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  • Objective: This randomized, 6-week, open-label study compared efficacy of CAD and antidepressant monotherapies (ADM) that had been chosen according to clinical judgment of the attending psychiatrist. Methods: A total of 60 inpatients (intent-to-treat analysis) with depressive disorder (>= 1 unsuccessful antidepressant treatment) were randomly assigned to the interventions. The responders who completed the acute phase of study, were evaluated for relapse within 2 months of follow-up treatment. The primary outcome measure was change in the Montgomery-Asberg Depression Rating Scale (MADRS) and response was defined as a >= 50% reduction of MADRS score. Results: Mean changes in total MADRS score from baseline to week 6 for patients in both treatment modalities were not different (ADM = 13.2 +- 8.6 points; CAD = 14.5 +- 9.5 points; P = 0.58). The analysis of covariance performed for significantly higher value of imipramine equivalent dose in CAD group showed only a non-significant between-group difference for total MADRS change (P = 0.17). There were also no differences between groups in response rate (ADM = 48%; CAD = 58%) and number of drop-outs in acute treatment as well as proportion of responders' relapses in the follow-up. Conclusions: Both treatment modalities produced clinically relevant reduction of depressive symptomatology in acute treatment of patients with resistant depression and their effect was comparable.
  • Objective: This randomized, 6-week, open-label study compared efficacy of CAD and antidepressant monotherapies (ADM) that had been chosen according to clinical judgment of the attending psychiatrist. Methods: A total of 60 inpatients (intent-to-treat analysis) with depressive disorder (>= 1 unsuccessful antidepressant treatment) were randomly assigned to the interventions. The responders who completed the acute phase of study, were evaluated for relapse within 2 months of follow-up treatment. The primary outcome measure was change in the Montgomery-Asberg Depression Rating Scale (MADRS) and response was defined as a >= 50% reduction of MADRS score. Results: Mean changes in total MADRS score from baseline to week 6 for patients in both treatment modalities were not different (ADM = 13.2 +- 8.6 points; CAD = 14.5 +- 9.5 points; P = 0.58). The analysis of covariance performed for significantly higher value of imipramine equivalent dose in CAD group showed only a non-significant between-group difference for total MADRS change (P = 0.17). There were also no differences between groups in response rate (ADM = 48%; CAD = 58%) and number of drop-outs in acute treatment as well as proportion of responders' relapses in the follow-up. Conclusions: Both treatment modalities produced clinically relevant reduction of depressive symptomatology in acute treatment of patients with resistant depression and their effect was comparable. (en)
Title
  • Antidepressant monotherapy compared with combinations of antidepressants in the treatment of resistant depressive patients: A randomized, open-label study
  • Antidepressant monotherapy compared with combinations of antidepressants in the treatment of resistant depressive patients: A randomized, open-label study (en)
skos:prefLabel
  • Antidepressant monotherapy compared with combinations of antidepressants in the treatment of resistant depressive patients: A randomized, open-label study
  • Antidepressant monotherapy compared with combinations of antidepressants in the treatment of resistant depressive patients: A randomized, open-label study (en)
skos:notation
  • RIV/00023752:_____/13:43914159!RIV14-MZ0-00023752
http://linked.open...avai/predkladatel
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I, P(NS10368), S
http://linked.open...iv/cisloPeriodika
  • 1
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
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  • 61396
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  • RIV/00023752:_____/13:43914159
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  • combination of antidepressants; treatment, antidepressant monotherapy; resistant depression (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • GB - Spojené království Velké Británie a Severního Irska
http://linked.open...ontrolniKodProRIV
  • [6BD56CD6C9C6]
http://linked.open...i/riv/nazevZdroje
  • International Journal of Psychiatry in Clinical Practice
http://linked.open...in/vavai/riv/obor
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http://linked.open...vavai/riv/projekt
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http://linked.open...v/svazekPeriodika
  • 17
http://linked.open...iv/tvurceVysledku
  • Bareš, Martin
  • Höschl, Cyril
  • Kopeček, Miloslav
  • Kožený, Jiří
  • Novák, Tomáš
  • Stopková, Pavla
  • Čermák, Jan
http://linked.open...ain/vavai/riv/wos
  • 000314536800007
issn
  • 1365-1501
number of pages
http://bibframe.org/vocab/doi
  • 10.3109/13651501.2012.674533
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