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5 posts tagged with psychiatry and antidepressants. (View popular tags)
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Falling STAR*D?

Falling STAR*D?: It is common practice for psychiatrists to switch depressive patients between different antidepressants if their current drug does not evince a symptomatic response. Despite clinical wisdom supporting this, little empirical, controlled evidence exists to direct “switching” protocols (e.g. if a patient with Z characteristics is on drug X, is it usually better to switch to drug A, B, or C? Will switching help at all?) in the psychopharmacological treatment of depression. The NIMH-funded STAR*D (Sequenced Alternatives to Relieve Depression) study aimed to address these questions of treatment direction in a very large (n>4000), “real-world” sample using a multi-phase treatment plan with different drugs (and cognitive therapy) at every step to maximize chances of eventual remission. Overall, the NIMH reported that about 67% of patients eventually achieved remission, with few differences in effectiveness between different types of treatment at each step. However, researchers and commentators have raised concerns regarding inconsistent reporting of outcomes, after-the-fact changes in study design and analysis, and other issues that may have inflated, partially invalidated, or misrepresented widely reported treatment outcomes. These inequities may also have implications for the secondary moderator analyses (i.e. does trait A predict switching to X or Y is better?) that were a major reason for the study. [more inside]
posted by Keter on Jan 14, 2012 - 12 comments

Placebos

Placebos Are Getting More Effective. Drugmakers Are Desperate to Know Why.
posted by homunculus on Aug 25, 2009 - 106 comments

Coming of Age on Antidepressants

Who Are We? Coming of Age on Antidepressants. [Via Mind Hacks.] [more inside]
posted by homunculus on Apr 16, 2008 - 49 comments

Anti-depressants, Serotonin and Depression

"Researchers found that failing to publish negative findings inflated the reported effectiveness of all 12 of the antidepressants studied." See also: Serotonin and Depression: A Disconnect between the Advertisements and the Scientific Literature. [more inside]
posted by OmieWise on Jan 17, 2008 - 137 comments

Seven Interview with Foster Children

I took my video camera to a Foster Care Alumni meeting and asked seven foster kids to tell me about there experiences in Child Protective Services while wards of the state: Tristen, Andrew, Kyle, Aisha, Elnita, Ashley, Joshua. [more inside]
posted by chunking express on Dec 29, 2007 - 22 comments

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