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. 2010 Dec 6;3:109–118. doi: 10.2147/PRBM.S10035

Table 3.

Trials for the treatment of post stroke depression

Treatment studied Author Type of trial N Diagnostic criteria Outcome measure Trial length (weeks) Time from stroke (months) Treatment response Placebo
Nortriptyline Lipsey et al90 RCT 34 DSM III
Major
Minor
HDRS
ZSRDS
4–6 <18 36% 22%
Robinson et al89 RCT 56 DSM IV
Major
Minor
HDRS 12 <6 63% 23%
Fluoxetine Robinson et al89 RCT 56 DSM IV
Major
Minor
HDRS 12 <6 9% 23%
Wiart et al112 RCT 66 ICD-10
Major
MADRS 6 <6 63% 33%
Fruehwald et al92 RCT 54 DSM IV
Major
Minor
HDRS
BDI
16
72
<1 69.2%
81.8%*
75%
27.8%*
Choi-Kwon et al93 RCT 152 DSM IV
Major
Minor
BDI
Clinical
STAS
16
26
14 28.7%
27.1%
15.5%
14.7%
Sertraline Murray et al91 RCT 123 DSM IV
Major
Minor
MADRS
EDS
26 1–52 33.9% 42.6%
Citalopram Andersen et al84 RCT 66 DSM III
Major
Minor
HDRS
MES
16 4 65% 15%
Methylphenidate Grade et al101 RCT 22 DSM IV
Major
Minor
HDRS
ZSRDS
3 <1 28% 24%
Cognitive behavioral therapy Lincoln et al106 Case series 19 DSM IV
Major
Minor
BDI
HADS
16 <1 24% NA
Lincoln & Flannaghan108 RCT 123 DSM IV
Major
Minor
BDI 16 1 29% 13%

Notes:

P < 0.005

P < 0.05

*

P < 0.05, post-hoc exploratory analysis with significant placebo drop-out.

Abbreviations: RCT, double-blind randomized controlled trial; BDI, Beck Depression Inventory; DSM IV, Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition; HADS, Hospital Anxiety and Depression Scale; HDRS, Hamilton Depression Rating Scale; MADRS, Montogomery–Asberg Depression Rating Scale; MES, Melancholia Scale; STAS, Spielberger Trait Anger Scale; ZSRDS, Zung Self Rating Depression Scale.