Age
Item
1. age > 60 years.
boolean
C0001779 (UMLS CUI [1])
Major Depressive Disorder | Single major depressive episode | Recurrent major depressive episodes
Item
2. major depressive disorder (mdd), single or recurrent, as diagnosed by the scid-iv.
boolean
C1269683 (UMLS CUI [1])
C0024517 (UMLS CUI [2])
C0154409 (UMLS CUI [3])
Montgomery-Asberg Depression Rating Scale Questionnaire
Item
3. madrs ≥ 15.
boolean
C4054475 (UMLS CUI [1])
Informed Consent Unable
Item
1. inability to provide informed consent.
boolean
C0021430 (UMLS CUI [1,1])
C1299582 (UMLS CUI [1,2])
Depressive Symptoms Montgomery-Asberg Depression Rating Scale Questionnaire
Item
2. depressive symptoms not severe enough (i.e., madrs < 15) at the baseline assessments.
boolean
C0086132 (UMLS CUI [1,1])
C4054475 (UMLS CUI [1,2])
Dementia Mini-mental state examination
Item
3. dementia based upon dsm-iv criteria as well as a folstein mmse score of less than 24. patients screened out due to dementia will be referred to a memory clinic or to the upmc alzheimer's disease research center for evaluation to clarify the presence or absence of a dementia.
boolean
C0497327 (UMLS CUI [1,1])
C0451306 (UMLS CUI [1,2])
Bipolar I disorder Lifetime | Bipolar II disorder Lifetime | Schizophrenia | Schizoaffective Disorder | Schizophreniform Disorders | Delusional disorder | Psychotic symptom
Item
4. lifetime diagnosis of bipolar i or ii disorder, schizophrenia, schizoaffective disorder, schizophreniform disorder, delusional disorder, or current psychotic symptoms, as diagnosed by the scid. a recommendation for psychiatric referral will be made in these cases.
boolean
C0853193 (UMLS CUI [1,1])
C4071830 (UMLS CUI [1,2])
C0236788 (UMLS CUI [2,1])
C4071830 (UMLS CUI [2,2])
C0036341 (UMLS CUI [3])
C0036337 (UMLS CUI [4])
C0036358 (UMLS CUI [5])
C0011251 (UMLS CUI [6])
C0871189 (UMLS CUI [7])
Substance Use Disorders | Substance Dependence
Item
5. abuse of or dependence on alcohol or other substances within the past 3 months as determined by scid, and confirmed by study physician interview.
boolean
C0038586 (UMLS CUI [1])
C0038580 (UMLS CUI [2])
High suicide risk | Suicidal intent | Planning suicide | Hospitalization Unwilling
Item
6. high risk for suicide (e.g., active si and/or current/recent intent or plan) and unable to be managed safely in the clinical trial (e.g., unwilling to be hospitalized). urgent psychiatric referral will be made in these cases.
boolean
C1271074 (UMLS CUI [1])
C0582496 (UMLS CUI [2])
C0424001 (UMLS CUI [3])
C0019993 (UMLS CUI [4,1])
C0558080 (UMLS CUI [4,2])
Contraindication Venlafaxine | Contraindication Aripiprazole | Intolerance to Venlafaxine Dosage Range | Intolerance to Aripiprazole Dosage Range
Item
7. contraindication to venlafaxine xr or aripiprazole as determined by study physician including history of intolerance of either venlafaxine xr or aripiprazole in the study target dosage range (venlafaxine xr at up to 225 mg/day; aripiprazole at up to 15mg/day).
boolean
C0522473 (UMLS CUI [1,1])
C0078569 (UMLS CUI [1,2])
C0522473 (UMLS CUI [2,1])
C0299792 (UMLS CUI [2,2])
C1744706 (UMLS CUI [3,1])
C0078569 (UMLS CUI [3,2])
C0178602 (UMLS CUI [3,3])
C1514721 (UMLS CUI [3,4])
C1744706 (UMLS CUI [4,1])
C0299792 (UMLS CUI [4,2])
C0178602 (UMLS CUI [4,3])
C1514721 (UMLS CUI [4,4])
Venlafaxine Dosage | Aripiprazole Dosage | Disease Response failed
Item
8. failure to respond to at least 6 weeks of venlafaxine (>225 mg/d) plus aripiprazole (>10 mg/d).
boolean
C0078569 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
C0299792 (UMLS CUI [2,1])
C0178602 (UMLS CUI [2,2])
C1704632 (UMLS CUI [3,1])
C0231175 (UMLS CUI [3,2])
Lacking Able to communicate English Language
Item
9. inability to communicate in english (i.e., interview cannot be conducted without an interpreter; subject largely unable to understand questions and cannot respond in english).
