Treatment of residual anxiety symptoms with adjunctive aripiprazole in depressed patients taking selective serotonin reuptake inhibitors.

作者: David E. Adson , Matt G. Kushner , Tamara A. Fahnhorst

DOI: 10.1016/J.JAD.2004.11.007

关键词:

摘要: Abstract Background Depression and anxiety are common disorders have substantially overlapping symptom complexes. Not surprisingly, treatment approaches similar for both conditions with the selective serotonin reuptake inhibitors (SSRIs) as initial therapy of choice. However, after first line treatments been deployed, residual symptoms often problematic. Augmentation strategies to address these difficulties an area active investigation. This study assessed aripiprazole adjunctive SSRIs patients persistent complicating a depression or disorder. Methods Ten who had receiving at least 6 weeks, but still clinically significant symptoms, were enrolled in open label, flexibly-dosed aripiprazole. Clinical status was Hamilton Anxiety Rating Scale (HAM-A), Montgomery Asberg (MADRS), Sheehan Disability (SDS). Results Eighty percent subjects greater than 50% reduction on outcome measures by week 2 therapy, continued further decrements throughout course study. Conclusions The results this trial provide preliminary evidence that may be effective individuals depression. More rigorous double-blind studies warranted confirm elucidate potential role conditions.

参考文章(21)
Stephen M. Stahl, Don't ask, don't tell, but benzodiazepines are still the leading treatments for anxiety disorder. The Journal of Clinical Psychiatry. ,vol. 63, pp. 756- 757 ,(2002) , 10.4088/JCP.V63N0901
J. Rabkin, S. Ferrando, K. McKinnon, M. Halman, J. C. Markowitz, S. Batki, T. S. Jones, L. Hartmann, C. Bell, E. Horwath, C. L. Beaudin, W. M. Greenberg, E. F. McCance-Katz, P. A. Bialer, P. Ruiz, M. Hughes, B. Warren, A. Berkman, S. Chuck, J. Atkinson, J. L. Worth, L. Siegel, R. Broadbent, A. Feingold, C. H. Blackinton, M. Blaustein, J. Gorman, S. Haikalis, D. E. Lyon, C. A. Kennedy, N. V. Juthani, N. A. Clemens, D. Rosmarin, C. Zilber, M. L. Wainberg, L. Y. Kline, R. Kertzner, R. R. Koegler, P. Ross, R. Stasko, D. Hicks, J. Kobayashi, Z. Labins, R. P. Cabaj, R. M. Hendrickson, M. T. Brady, M. Bennett, T. Kosten, J. T. Thornhill, W. R. Tatomer, A. Herzog, D. Davis, S. A. Epstein, W. Breitbart, P. R. Muskin, J. S. Janofsky, G. J. Treisman, Background information and treatment recommendations for patients with HIV/AIDS American Journal of Psychiatry. ,vol. 157, pp. 1- 62 ,(2000)
Michael E Thase, Effectiveness of antidepressants: comparative remission rates. The Journal of Clinical Psychiatry. ,vol. 64, pp. 3- 7 ,(2003)
Michael E. Thase, New approaches to managing difficult-to-treat depressions. The Journal of Clinical Psychiatry. ,vol. 64, pp. 3- 4 ,(2003)
Mark H. Rapaport, Prevalence, recognition, and treatment of comorbid depression and anxiety. The Journal of Clinical Psychiatry. ,vol. 62, pp. 6- 10 ,(2001)
Matthew Menza, Humberto Marin, Rachel Sokol Opper, Residual symptoms in depression: can treatment be symptom-specific? The Journal of Clinical Psychiatry. ,vol. 64, pp. 516- 523 ,(2003) , 10.4088/JCP.V64N0504
Shigehiro Hirose, Charles R. Ashby, An open pilot study combining risperidone and a selective serotonin reuptake inhibitor as initial antidepressant therapy. The Journal of Clinical Psychiatry. ,vol. 63, pp. 733- 736 ,(2002) , 10.4088/JCP.V63N0812
Robert F. Krueger, Thomas M. Piasecki, Toward a dimensional and psychometrically-informed approach to conceptualizing psychopathology. Behaviour Research and Therapy. ,vol. 40, pp. 485- 499 ,(2002) , 10.1016/S0005-7967(02)00016-5
James G. Barbee, Erich J. Conrad, Nowal J. Jamhour, The effectiveness of olanzapine, risperidone, quetiapine, and ziprasidone as augmentation agents in treatment-resistant major depressive disorder. The Journal of Clinical Psychiatry. ,vol. 65, pp. 975- 981 ,(2004) , 10.4088/JCP.V65N0714
Dan J. Stein, Herman G. M. Westenberg, Michael R. Liebowitz, Social anxiety disorder and generalized anxiety disorder: serotonergic and dopaminergic neurocircuitry. The Journal of Clinical Psychiatry. ,vol. 63, pp. 12- 19 ,(2002)