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Evidence-biased Antidepressant Prescription

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Release : 2022
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Kind : eBook
Book Rating : 881/5 ( reviews)

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Book Synopsis Evidence-biased Antidepressant Prescription by : Michael P. Hengartner

Download or read book Evidence-biased Antidepressant Prescription written by Michael P. Hengartner. This book was released on 2022. Available in PDF, EPUB and Kindle. Book excerpt: This book addresses the over-prescribing of antidepressants in people with mostly mild and subthreshold depression. It outlines the steep increase in antidepressant prescription and critically examines the current scientific evidence on the efficacy and safety of antidepressants in depression. The book is not only concerned with the conflicting views as to whether antidepressants are useful or ineffective in various forms of depression, but also aims at detailing how flaws in the conduct and reporting of antidepressant trials have led to an overestimation of benefits and underestimation of harms. The transformation of the diagnostic concept of depression from a rare but serious disorder to an over-inclusive, highly prevalent but predominantly mild and self-limiting disorder is central to the books argument. It maintains that biological reductionism in psychiatry and pharmaceutical marketing reframed depression as a brain disorder, corroborating the overemphasis on drug treatment in both research and practice. Finally, the author goes on to explore how pharmaceutical companies have distorted the scientific literature on the efficacy and safety of antidepressants and how patient advocacy groups, leading academics, and medical organisations with pervasive financial ties to the industry helped to promote systematically biased benefit-harm evaluations, affecting public attitudes towards antidepressants as well as medical education, training, and practice. Michael P. Hengartner is a senior researcher and lecturer at the Zurich University of Applied Sciences, Switzerland. He has published over 130 peer-reviewed journal articles and four book chapters. He was an expert evaluator for the European Research Council and the World Health Organization and currently is a member of the Swiss School of Public Health, the German Society for Social Psychiatry, and the European Public Health Association.

Evidence-biased Antidepressant Prescription

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Author :
Release : 2021-12-09
Genre : Psychology
Kind : eBook
Book Rating : 876/5 ( reviews)

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Book Synopsis Evidence-biased Antidepressant Prescription by : Michael P. Hengartner

Download or read book Evidence-biased Antidepressant Prescription written by Michael P. Hengartner. This book was released on 2021-12-09. Available in PDF, EPUB and Kindle. Book excerpt: This book addresses the over-prescribing of antidepressants in people with mostly mild and subthreshold depression. It outlines the steep increase in antidepressant prescription and critically examines the current scientific evidence on the efficacy and safety of antidepressants in depression. The book is not only concerned with the conflicting views as to whether antidepressants are useful or ineffective in various forms of depression, but also aims at detailing how flaws in the conduct and reporting of antidepressant trials have led to an overestimation of benefits and underestimation of harms. The transformation of the diagnostic concept of depression from a rare but serious disorder to an over-inclusive, highly prevalent but predominantly mild and self-limiting disorder is central to the books argument. It maintains that biological reductionism in psychiatry and pharmaceutical marketing reframed depression as a brain disorder, corroborating the overemphasis on drug treatment in both research and practice. Finally, the author goes on to explore how pharmaceutical companies have distorted the scientific literature on the efficacy and safety of antidepressants and how patient advocacy groups, leading academics, and medical organisations with pervasive financial ties to the industry helped to promote systematically biased benefit-harm evaluations, affecting public attitudes towards antidepressants as well as medical education, training, and practice.

The Evidence-based Guide to Antidepressant Medications

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Author :
Release : 2012
Genre : Medical
Kind : eBook
Book Rating : 055/5 ( reviews)

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Book Synopsis The Evidence-based Guide to Antidepressant Medications by : Anthony J. Rothschild

Download or read book The Evidence-based Guide to Antidepressant Medications written by Anthony J. Rothschild. This book was released on 2012. Available in PDF, EPUB and Kindle. Book excerpt: "The Evidence-Based Guide to Antipsychotic Medications" is a table-rich, comprehensive overview of current knowledge regarding the use of antipsychotic medications to treat a broad range of psychiatric conditions, from anxiety disorders to schizophrenia.

