Four potential criteria for deciding when to use antidepressants or psychotherapy for unipolar depression: A literature review

Christopher F. Sharpley, Vicki Bitsika

Research output: Contribution to journalArticleResearchpeer-review

6 Citations (Scopus)

Abstract

Objective. To evaluate the literature supporting four potential criteria for deciding whether to use psychotherapy or pharmacology when treating depression. Method. Literature review of the evidence from the last 10 years on presenting patient's demographics, aetiology, comorbidity, and genetic factors, as predictors of treatment outcome efficacy. Results. Demographic information has little support as a potential criteria for decision-making; aetiology (melancholic vs. non-melancholic) has significant support; presence of personality disorder comorbidity is unproven as a criterion but may have some value; genetic predisposition has the strongest evidence supporting it as a criteria for treatment decision-making. Conclusion. Although some presenting cases will be easier to classify than others, there are substantial data supporting the screening of patients according to three of these criteria.

Original languageEnglish
Pages (from-to)2-11
Number of pages10
JournalInternational Journal of Psychiatry in Clinical Practice
Volume15
Issue number1
DOIs
Publication statusPublished - Mar 2011

Fingerprint

Depressive Disorder
Psychotherapy
Antidepressive Agents
Comorbidity
Decision Making
Demography
Personality Disorders
Genetic Predisposition to Disease
Pharmacology
Depression
Therapeutics

Cite this

@article{5100bdb3f3614f8d8eb8c805d2208df6,
title = "Four potential criteria for deciding when to use antidepressants or psychotherapy for unipolar depression: A literature review",
abstract = "Objective. To evaluate the literature supporting four potential criteria for deciding whether to use psychotherapy or pharmacology when treating depression. Method. Literature review of the evidence from the last 10 years on presenting patient's demographics, aetiology, comorbidity, and genetic factors, as predictors of treatment outcome efficacy. Results. Demographic information has little support as a potential criteria for decision-making; aetiology (melancholic vs. non-melancholic) has significant support; presence of personality disorder comorbidity is unproven as a criterion but may have some value; genetic predisposition has the strongest evidence supporting it as a criteria for treatment decision-making. Conclusion. Although some presenting cases will be easier to classify than others, there are substantial data supporting the screening of patients according to three of these criteria.",
author = "Sharpley, {Christopher F.} and Vicki Bitsika",
year = "2011",
month = "3",
doi = "10.3109/13651501.2010.527008",
language = "English",
volume = "15",
pages = "2--11",
journal = "International Journal of Psychiatry in Clinical Practice",
issn = "1365-1501",
publisher = "Informa Healthcare USA",
number = "1",

}

Four potential criteria for deciding when to use antidepressants or psychotherapy for unipolar depression : A literature review. / Sharpley, Christopher F.; Bitsika, Vicki.

In: International Journal of Psychiatry in Clinical Practice, Vol. 15, No. 1, 03.2011, p. 2-11.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Four potential criteria for deciding when to use antidepressants or psychotherapy for unipolar depression

T2 - A literature review

AU - Sharpley, Christopher F.

AU - Bitsika, Vicki

PY - 2011/3

Y1 - 2011/3

N2 - Objective. To evaluate the literature supporting four potential criteria for deciding whether to use psychotherapy or pharmacology when treating depression. Method. Literature review of the evidence from the last 10 years on presenting patient's demographics, aetiology, comorbidity, and genetic factors, as predictors of treatment outcome efficacy. Results. Demographic information has little support as a potential criteria for decision-making; aetiology (melancholic vs. non-melancholic) has significant support; presence of personality disorder comorbidity is unproven as a criterion but may have some value; genetic predisposition has the strongest evidence supporting it as a criteria for treatment decision-making. Conclusion. Although some presenting cases will be easier to classify than others, there are substantial data supporting the screening of patients according to three of these criteria.

AB - Objective. To evaluate the literature supporting four potential criteria for deciding whether to use psychotherapy or pharmacology when treating depression. Method. Literature review of the evidence from the last 10 years on presenting patient's demographics, aetiology, comorbidity, and genetic factors, as predictors of treatment outcome efficacy. Results. Demographic information has little support as a potential criteria for decision-making; aetiology (melancholic vs. non-melancholic) has significant support; presence of personality disorder comorbidity is unproven as a criterion but may have some value; genetic predisposition has the strongest evidence supporting it as a criteria for treatment decision-making. Conclusion. Although some presenting cases will be easier to classify than others, there are substantial data supporting the screening of patients according to three of these criteria.

UR - http://www.scopus.com/inward/record.url?scp=79751499575&partnerID=8YFLogxK

U2 - 10.3109/13651501.2010.527008

DO - 10.3109/13651501.2010.527008

M3 - Article

VL - 15

SP - 2

EP - 11

JO - International Journal of Psychiatry in Clinical Practice

JF - International Journal of Psychiatry in Clinical Practice

SN - 1365-1501

IS - 1

ER -