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SSRI Antidepressant Drug Use Patterns in the Naturalistic Setting

A Multivariate Analysis

Bibliographic Data

ID9099709
AuthorsTimothy R Hylan (corresponding author), William H Crown (0000-0002-8822-2737), Laurie Meneades, John H Heiligenstein, Catherine A Melfi (Indiana University – Purdue University Indianapolis), Thomas W Croghan (Indiana University School of Medicine), Don P Buesching (corresponding author)
Year1999
Volume37
Issue4 Suppl Lilly
PagesAS36-AS44
Publication date1999-04-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-199904001-00007
PMID10217392
OpenAlexW2319158043
LanguageEN
Citations received2
References cited20

BACKGROUND: The study of the duration and pattern of antidepressant use in actual clinical practice can provide important insights into how antidepressant prescribing patterns compare with recommended depression treatment guidelines. OBJECTIVE: The purpose of this study, using data available from depressed outpatients in the United States, is to assess the effects of initial SSRI antidepressant selection on the subsequent pattern and duration of antidepressant use. RESEARCH DESIGN: Multiple logistic regression analysis of data from a large prescription and medical claims database (MarketScan) for the years 1993 and 1994 were used to estimate the determinants of antidepressant drug use patterns for 1,034 patients with a "new" episode of antidepressant therapy who were prescribed one of three most often prescribed selective serotonin reuptake inhibitors (SSRIs), paroxetine, sertraline, or fluoxetine. RESULTS: Patients initiating therapy on sertraline or paroxetine were less likely than patients initiating therapy on fluoxetine to have four or more prescriptions of their initial antidepressant within the first 6 months. CONCLUSIONS: The findings suggest that antidepressant selection is an important determinant of the initial duration and pattern of antidepressant use which is consistent with current recommended depression treatment guidelines

Antidepressant · Depression (economics) · Fluoxetine · Medical prescription · Paroxetine · Pharmacotherapy · Psychiatry · Reuptake inhibitor · Serotonin · Sertraline · Cardiac Health and Mental Health · Internal Medicine · Medicine · Mental Health Treatment and Access · Pharmacology · Psychology · Treatment of Major Depression

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Unique citing works2
Citations per year0,07
Citation span1999 - 2006 (8)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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