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Journal ArticleDOI

Acute and Longer- Term Outcomes in Depressed Outpatients Requiring One or Several Treatment Steps: A STAR*D Report

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TLDR
The acute and longer-term treatment outcomes associated with each of four successive steps in the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) trial are described and compared.
Abstract
Objective: This report describes the participants and compares the acute and longer-term treatment outcomes associated with each of four successive steps in the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) trial. Method: A broadly representative adult outpatient sample with nonpsychotic major depressive disorder received one (N=3,671) to four (N=123) successive acute treatment steps. Those not achieving remission with or unable to tolerate a treatment step were encouraged to move to the next step. Those with an acceptable benefit, preferably symptom remission, from any particular step could enter a 12-month naturalistic follow-up phase. A score of ≤5 on the Quick Inventory of Depressive Symptomatology–Self-Report (QIDS-SR 16 ) (equivalent to ≤7 on the 17-item Hamilton Rating Scale for Depression [HRSD 17 ]) defined remission; a QIDS-SR 16 total score of ≥11 (HRSD 17 ≥14) defined relapse. Results: The QIDS-SR 16 remission rates were 36.8%, 30.6%, 13.7%, and 13.0% for the first, second, t...

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Citations
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Journal ArticleDOI

A randomized, sham-controlled study of maintenance rTMS for treatment-resistant depression (TRD).

TL;DR: Repetitive TMS could represent a novel strategy for preventing relapse in TRD patients who respond to rTMS treatment and should be confirmed in a larger sample.
Journal ArticleDOI

Venlafaxine pharmacokinetics focused on drug metabolism and potential biomarkers

TL;DR: This review provides an extensive discussion of the pharmacokinetics of VEN focusing in particular on metabolism issues, without forgetting the clinically relevant sources of pharmacokinetic variability and aiming on the identification of phenotypic and/or genetic biomarkers for therapy optimization.
Journal ArticleDOI

Negative association of concomitant physical symptoms with the course of major depressive disorder: a systematic review

TL;DR: A systematic review of major depressive disorder studies shows a negative association of concomitant physical symptoms with the course of MDD, but the number of studies addressing this topic is small and there was a wide variation in the study designs and outcome measures.
References
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Journal ArticleDOI

Cumulative illness rating scale.

TL;DR: A Cumulative Illness Rating Scale, designed to meet the need for a brief, comprehensive and reliable instrument for assessing physical impairment, has been developed and tested and is well suited to a variety of research uses.
Journal ArticleDOI

The Inventory of Depressive Symptomatology (IDS): Psychometric properties.

TL;DR: Analysis of sensitivity to change in symptom severity in an open-label trial of fluoxetine showed that the IDs-C and IDS-SR were highly related to the 17-item Hamilton Rating Scale for Depression.
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