Depression, Delusions, and Drug Response

Depressed patients with delusions were found to be markedly unresponsive to tricyclic drug therapy during an ongoing study of depressed patients. After four weeks of administration of imipramine hydrochloride, only 3 of 13 delusional depressed patients had responded to the drug, but 14 of 21 nondelu...

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Veröffentlicht in:The American journal of psychiatry 1975-07, Vol.132 (7), p.716-719
Hauptverfasser: Glassman, A H, Kantor, S J, Shostak, M
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container_title The American journal of psychiatry
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creator Glassman, A H
Kantor, S J
Shostak, M
description Depressed patients with delusions were found to be markedly unresponsive to tricyclic drug therapy during an ongoing study of depressed patients. After four weeks of administration of imipramine hydrochloride, only 3 of 13 delusional depressed patients had responded to the drug, but 14 of 21 nondelusional depressed patients had responded. The authors conclude on the basis of these data and those of other researchers that delusional depressed patients should not be treated with tricyclic antidepressants and that current research with depressed patients should be reevaluated in the light of this finding.
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source MEDLINE; Psychiatry Legacy Collection Online Journals 1844-1996; Periodicals Index Online
subjects Adult
Amitriptyline - therapeutic use
Antidepressive Agents, Tricyclic - therapeutic use
Clinical Trials as Topic
Delusions - complications
Delusions - diagnosis
Delusions - drug therapy
Depression - complications
Depression - diagnosis
Depression - drug therapy
Drug Evaluation
Female
Humans
Imipramine - therapeutic use
Male
Middle Aged
Placebos
Psychological Tests
Remission, Spontaneous
Sex Factors
title Depression, Delusions, and Drug Response
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