boolean
C0332268 (UMLS CUI [1,1])
C2364293 (UMLS CUI [1,2])
C0376245 (UMLS CUI [1,3])
Hypesthesia | Hearing impairment
Item
10. non-correctable clinically significant sensory impairment (i.e., cannot hear well enough to cooperate with interview)
boolean
C0020580 (UMLS CUI [1])
C1384666 (UMLS CUI [2])
Disease Unstable | Delirium | Diabetic - poor control | Hypertensive disease | Hyperlipidemia | Risk factors Cerebrovascular | Cardiovascular risk factor
Item
11. unstable medical illness, including delirium, uncontrolled diabetes mellitus, hypertension, hyperlipidemia, or cerebrovascular or cardiovascular risk factors that are not under medical management. this will be determined based on information from the patient's personal physician's and study physician clinical judgment. referral to the patient's personal physician or to a general practitioner will be made in these cases.
boolean
C0012634 (UMLS CUI [1,1])
C0443343 (UMLS CUI [1,2])
C0011206 (UMLS CUI [2])
C0421258 (UMLS CUI [3])
C0020538 (UMLS CUI [4])
C0020473 (UMLS CUI [5])
C0035648 (UMLS CUI [6,1])
C1880018 (UMLS CUI [6,2])
C0850624 (UMLS CUI [7])
Psychotropic Drugs Discontinuation Unsuccessful | Monoamine Oxidase Inhibitors To be stopped | Antidepressive Agents | Atypical antipsychotic | Exception Amitriptyline Low dose | Venlafaxine Therapeutic procedure failed | Benzodiazepines allowed | Lorazepam Equivalent allowed | Sedative-hypnotics allowed | Zolpidem allowed | Zaleplon allowed | Eszopiclone allowed | Gabapentin Indication Neuropathy allowed
Item
12. subjects taking psychotropic medications that cannot be safely tapered or discontinued prior to study initiation: this would include patients on monoamine oxidase inhibitors (maoi) who would need to be off the maoi for 14 days to be eligible for the study to avoid adverse drug interactions. patients will not be allowed to take antidepressant or atypical antipsychotic medication other than the study medication, unless it is a low dose antidepressant prescribed for chronic pain that would not be medically advisable to stop (e.g., amitryptyline 50mg). if a patient's depression is adequately treated on his/her psychotropic medication, he/she would not be eligible for the study. if a patient failed a trial of venlafaxine (12 weeks of treatment with venlafaxine including at least 6 weeks on 300mg/day), he/she would not be eligible. the following are allowed: benzodiazepines up to 2mg/d lorazepam equivalent; other sedative-hypnotics (e.g., zolpidem, zaleplon, eszopiclone); gabapentin if prescribed for non-psychiatric indication (e.g., neuropathy). except for maois, there is really no clinical rationale to exclude patients on specific concomitant medications unless they are medically unstable (in which case they are excluded from participation). as noted, patients on an maoi would need to be off the maoi for 14 days to protect from adverse drug interactions.
boolean
C0033978 (UMLS CUI [1,1])
C1444662 (UMLS CUI [1,2])
C1272705 (UMLS CUI [1,3])
C0026457 (UMLS CUI [2,1])
C1272691 (UMLS CUI [2,2])
C0003289 (UMLS CUI [3])
C1276996 (UMLS CUI [4])
C1705847 (UMLS CUI [5,1])
C0002600 (UMLS CUI [5,2])
C0445550 (UMLS CUI [5,3])
C0078569 (UMLS CUI [6,1])
C0087111 (UMLS CUI [6,2])
C0231175 (UMLS CUI [6,3])
C0005064 (UMLS CUI [7,1])
C0683607 (UMLS CUI [7,2])
C0024002 (UMLS CUI [8,1])
C0205163 (UMLS CUI [8,2])
C0683607 (UMLS CUI [8,3])
C0020592 (UMLS CUI [9,1])
C0683607 (UMLS CUI [9,2])
C0078839 (UMLS CUI [10,1])
C0683607 (UMLS CUI [10,2])
C0251504 (UMLS CUI [11,1])
C0683607 (UMLS CUI [11,2])
C1436328 (UMLS CUI [12,1])
C0683607 (UMLS CUI [12,2])
C0060926 (UMLS CUI [13,1])
C3146298 (UMLS CUI [13,2])
C0442874 (UMLS CUI [13,3])
C0683607 (UMLS CUI [13,4])