RELATIONSHIP OF DOSE TO ANTIDEPRESSANT PROPHYLACTIC EFFICACY

被引:13
作者
PESELOW, ED
DIFIGLIA, C
FIEVE, RR
机构
[1] FDN DEPRESS & MANIC DEPRESS, NEW YORK, NY USA
[2] NYU, SCH MED, NEW YORK, NY 10003 USA
[3] NEW YORK STATE PSYCHIAT INST & HOSP, NEW YORK, NY 10032 USA
关键词
ANTIDEPRESSANT DRUG; PROPHYLAXIS; MAINTENANCE TREATMENT; IMIPRAMINE; AMITRIPTYLINE;
D O I
10.1111/j.1600-0447.1991.tb03197.x
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
We studied 75 patients on prophylactic antidepressants (imipramine or amitriptyline) to examine the effect of antidepressant dose on long-term prophylaxis of depression and to see whether lowering the dose during the prophylactic period affected subsequent relapse. There was no statistically significant difference in maintenance and prophylactic doses between the group that completed the 2 years free of a depressive episode, the group that had a depressive relapse and the group that dropped out of treatment before the end of the prophylactic period. However, the group that completed the 2 years free of a depressive episode had significantly less of a difference between the maintenance and prophylactic doses than the other 2 groups. Overall, 11/31 who remained on the same dose during the prophylactic period vs the maintenance period relapsed vs 17/25 who had their dose lowered during the prophylactic period vs the maintenance period. This difference was statistically significant.
引用
收藏
页码:571 / 574
页数:4
相关论文
共 17 条
[11]  
KLERMAN GL, 1990, ARCH GEN PSYCHIAT, V47, P1158
[12]  
PESELOW ED, 1990, LITHIUM, V1, P115
[13]  
PRIEN RF, 1984, ARCH GEN PSYCHIAT, V41, P1096
[14]  
PRIEN RF, 1973, ARCH GEN PSYCHIAT, V28, P337
[15]  
PRIEN RF, 1987, PSYCHOPHARMACOLOGY 3, P1051
[16]  
QUITKIN F, 1978, AM J PSYCHIAT, V135, P570
[17]   RESEARCH DIAGNOSTIC CRITERIA - RATIONALE AND RELIABILITY [J].
SPITZER, RL ;
ENDICOTT, J ;
ROBINS, E .
ARCHIVES OF GENERAL PSYCHIATRY, 1978, 35 (06) :773-782