Prescribing antidepressants for depression: time to be dimensional and inclusive

British Journal of General Practice

Ian M Anderson¹  Peter M Haddad¹ 

[1] Neuroscience and Psychiatry Unit, School of Community Based Medicine, Faculty of Medical and Human Sciences, University of Manchester, Manchester

关键词: antidepressants;    depression;    placebo;    psychological treatment;    randomised controlled trials;   

DOI  :  10.3399/bjgp11X548992

学科分类：卫生学

来源: Royal College of General Practitioners

【 摘 要 】

The article by Middleton and Moncrieff questions the role of antidepressants in treating depression on both philosophical and practical grounds; namely that depression isn't a brain disease to be treated by a drug and that antidepressants are ineffective except as placebos. We argue that their stance is unhelpful and factually incorrect and that a more dimensional and integrative approach is needed in order to be able to best tailor treatment to individual needs. This involves a personalised assessment of the likely benefits and risks of both psychological and drug approaches when recommending treatment for someone with depression.

【 授权许可】

Unknown