- 作者：Reiji Yoshimura ; Taro Kishi ; Hikaru Hori ; Atsuko Ikenouchi-Sugita ; Asuka Katsuki ; Wakako Umene-Nakano ; Nakao Iwata ; Jun Nakamura
- 关键词：HAMD ; Hamilton Rating Scale for Depression ; SAS ; Simpson and Angus Scale ; SSRI ; selective serotonin reuptake inhibitor
- 刊名：Progress in Neuro-Psychopharmacology and Biological Psychiatry
- 出版年：2012
- 出版时间：3 December, 2012
- 年：2012
- 卷：39
- 期：2
- 页码：355-357
- 全文大小：233 K
Objective
Only two-thirds of depressive patients respond to antidepressant treatment. In recent years, addition of an atypical antipsychotic drug to ongoing treatment with an antidepressant has been considered effective and well-tolerated. In the present study, we compared the efficacy between paroxetine and sertraline augmented with aripiprazole in patients with refractory major depression.Subjects and methods
Twenty-four patients who met the DSM-IV criteria for major depressive disorder who did not at least two different classes of antidepressants were enrolled in the study. Nine were male and thirteen were female, and their ages ranged from 28 to 66 (mean ¡À SD = 39 ¡À 12) years. Patients were prescribed paroxetine (n = 11) or sertraline (n = 13) for 4 weeks. Then, those whose scores on the 17-item Hamilton Rating Scale for Depression (HAMD17) decreased below 50 % received adjunctive therapy of aripiprazole for 4 weeks.
Results
Although the use of either combination treatment decreased the HAMD17 scores compared to the respective monotherapy, there was no significant difference in HAMD17 scores between the paroxetine plus aripiprazole group and sertraline plus aripiprazole group.
Conclusion
Aripiprazole augmentation therapy with paroxetine or sertraline was equally effective and tolerated in patients with refractory major depressive order.