According to a
new study conduced by a team of American researchers, it seems that parents of
depressed teenagers should not lose hope if initial drug treatments fail to
combat the issue. The study published on Tuesday showed that failure of the
initial drug treatment against teenage depression is something common, as it
happens in four out of 10 cases. However, sufferers and their parents should
not lose hope, as the recent study showed that switching medicine and adding
psychotherapy to the treatment might improve the initial situation.
"The
findings should be encouraging for families with a teen who has been struggling
with depression for some time," said Doctor David Brent of the University of Pittsburgh and the main author of the
study, which was published on Tuesday in the Journal of the American Medical
Association. Doctor David Brent and his team conducted this study between 2000
and 2008. They used 334 patients with ages between 12 and 18 who suffered from
major depression and who hadn’t previously responded to two months of treatment
with a popular type of SSRI (selective serotonin reuptake inhibitor).
However, the
sufferers were variously switched to other SSRIs, such as Eli Lilly and Co.'s
Prozac (fluoxetine), Forest Laboratories Inc.'s Celexa (citalopram) or
GlaxoSmithKline Paxil (paroxetine); they were also given a different SSRI and
cognitive behavioral therapy, emphasizing behavior and problem-solving change;
or they were switched to Wyeth’s Effexor (venlafaxine), which is a SNRI
(serotonin and norepinephrine reuptake inhibitor). Another variant was
switching to Effexor and therapy.
According to the
research, about 55 percent of sufferers who switched to either type of
medication and added therapy responded, while 41 percent of those who switched
only to another medication, without adding therapy, also got better.
"About 40
percent of adolescents with depression do not adequately respond to a first
treatment course with an antidepressant medication, and clinicians have no
solid guidelines on how to choose subsequent treatments for these
patients," said Doctor Thomas Insel, director of the National Institute of
Mental Health, that institution that paid for the study.
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