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The Positive and Negative Experiences of 342 Antidepressant Users

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Abstract

Most efficacy and safety studies about medications adopt a quantitative approach, testing specific hypotheses with restricted samples. This online survey provides additional insights by directly asking people open questions. Thematic analysis was used to explore the responses of 342 antidepressant users to “Is there anything else you would like to tell us about your experience of taking medication”. 59 (17.3%) made exclusively positive comments, 146 (42.7%) purely negative comments and 137 (40.0%) offered a mixture of positive and negative. Positive themes included: daily coping, life-changing/saving and stepping stone. Negative themes included: physical adverse effects, emotional and cognitive blunting, and withdrawal effects. Many participants also commented on relationships with prescribers. Collaboration was particularly valued. Negative sub-themes included failings in relation to information (especially about adverse effects and withdrawal), support, and alternatives. Clinicians have a duty to inform potential antidepressant users about positive and adverse effects, including withdrawal effects.

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References

  • Adkins, D. E., Clark, S. L., Åberg, K., Hettema, J. M., Bukszár, J., McClay, J. L., et al. (2012). Genome-wide pharmacogenomic study of citalopram-induced side effects in STAR*D. Translational Psychiatry,2, e129.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • American Psychiatric Association. (2010). American Psychiatric association practice guideline for the treatment of patients with major depressive disorder (3rd ed.). https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidleines/guidelines/mdd.pdf.

  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology,3, 77–101.

    Article  Google Scholar 

  • Byng, R., Bury, C., & Weaver, L. (2007). Patients’ experiences of consultations for depression and predictors of adherence to antidepressants. Primary Care and Community Psychiatry,12(3/4), 109–115.

    Google Scholar 

  • Cipriani, A., Furukawa, T., Salanti, G., Chaimani, A., Atkinson, L., Ogawa, Y., et al. (2018). Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder: A systematic review and network meta-analysis. The Lancet,391(10128), 1357–1366.

    Article  CAS  Google Scholar 

  • Corrêa, A., Ribeiro, E., Pinto, D., & Teixeira, A. S. (2016). Therapeutic collaboration and significant events to the client’s change: A systematic review. International Journal of Psychology and Psychological Therapy,16(1), 49–60.

    Google Scholar 

  • Davies, J., Pauli, R., & Montagu, L. (2018). All-party parliamentary group for prescribed drug dependence antidepressant withdrawal: A survey of patients’ experience by the all-party parliamentary group for prescribed drug dependence. https://prescribeddrug.org/wp-content/uploads/2018/09/APPG-PDD-A, (September).

  • Davies, J., & Read, J. (2019). A systematic review into the incidence, severity and duration of antidepressant withdrawal effects: Are guidelines evidence-based? Addictive Behaviors, 97, 1–10.

    Article  Google Scholar 

  • Department of Health and Social Care. (2018). Hansard: Prescription drugs—Written question -128871. Department of Health and Social Care, 2018. Retrieved from https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2018-02-21/128871/

  • Gibson, K., Cartwright, C., & Read, J. (2014). Patient-centered perspectives on antidepressant use: A narrative review. International Journal of Mental Health,43(1), 81–99.

    Article  Google Scholar 

  • Gibson, K., Cartwright, C., & Read, J. (2016). “In my life antidepressants have been..”: A qualitative analysis of users’ diverse experiences with antidepressants. BMC Psychiatry, 16(1), 1–7.

    Article  CAS  Google Scholar 

  • Givens, J., Datto, C. J., Ruckdeschel, K., Knott, K., Zubritsky, C., Oslin, D., et al. (2006). Older patients’ aversion to antidepressants: A qualitative study. Journal of General Internal Medicine,21(2), 146–151.

    PubMed  PubMed Central  Google Scholar 

  • Goldsmith, L., & Moncrieff, J. (2011). The psychoactive effects of antidepressants and their association with suicidality. Current Drug Safety,6(2), 115–121.

    Article  PubMed  Google Scholar 

  • Guy, A., Davies, J., & Rizq, R. (Eds.). (2019). Guidance for Psychological Therapists: Enabling conversations with clients taking or withdrawing from prescribed psychiatric drugs. London: All Party Parliamentary Group for Prescribed Drug Dependence.

    Google Scholar 

  • Jakobsen, J. C., Katakam, K. K., Schou, A., Hellmuth, S. G., Stallknecht, S. E., Leth-Møller, K., et al. (2017). Selective serotonin reuptake inhibitors versus placebo in patients with major depressive disorder. A systematic review with meta-analysis and Trial Sequential Analysis. BMC Psychiatry. https://doi.org/10.1186/s12888-016-1173-2.

    Article  PubMed  PubMed Central  Google Scholar 

  • Khan, A., & Brown, W. A. (2015). Antidepressants versus placebo in major depression: An overview. World Psychiatry,14(3), 294–300.

