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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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Functional plasticity of the dorsomedial prefrontal cortex in depression reorganized by electroconvulsive therapy: Validation in two independent samples.

TL;DR: Findings provide relatively strong evidence to support the functional plasticity of the dorsomedial prefrontal cortex and reorganization by ECT, which may underlie the antidepressive effect of ECT.
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Melatonin synergizes with citalopram to induce antidepressant-like behavior and to promote hippocampal neurogenesis in adult mice.

TL;DR: Results indicate that the MLTCITAL combination exerts synergism to induce an antidepressant‐like action that could be related to the modulation of adult hippocampal neurogenesis and supports the use of the ML TCITAL combination as an alternative to treat depression.
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Venlafaxine Improves the Cognitive Impairment and Depression-Like Behaviors in a Cuprizone Mouse Model by Alleviating Demyelination and Neuroinflammation in the Brain.

TL;DR: It is shown that a high dose of venlafaxine alleviated the loss of myelin and oligodendrocytes, mitigated depression-like behaviors, and improved cognitive function in cuprizone-fed animals, suggesting that venl Lafaxine may exert its therapeutic effects via facilitating myelin integrity and controlling neuroinflammation.
Journal ArticleDOI

Maintained superiority of chronotherapeutics vs. exercise in a 20-week randomized follow-up trial in major depression.

TL;DR: To investigate the long‐term antidepressant effect of a chronotherapeutic intervention, a large number of subjects were randomly assigned to either the ‘good’ or ‘bad’ groups during the study period.
Journal ArticleDOI

Comparative efficacy and acceptability of neuromodulation procedures in the treatment of treatment-resistant depression: a network meta-analysis of randomized controlled trials.

TL;DR: In this article, the authors performed a network meta-analysis on 49 trials with 2,941 patients and found that bilateral theta burst stimulation (TBS) had the potential to be the most efficacious neuromodulation 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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