Loading ...
Sorry, an error occurred while loading the content.

14559About Depression

Expand Messages
  • jtwagers7@aol.com
    May 31, 2004
    • 0 Attachment
      Hi everyone. If you're being treated for depression and haven't responded
      well to the therapy, you're not alone -- according to new study. (Of course
      there is always a "new study" to confuse us just a little more -- lol).

      I found this study particularly interesting, though, since I was one who
      never responded to treatment for depression, and since I am one who thinks AntiD's
      made my symptoms of chronic fatigue and mental status changes worse.



      Health - Reuters

      Many Fail to Recover with Depression Treatment

      Mon May 31, 2004, 11:55 AM ET

      By Amy Norton

      NEW YORK (Reuters Health) -

      Many people who receive standard therapy for
      depression still suffer from the condition up to two years after starting
      treatment, a new study suggests.

      The study, which involved more than 1,200 patients diagnosed with depression
      at 46 U.S. primary care centers, found that nearly half of those who
      received "at least minimally appropriate" depression treatment did not

      Minimally appropriate care meant that over a six-month period, patients had
      at least four therapy sessions or spent two months or more on
      antidepressants. Of patients in the study, 542 received at least this level
      of care; however, 261 of them failed to recover after two rounds of
      minimally appropriate treatment.

      The findings show that despite the availability of therapies that have been
      proven effective, there remains a group of patients with particularly
      hard-to-treat depression, according to Dr. Catherine Sherbourne of the
      research organization RAND Corporation in Santa Monica, California.

      "What we need is more research on the most effective way to treat this
      group," Sherbourne told Reuters Health.

      She and her colleagues report their findings in the journal General Hospital

      While fewer than half of all patients in the study received what the
      researchers deemed minimally adequate care, lack of trying does not seem to
      explain the nearly 50-percent rate of non-response among patients who did
      get this level of care.

      According to Sherbourne's team, patients with persistent depression appeared
      to be receiving more-aggressive treatment -- with, for example, 15 percent
      being prescribed both drugs and therapy during each of the three six-month
      periods the study assessed. That compares with only three percent of
      patients who did respond to treatment.

      It seems, the researchers write, that patients with persistent depression
      and their doctors "were searching for solutions."
      Still, according to Sherbourne, it may be that more of these patients need a
      combination of medications and therapy, ongoing assessments by their
      doctors, or referrals to specialists.

      The researchers also found that three patient characteristics made treatment
      failure more likely: suicidal thoughts, unemployment and lack of adherence
      to medication.

      Suicidal thoughts denote more severe depression, Sherbourne explained, and
      lack of work could be a sign of poor functioning in daily life. As for
      non-compliance with drugs, she noted, side effects are often to blame when
      patients stop taking their medication before they should.

      All of these factors could make a person's depression particularly hard to
      treat, according to Sherbourne.

      Doctors should be "alert" for the broad range of factors from mental and
      physical health to daily life stress, she and her colleagues conclude, which
      could affect depression treatment.

      SOURCE: General Hospital Psychiatry, March-April 2004.

      [Non-text portions of this message have been removed]