    Article  PubMed  PubMed Central  Google Scholar 

  • Khan, A., Khan, S., & Brown, W. A. (2002). Are placebo controls necessary to test new antidepressants and anxiolytics? International Journal of Neuropsychopharmacology,5(3), 193–197.

    Article  CAS  PubMed  Google Scholar 

  • Kirsch, I., Deacon, B. J., Huedo-Medina, T. B., Scoboria, A., Moore, T. J., & Johnson, B. T. (2008). Initial severity and antidepressant benefits: A meta-analysis of data submitted to the food and drug administration. PLoS Medicine,5(2), 260–268.

    Article  Google Scholar 

  • Liebert, R., & Gavey, N. (2008). “I Didn't Just Cross a Line I Tripped Over an Edge”: Experiences of serious adverse effects with selective serotonin reuptake inhibitors. New Zealand Journal of Psychology,37, 38–48.

    Google Scholar 

  • Moncrieff, J. (2015). Antidepressants: misnamed and misrepresented. World Psychiatry,14(3), 301–302.

    Article  Google Scholar 

  • National Institute for Health and Care Excellence. (2009). Depression in adults: Recognition and management. Retrieved from https://www.nice.org.uk/guidance/cg90

  • OECD. (2017). Antidepressant drugs consumption, 2000 and 2015 (or nearest year) in Pharmaceutical sector. Paris. https://doi.org/doi.org/10.1787/health_glance-2017-graph181-en.

  • OECD. (2018). Prescriptions dispensed in the community—Statisitcs for England, 2001–2017.. Retrieved from https://digital.nhs.uk/data-and-information/publications/statistical/prescriptions-dispensed-in-the-community

  • Pestello, F., & Davis-Berman, J. (2008). Taking anti-depressant medication: A qualitative examination of internet postings. Journal of Mental Health,17(4), 349–360.

    Article  Google Scholar 

  • Pratt, L. , Brody, D., & Gu, Q. (2017). Antidepressant use among persons aged 12 and over: United States, 2011–2014 key findings data from the national health and nutrition examination survey. National Center for Health Statistics, (283), 2011–2014. Retrieved from https://www.cdc.gov/nchs/data/databriefs/db283.pdf

  • Price, J., Cole, V., & Goodwin, G. M. (2009). Emotional side-effects of selective serotonin reuptake inhibitors: Qualitative study. British Journal of Psychiatry,195(3), 211–217.

    Article  PubMed  Google Scholar 

  • Read, J., Cartwright, C., & Gibson, K. (2014). Adverse emotional and interpersonal effects reported by 1829 New Zealanders while taking antidepressants. Psychiatry Research,216(1), 67–73.

    Article  PubMed  Google Scholar 

  • Read, J., Cartwright, C., & Gibson, K. (2018). How many of 1829 antidepressant users report withdrawal effects or addiction? International Journal of Mental Health Nursing,27, 1805–1815.

    Article  PubMed  Google Scholar 

  • Read, J., Gee, A., Diggle, J., & Butler, H. (2017). The interpersonal adverse effects reported by 1008 users of antidepressants; and the incremental impact of polypharmacy. Psychiatry Research,256, 423–427.

    Article  PubMed  Google Scholar 

  • Read, J., Gee, A., Diggle, J., & Butler, H. (2019). Staying on, and coming off, antidepressants: The experiences of 752 UK adults. Addictive Behaviors,88, 82–85.

    Article  PubMed  Google Scholar 

  • Read, J., Gibson, K., Cartwright, C., Shiels, C., Dowrick, C., & Gabbay, M. (2015). Understanding the non-pharmacological correlates of self-reported efficacy of antidepressants. Acta Psychiatrica Scandinavica, 131, 434–445

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Read, J., Gibson, K., & Cartwright, C. (2016). Do GPs and psychiatrists recommend alternatives when prescribing anti-depressants? Psychiatry Research,246(May), 838–840.

    Article  PubMed  Google Scholar 

  • Read, J., & Williams, J. (2018). Adverse Effects of Antidepressants Reported by 1,431 people from 38 Countries: Emotional blunting, suicidality, and withdrawal effects. Current Drug Safety,13, 1–11.

    Article  CAS  Google Scholar 

  • Taylor, S., Annand, F., Burkinshaw, P., Greaves, F., Kelleher, M., Knight, J., et al. (2019). Dependence and withdrawal associated with some prescribed medicines: An evidence review. London: Public Health England.

    Google Scholar 

  • Timimi, S., Moncrieff, J., Goetscze, P., Davies, J., Kinderman, P., Byng, R., et al. (2018). Network meta-analysis of antidepressants. (Correspondence). Lancet,392, 1011–1022.

    Article  PubMed  Google Scholar 

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Read, J., Grigoriu, M., Gee, A. et al. The Positive and Negative Experiences of 342 Antidepressant Users. Community Ment Health J 56, 744–752 (2020). https://doi.org/10.1007/s10597-019-00535-0

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