Ecosystem Focused Therapy for Treating Older Depressed Stroke Survivors


Phase N/A Results N/A

Eligibility Criteria

Inclusion Criteria

- Diagnosis of unipolar major or minor depression, as assessed by the Structured Clinical Interview for Depression (SCID) for the Diagnostic and Statistical Manual-IV
- Montgomery-Asberg Depression Rating Scale (MADRS) score greater than or equal to 15
- Admitted to Burke Rehabilitation Hospital soon after ischemic stroke
- Mini Mental State Examination (MMSE) score greater than 17
- Command of English sufficient to comprehend study questionnaires and interventions
- Has family member or professional caregiver willing and able to participate in patient's treatment

Exclusion Criteria

- Moderately severe to severe dementia, as defined by an MMSE score less than 17
- Moderate to severe aphasia
- Placed in a nursing home after discharge
- Diagnosis of psychotic depression
- High suicide risk (i.e., intent or plan to attempt suicide in near future)
- Presence of illnesses other than stroke (e.g., untreated thyroid or adrenal disease, pancreatic cancer, and lymphoma)
- Taking drugs known to cause depression (e.g., reserpine, alpha-methyl-dopa, steroids)
- Currently being treated for depression with psychotherapy