萧条(经济学)
精神科
抗抑郁药
医学
药物治疗
荟萃分析
心理学
心理治疗师
内科学
焦虑
经济
宏观经济学
作者
Andrew A. Nierenberg,Andrew C. Leon,Lawrence H. Price,Richard C. Shelton,Madhukar H. Trivedi
标识
DOI:10.4088/jcp.10035tx2c
摘要
Article AbstractAndrew A. Nierenberg, MD, assembled a group of experts to discuss recent research and lay media reports about the safety and efficacy of antidepressants for treating mild-to-moderate depression, including recent controversy surrounding antidepressant-related suicidality. The panel agreed that the data regarding the efficacy of antidepressants are complex, making it easy to misinterpret meta-analysis results. Additionally, the issue of suicidality is quite complicated, but the risk is not great enough to abandon the use of antidepressants, although patients should be monitored carefully. The panel discussed that patients who have mild or moderate depression may benefit from receiving evidence-based psychotherapy first, instead of antidepressants. The panel stressed that additional research and novel treatments are needed to improve outcomes for patients with depression. However, measurement-based pharmacotherapy is an effective tool for helping many patients with depression achieve remission and recovery. Clear communication with the public, the media, and nonpsychiatric clinicians about the safety and efficacy of antidepressants will encourage those who need treatment to seek it. See the entire activity.
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