Effectiveness and safety of long-term antidepressant treatment in bipolar disorder

被引:106
|
作者
Ghaemi, SN
Lenox, MS
Baldessarini, RJ
机构
[1] Harvard Univ, Sch Med, Consoidated Dept Psychit, Boston, MA USA
[2] Harvard Univ, Sch Med, Int Consortium Bipolar Disorders Res, Boston, MA USA
[3] Cambridge Hosp, Bipolar Disorder Res Program, Cambridge, MA 02139 USA
[4] Cambridge Hosp, Psychopharmacol Program, Cambridge, MA 02139 USA
[5] Massachusetts Gen Hosp, Bipolar & Psychot Disorders Program, Belmont, MA USA
[6] Massachusetts Gen Hosp, Psychopharmacol Program, Belmont, MA USA
[7] Massachusetts Gen Hosp, Psychiat Res Labs, McLean Div, Belmont, MA USA
关键词
D O I
10.4088/JCP.v62n07a12
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: We sought to review research on use of antidepressants for long-term treatment of bipolar depression. Method: We conducted a computerized literature search of the MEDLINE, HealthStar, Current Contents, PsychInfo, and National Library of Medicine databases to identify studies involving antidepressant, anticonvulsant, or lithium use in bipolar disorder or manic-depressive illness published from 1966 through 2000. Results: Only 7 blinded, controlled trials of long-term antidepressant treatment in bipolar disorders were found. The available information is not adequate to support the safety or effectiveness of long-term antidepressant treatment for bipolar depression, with or without mood-stabilizing cotherapy. Conclusion: Antidepressant treatment of bipolar depression is extraordinarily understudied. Controlled trials comparing specific antidepressants, particularly to compare mood-stabilizing agents given alone and combined with an antidepressant, are needed.
引用
收藏
页码:565 / 569
页数:6
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