Evidence-Based Somatic Treatment of Depression in Adults

被引:7
|
作者
Carlat, Daniel [1 ]
机构
[1] Tufts Univ, Sch Med, Dept Psychiat, Boston, MA 02111 USA
关键词
Antidepressants; Selective serotonin reuptake inhibitors; Serotonin-norepinephrine reuptake inhibitors; Efficacy studies; STAR-D trial; STAR-ASTERISK-D; ANTIDEPRESSANTS; EFFICACY; METAANALYSIS; VENLAFAXINE; SEVERITY; BENEFITS; TRIALS;
D O I
10.1016/j.psc.2011.11.002
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
This article reviews recent studies and controversies about the effectiveness of antidepressant medications for depression. It is divided into three broad topics: (1) the heated controversy regarding how one should interpret "efficacy studies" of antidepressants, that is, the standard placebo-controlled double-blind studies used by drug companies to gain Food and Drug Administration approval; (2) "effectiveness studies," open-label studies enrolling types of patients who are excluded from efficacy studies, focusing on one enormous study in particular-the STAR-D trial; and (3) the evidence base that can guide clinicians in the choice of antidepressants for particular patients.
引用
收藏
页码:131 / +
页数:13
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