Death First Degree Relative | Death Spouse | Death Partner | Death Child | Death Parent | Death Sibling
Item
must have sustained the loss of a first-degree relative (spouse, partner, child, parent, sibling, or person otherwise described by the patient as a first-degree relative) within the past two years and one of the two following features must also be present:
boolean
C1306577 (UMLS CUI [1,1])
C1517194 (UMLS CUI [1,2])
C1306577 (UMLS CUI [2,1])
C0162409 (UMLS CUI [2,2])
C1306577 (UMLS CUI [3,1])
C0682323 (UMLS CUI [3,2])
C1306577 (UMLS CUI [4,1])
C0680063 (UMLS CUI [4,2])
C1306577 (UMLS CUI [5,1])
C0030551 (UMLS CUI [5,2])
C1306577 (UMLS CUI [6,1])
C0037047 (UMLS CUI [6,2])
Elapsed Time Since Death
Item
1. at least two months must have passed since the death prior to enrollment in the study, or
boolean
C2826303 (UMLS CUI [1,1])
C1711239 (UMLS CUI [1,2])
C1306577 (UMLS CUI [1,3])
Functional impairment Marked
Item
2. there must be evidence of marked functional impairment (as defined in the dsm-iv description of bereavement, v62.82);
boolean
C4062321 (UMLS CUI [1,1])
C1706089 (UMLS CUI [1,2])
Major depressive episode Criteria Fulfill
Item
must meet criteria for a major depressive episode as defined in dsm-iv;
boolean
C0024517 (UMLS CUI [1,1])
C0243161 (UMLS CUI [1,2])
C1550543 (UMLS CUI [1,3])
Major depressive episode Onset | Status post Death First Degree Relative | Status pre- Death First Degree Relative
Item
onset of this depressive episode must have occurred after the death of the first-degree relative (if the relative's death was unexpected) or no more then three months prior to the death of the relative (if the relative's death was expected);
boolean
C0024517 (UMLS CUI [1,1])
C0332162 (UMLS CUI [1,2])
C0231290 (UMLS CUI [2,1])
C1306577 (UMLS CUI [2,2])
C1517194 (UMLS CUI [2,3])
C0332152 (UMLS CUI [3,1])
C1306577 (UMLS CUI [3,2])
C1517194 (UMLS CUI [3,3])
Hamilton Depression Rating Scale 17 Item Questionnaire
Item
hrsd-17 score of >17 at baseline assessment;
boolean
C3639712 (UMLS CUI [1])
Health Stable
Item
must be in stable medical health;
boolean
C0018684 (UMLS CUI [1,1])
C0205360 (UMLS CUI [1,2])
Able to communicate English Language
Item
must be able to communicate in english; and
boolean
C2364293 (UMLS CUI [1,1])
C0376245 (UMLS CUI [1,2])
Travel Clinic Able | Travel Clinic Willing
Item
must be willing and able to travel to the cooper green mercy hospital or the jefferson clinic, pc for evaluations according to the study protocol.
boolean
C0040802 (UMLS CUI [1,1])
C0442592 (UMLS CUI [1,2])
C0085732 (UMLS CUI [1,3])
C0040802 (UMLS CUI [2,1])
C0442592 (UMLS CUI [2,2])
C0600109 (UMLS CUI [2,3])
Dysthymic Disorder | Depressive episode Preceding Death First Degree Relative
Item
history of dysthymic disorder or a depressive episode preceding the death of the first-degree relative by more than three months;
boolean
C0013415 (UMLS CUI [1])
C0349217 (UMLS CUI [2,1])
C0332152 (UMLS CUI [2,2])
C1306577 (UMLS CUI [2,3])
C1517194 (UMLS CUI [2,4])
Mania | Psychotic Disorders | Symptoms Mania | Symptoms Psychotic Disorders | Bipolar Disorder | Schizophrenia
Item
history or symptoms of mania or psychosis (e.g., bipolar disorders, schizophrenia and other psychotic disorders);
boolean
C0338831 (UMLS CUI [1])
C0033975 (UMLS CUI [2])
C1457887 (UMLS CUI [3,1])
C0338831 (UMLS CUI [3,2])
C1457887 (UMLS CUI [4,1])
C0033975 (UMLS CUI [4,2])
C0005586 (UMLS CUI [5])
C0036341 (UMLS CUI [6])
Substance Use Disorders | Substance Dependence
Item
evidence of current alcohol or other substance abuse or dependence;
boolean
C0038586 (UMLS CUI [1])
C0038580 (UMLS CUI [2])
Dementia | Impaired cognition Mini-mental state examination
Item
evidence of clinically significant dementia or cognitive impairment (from history or a score on the screening mini mental state exam of 23 or less);
boolean
C0497327 (UMLS CUI [1])
C0338656 (UMLS CUI [2,1])
C0451306 (UMLS CUI [2,2])
Antidepressive Agents
Item
concomitant use of other antidepressants (patients can be enrolled after taper and clearance of other antidepressant medications);
boolean
C0003289 (UMLS CUI [1])
Pharmaceutical Preparations Interaction Cymbalta
Item
concomitant use of medications known to have potential for clinically significant interaction with cymbalta (patients can be enrolled after taper and clearance of other medications, if other medications can be safely discontinued).
boolean
C0013227 (UMLS CUI [1,1])
C0687133 (UMLS CUI [1,2])
C1505021 (UMLS CUI [1,3])
Feeling suicidal | Suicidal intent | Planning suicide | High suicide risk
Item
suicidal thoughts with intent or plan, or other situations where the patient is judged to be a high risk of suicide;
boolean
C0424000 (UMLS CUI [1])
C0582496 (UMLS CUI [2])
C0424001 (UMLS CUI [3])
C1271074 (UMLS CUI [4])
Hypersensitivity Cymbalta | Hypersensitivity Cymbalta Inactive ingredient
Item
known hypersensitivity to cymbalta or any of its inactive ingredients;
boolean
C0020517 (UMLS CUI [1,1])
C1505021 (UMLS CUI [1,2])
C0020517 (UMLS CUI [2,1])
C1505021 (UMLS CUI [2,2])
C1552019 (UMLS CUI [2,3])
Monoamine Oxidase Inhibitors | Patient need for Monoamine Oxidase Inhibitors
Item
treatment with a monoamine oxidase inhibitor (maoi) within 14 days of randomization or potential need to use an maoi during the study or within 5 days of discontinuation of study drug; or
boolean
C0026457 (UMLS CUI [1])
C0686904 (UMLS CUI [2,1])
C0026457 (UMLS CUI [2,2])
Medical condition Any
Item
any of the following medical conditions present:
boolean
C3843040 (UMLS CUI [1,1])
C1552551 (UMLS CUI [1,2])
Hepatic impairment | Hepatic Insufficiency
Item
1. hepatic impairment or insufficiency,
boolean
C0948807 (UMLS CUI [1])
C1306571 (UMLS CUI [2])
Hyponatremia
Item
2. hyponatremia,
boolean
C0020625 (UMLS CUI [1])
Angle Closure Glaucoma
Item
3. narrow-angle glaucoma,
boolean
C0017605 (UMLS CUI [1])
Seizures
Item
4. history of seizures,
boolean
C0036572 (UMLS CUI [1])
Hypertensive disease Unstable
Item
5. unstable hypertension, or
boolean
C0020538 (UMLS CUI [1,1])
C0443343 (UMLS CUI [1,2])
Pregnancy
Item
6. pregnancy.
boolean
C0032961 (UMLS CUI [1])