Skip to main content

Advertisement

Log in

Are some antidepressants better than others?

  • News & Views
  • Published:

From Nature Reviews Neurology

View current issue Sign up to alerts

An analysis of 12 different second-generation antidepressants rated sertraline and escitalopram as having the most favorable balance between benefit and harm for the treatment of major depressive disorder in adults. A second look at the methods and results from the study reveals that such a positive conclusion might not be warranted.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Cipriani, A. et al. Comparative efficacy and acceptability of 12 new-generation antidepressants: a multiple-treatments meta-analysis. Lancet 373, 746–758 (2009).

    Article  CAS  Google Scholar 

  2. Parikh, S. V. Antidepressants are not all created equal. Lancet 373, 700–701 (2009).

    Article  Google Scholar 

  3. Glenny, A. M. et al. Indirect comparisons of competing interventions. Health Technol. Assess. 9, 1–134 (2005).

    Article  CAS  Google Scholar 

  4. Bagby, R. M., Ryder, A. G., Schuller, D. R. & Marshall, M. B. The Hamilton Depression Rating Scale: has the gold standard become a lead weight? Am. J. Psychiatry 161, 2163–2177 (2004).

    Article  Google Scholar 

  5. Moher, D. et al. Does quality of reports of randomised trials affect estimates of intervention efficacy reported in meta-analyses? Lancet 352, 609–613 (1998).

    Article  CAS  Google Scholar 

  6. Gartlehner, G. et al. Comparative benefits and harms of second-generation antidepressants: background paper for the American College of Physicians. Ann. Intern. Med. 149, 734–750 (2008).

    Article  Google Scholar 

  7. Altman, D. G., Deeks, J. J. & Sackett, D. L. Odds ratios should be avoided when events are common. BMJ 317, 1318 (1998).

    Article  CAS  Google Scholar 

  8. Deeks, J. J. Issues in the selection of a summary statistic for meta-analysis of clinical trials with binary outcomes. Stat. Med. 21, 1575–1600 (2002).

    Article  Google Scholar 

  9. Qaseem, A., Snow, V., Denberg, T. D., Forciea, M. A. & Owens, D. K. Using second-generation antidepressants to treat depressive disorders: a clinical practice guideline from the American College of Physicians. Ann. Intern. Med. 149, 725–733 (2008).

    Article  Google Scholar 

Download references

Acknowledgements

We would like to thank Kathleen N. Lohr, at the Research Triangle Institute International, and Bradley N. Gaynes, at the Department of Psychiatry, University of North Carolina School of Medicine, for valuable comments on an early draft of this article.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gerald Gartlehner.

Ethics declarations

Competing interests

The authors declare no competing financial interests.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gartlehner, G., Hansen, R. Are some antidepressants better than others?. Nat Rev Neurol 5, 239–240 (2009). https://doi.org/10.1038/nrneurol.2009.51

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrneurol.2009.51

  • Springer Nature Limited

Navigation