Depressed patients should be allowed to choose their treatment

March 29, 2001

Antidepressant drugs and generic counselling for treatment of major depression in primary care: randomised trial with patient preference arms

Editorial: Managing depression in primary care

Generic counselling appears to be as effective as antidepressant drugs for major depression, although patients given drugs may recover more quickly, according to a study in this week's BMJ.

The findings also shows that, given a choice, patients who opt for counselling may benefit more than those with no strong preference and therefore GPs should allow patients to have their preferred treatment.

Over 100 depressed patients were randomly allocated either antidepressants or counselling and a further 220 patients were given their choice of treatment. After 12 months, the two methods were equally effective, although patients treated with antidepressants recovered more quickly than those receiving counselling did. Most patients who were given a choice opted for counselling, and these patients did better than those randomised to counselling.

Despite some study limitations, the authors recommend that general practitioners should allow patients to have their choice of treatment.
-end-
Contact:

Dr Richard Churchill, University of Nottingham Medical School, Queen's Medical Centre, Nottingham, UK Email: dick.churchill@nottingham.ac.uk

BMJ

Related Antidepressants Articles from Brightsurf:

Measuring brainwaves while sleeping can tell if you should switch antidepressants
Scientists have discovered that measuring brainwaves produced during REM sleep can predict whether a patient will respond to treatment from depression.

Antibodies: the body's own antidepressants
Antibodies can be a blessing or a curse to the brain -- it all depends on their concentration.

Are some antidepressants less risky for pregnant women?
About one in ten women in Qu├ębec will suffer from depression during pregnancy.

The effect of taking antidepressants during pregnancy
Exposure to antidepressants during pregnancy and the first weeks of life can alter sensory processing well into adulthood, according to research in mice recently published in eNeuro.

Significantly fewer pregnant women take antidepressants
A pregnancy is not always a happy event and as many as 10-15% of pregnant women in Denmark have depressive symptoms.

Antidepressants reduce deaths by more than a third in patients with diabetes
Antidepressants reduce deaths by more than a third in patients with diabetes and depression, according to a study published in the Endocrine Society's Journal of Clinical Endocrinology & Metabolism.

Antidepressants can reduce the empathic empathy
Depression is a disorder that often comes along with strong impairments of social functioning.

Possible link between autism and antidepressants use during pregnancy
An international team led by Duke-NUS Medical School has found a potential link between autistic-like behaviour in adult mice and exposure to a common antidepressant in the womb.

When neurons are out of shape, antidepressants may not work
Selective serotonin reuptake inhibitors (SSRIs) are the most commonly prescribed medication for major depressive disorder (MDD), yet scientists still do not understand why the treatment does not work in nearly thirty percent of patients with MDD.

Next-generation metabolomics may facilitate the discovery of new antidepressants
Antidepressants have become one of the most commonly prescribed drugs.

Read More: Antidepressants News and Antidepressants Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.