05 - USE OF ANTIDEPRESSANT IN ELDERLY: FROM CURRENT EVIDENCE TO CLINICAL PRACTICE

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Release : 2017
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Book Synopsis 05 - USE OF ANTIDEPRESSANT IN ELDERLY: FROM CURRENT EVIDENCE TO CLINICAL PRACTICE by : Carlota Romeromartin

Download or read book 05 - USE OF ANTIDEPRESSANT IN ELDERLY: FROM CURRENT EVIDENCE TO CLINICAL PRACTICE written by Carlota Romeromartin. This book was released on 2017. Available in PDF, EPUB and Kindle. Book excerpt: USE OF ANTIDEPRESSANT IN ELDERLY: FROM CURRENT EVIDENCE TO CLINICAL PRACTICEINTRODUCTION: in choosing an antidepressant in an older depressed patients it is recommended that selection be based on the best side effect profile, lowest risk of drug-drug interactions and pharmacokinetics profile in elderly. The aim of this study was to evaluate antidepressant prescription adequacy in institutionalized elderly based on the current evidence.OBJECTIVES: describe antidepressant prescriptions in a sociosanitary center and evaluate its adequacy according to the latest guidelines for antidepressant prescription in elderly.METHODS: retrospective, descriptive and transversal study about the use of antidepressants in elderly that involved 114 institutionalized patients 65 years of age and older. Evaluation of the adequacy of antidepressants prescription was evaluated in based of: indication and dosage in elderly. We obtained data of: age, sex, diagnosis, antidepressant and dosage from the electronic prescription and a computer-based medication prescription system for dispensing drugs in the sociosanitary center.RESULTS: We included 114 institutionalized patients (60% women, average age 87 [65-99]. 48,2% (n=55) were receiving any antidepressant: 32,7% (n=18) trazodone, 27,2% (n=15) escitalopram, 18,1% (n=10) mirtazapine, 11% (n=6) paroxetine, 5,4% (n=3) venlafaxine, 3,6% (n=2) sertraline and 1,8% (n=1) fluoxetine. We detected 7,3% (n=4) trazodone and escitalopram prescriptions using a higher than advised doses in elderly patients.CONCLUSION: there are more women institutionalized in geriatric centers. Almost 50% percent of institutionalized patients were taking any antidepressant. Trazodone and escitalopram were the drugs most prescribed. Trazodone prescriptions using a higher than referred doses were detected in less than 10% in our sample.

Lost Connections

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Release : 2020-11-12
Genre : Psychology
Kind : eBook
Book Rating : 082/5 ( reviews)

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Book Synopsis Lost Connections by : Johann Hari

Download or read book Lost Connections written by Johann Hari. This book was released on 2020-11-12. Available in PDF, EPUB and Kindle. Book excerpt: THE INTERNATIONAL BESTSELLER: A radically new way of thinking about depression and anxiety 'A book that could actually make us happy' SIMON AMSTELL 'This amazing book will change your life' ELTON JOHN 'One of the most important texts of recent years' BRITISH JOURNAL OF GENERAL PRACTICE 'Brilliant, stimulating, radical' MATT HAIG 'The more people read this book, the better off the world will be' NAOMI KLEIN 'Wonderful' HILLARY CLINTON 'Eye-opening' GUARDIAN 'Brilliant for anyone wanting a better understanding of mental health' ZOE BALL 'A game-changer' DAVINA MCCALL 'Extraordinary' DR MAX PEMBERTON Depression and anxiety are now at epidemic levels. Why? Across the world, scientists have uncovered evidence for nine different causes. Some are in our biology, but most are in the way we are living today. Lost Connections offers a radical new way of thinking about this crisis. It shows that once we understand the real causes, we can begin to turn to pioneering new solutions – ones that offer real hope.

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