Inclusion/exclusion criteria in late life depression antidepressant efficacy trials
International Journal of Geriatric Psychiatry
Published online on August 22, 2016
Abstract
Objective
The generalizability of antidepressant efficacy trials (AETs) has been questioned. No studies have examined the inclusion/exclusion criteria used in placebo‐controlled studies of late life depression and compared them to the criteria used in non‐late life AETs.
Method
We conducted a comprehensive literature review of placebo‐controlled AETs published from January, 1995 through December, 2014. We compared the inclusion/exclusion criteria used in the 18 studies of late life depression to those used in non‐late life depression.
Results
There were nine inclusion/exclusion criteria that were used in more than half of the late life depression AETs: minimum severity on a symptom severity scale (100.0%), significant suicidal ideation (77.8%), psychotic features during the current episode of depression or history of a psychotic disorder (94.4%), history of bipolar disorder (77.8%), diagnosis of alcohol or drug abuse or dependence (83.3%), presence of a comorbid nondepressive, nonsubstance use Axis I disorder (55.6%), episode duration too short (66.7%), and an insufficient score on a cognitive screen (88.3%) or the presence of a cognitive disorder (55.6%). There were some differences between the late life and non‐late life depression studies—use of a screening measure of cognitive functioning, presence of a cognitive disorder such as dementia, and the minimum depression severity cutoff score required at baseline.
Conclusions
The inclusion/exclusion criteria in AETs of late life depression were generally similar to the criteria used in non‐late life depression AETs. Copyright © 2016 John Wiley & Sons, Ltd.