 10.1038/s41380-025-02908-2. Epub 2025 Feb 8.
- Borza T, Engedal K, Bergh S, Selbaek G. Older people with depression - a three-year follow-up. Tidsskr Nor Laegeforen. 2019 Nov 4;139(16). doi: 10.4045/tidsskr.18.0968. Print 2019 Nov 5. English, Norwegian.
- Borza T, Engedal K, Bergh S, Benth JS, Selbaek G. Trajectories of Depression in Late Life: A 1-Year Follow-Up Study. Dement Geriatr Cogn Disord. 2017;43(3-4):180-192. doi: 10.1159/000458148. Epub 2017 Feb 22.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- PRODE-2013
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