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20 - References

References

Depression and anxiety disorders CHAPTER 3 References

  1. Dunner DL, et al. Prospective, long-­term, multicenter study of the naturalistic outcomes of patients with treatment-­resistant depression. J Clin Psychiatry 2006; 67:688–695.
  2. Wooderson SC, et  al. Prospective evaluation of specialist inpatient treatment for refractory affective disorders. J Affect Disord 2011; 131:92–103.
  3. Fekadu A, et al. What happens to patients with treatment-­resistant depression? A systematic review of medium to long term outcome studies. J Affect Disord 2009; 116:4–11.
  4. Trivedi MH, et al. Clinical results for patients with major depressive disorder in the Texas Medication Algorithm Project. Arch Gen Psychiatry 2004; 61:669–680.
  5. Fekadu A, et al. A multidimensional tool to quantify treatment resistance in depression: the Maudsley staging method. J Clin Psychiatry 2009; 70:177–184.
  6. Fekadu A, et al. The Maudsley staging method for treatment-­resistant depression: prediction of longer-­term outcome and persistence of symptoms. J Clin Psychiatry 2009; 70:952–957.
  7. Angst J, et al. Toward a re-­definition of subthreshold bipolarity: epidemiology and proposed criteria for bipolar-­II, minor bipolar disorders and hypomania. J Affect Disord 2003; 73:133–146.
  8. Smith DJ, et al. Unrecognised bipolar disorder in primary care patients with depression. British Journal of Psychiatry 2011; 199:49–56.
  9. Sidor MM, et al. Antidepressants for the acute treatment of bipolar depression: a systematic review and meta-­analysis. J Clin Psychiatry 2011; 72:156–167.
  10. Taylor DM, et al. Comparative efficacy and acceptability of drug treatments for bipolar depression: a multiple-­treatments meta-­analysis. Acta Psychiatr Scand 2014; 130:452–469.
  11. Cosgrove L, et al. Reconceptualising treatment-­resistant depression as difficult-­to-­treat depression. Lancet Psychiatry 2021; 8:11–13.
  12. Rush AJ, et al. Difficult-­to-­treat depression: a clinical and research roadmap for when remission is elusive. Aust N Z J Psychiatry 2019; 53:109–118.
  13. Trivedi MH, et al. Evaluation of outcomes with citalopram for depression using measurement-­based care in STARD: implications for ­clinical practice. Am J Psychiatry 2006; 163:28–40. Table 3.3  (Continued ) Treatment Advantages Disadvantages Combine olanzapine and fluoxetine31 6.25–12.5mg + 25–50mg daily (US licensed dose) ■ ■Well researched ■ ■Usually well tolerated ■ ■Olanzapine + TCA may also be effective32 ■ ■Olanzapine alone may be effective33,34 ■ ■Risk of weight gain ■ ■Limited clinical experience outside USA ■ ■Most data relate to bipolar depression Add quetiapine25,26 (150mg or 300mg a day) to SSRI/SNRI ■ ■Good evidence base ■ ■Usually well tolerated ■ ■Plausible explanation for antidepressant effect ■ ■Possibly more effective than lithium ■ ■Dry mouth, sedation, constipation can be problematic ■ ■Weight gain risk in the longer term SSRI + bupropion35–40 up to 400mg/day ■ ■Well tolerated ■ ■May improve sexual adverse effects ■ ■Not licensed for depression in the UK SSRI or venlafaxine
  • mianserin (30mg/day) or mirtazapine40,41 (30–45mg/day) ■ ■Recommended by NICE ■ ■Usually well tolerated ■ ■Widely used ■ ■Theoretical risk of serotonin syndrome (inform patient) ■ ■Risk of blood dyscrasia with mianserin ■ ■Weight gain and sedation with mirtazapine ■ ■One RCT showed no advantage for mirtazapine added to SSRI/SNRIs42 * 5mg + 20mg rising to 10mg + 40mg seems reasonable where combination formulations not available. TCA, tricyclic antidepressant.

350 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 3 14. Pigott HE, et al. Efficacy and effectiveness of antidepressants: current status of research. Psychother Psychosom 2010; 79:267–279. 15. Pigott HE. The STARD trial: it is time to reexamine the clinical beliefs that guide the treatment of major depression. Can J Psychiatry 2015; 60:9–13. 16. Pigott HE, et al. What are the treatment remission, response and extent of improvement rates after up to four trials of antidepressant therapies in real-­world depressed patients? A reanalysis of the STARD study’s patient-­level data with fidelity to the original research protocol. BMJ Open 2023; 13:e063095. 17. Marcus RN, et al. The efficacy and safety of aripiprazole as adjunctive therapy in major depressive disorder: a second multicenter, randomized, double-­blind, placebo-­controlled study. J Clin Psychopharmacol 2008; 28:156–165. 18. Hellerstein DJ, et al. 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