Pharmacological management of treatment-resistant depression: current approaches and future directions

被引:0
|
作者
Malley, Siobhan [1 ]
Tanaka, Hiroshi [2 ]
机构
[1] Univ Coll Dublin, Dublin, Ireland
[2] Tokyo Med Univ, Tokyo, Japan
关键词
Pharmacological management (PM); Treatment -resistant depression (TRD); Smart PLS Algorithm; Future directions; KETAMINE;
D O I
10.15761/0101-60830000000526
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
The basic purpose of this research study is to determine the pharmacological management of treatment-resistant depression. This research study measures the current approaches and future directions. For this determination, used some numerical and some theory-based analyses related to the research for measuring the numerical analysis used smart PLS software and generated relative results including significant analysis, the confidence interval, histogram analysis, and also that algorithm model between them. the overall result found direct and significant links between pharmacological management of treatment-resistant depression. According to the large-scale Sequenced Treatment Alternatives to Relieve Depression (STARD) and other research, structured psychotherapy, such as cognitive behavior therapy, may be as beneficial as medicine in initial pharmacological non-responders. In established cases of TRD, conventional solutions such as using older antidepressant classes, pharmacological augmentation, or electroconvulsive treatment are not as helpful as previously assumed. Preliminary information does not provide official recommendations concerning using new brain stimulation modalities in TRD. TRD should be redefined as failing to achieve symptomatic and functional remission after receiving sufficient physical and psychological therapy. Treatment resistance may be more appropriately conceptualized in well-defined cohorts, such as individuals with distinct depression classifications.
引用
收藏
页码:84 / 91
页数:8
相关论文
共 50 条
  • [1] Pharmacological approaches to the challenge of treatment-resistant depression
    Ionescu, Dawn F.
    Rosenbaum, Jerrold F.
    Alpert, Jonathan E.
    DIALOGUES IN CLINICAL NEUROSCIENCE, 2015, 17 (02) : 111 - 126
  • [2] The promise of ketamine for treatment-resistant depression: current evidence and future directions
    DeWilde, Kaitlin E.
    Levitch, Cara F.
    Murrough, James W.
    Mathew, Sanjay J.
    Iosifescu, Dan V.
    AFFECTIVE DISORDERS AND TRAUMATIC BRAIN INJURY, 2015, 1345 : 47 - 58
  • [3] The pharmacological management of treatment-resistant depression: what does the future hold?
    Serretti, Alessandro
    EXPERT OPINION ON PHARMACOTHERAPY, 2023, 24 (18) : 1923 - 1925
  • [4] Pharmacological management of treatment-resistant pediatric depression
    Kratochvil, CJ
    Wagner, KD
    Emslie, G
    March, J
    JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2005, 44 (02): : 198 - 200
  • [5] TREATMENT-RESISTANT DEPRESSION - A CRITIQUE OF CURRENT APPROACHES
    DYCK, MJ
    AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 1994, 28 (01): : 34 - 41
  • [6] Treatment-resistant depression: critique of current approaches
    Wijeratne, Chanaka
    Sachdev, Perminder
    AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 2008, 42 (09): : 751 - 762
  • [7] TREATMENT-RESISTANT DEPRESSION: RECENT DEVELOPMENTS AND FUTURE DIRECTIONS
    Mathew, Sanjay J.
    DEPRESSION AND ANXIETY, 2008, 25 (12) : 989 - 992
  • [8] Key considerations in the pharmacological management of treatment-resistant depression
    Yavi, Mani
    Henter, Ioline D.
    Park, Lawrence T.
    Zarate, Carlos
    EXPERT OPINION ON PHARMACOTHERAPY, 2021, 22 (17) : 2405 - 2415
  • [9] Backing into the future: pharmacological approaches to the management of resistant depression
    Cowen, P. J.
    PSYCHOLOGICAL MEDICINE, 2017, 47 (15) : 2569 - 2577
  • [10] Treatment-resistant depression: therapeutic trends, challenges, and future directions
    Al-Harbi, Khalid Saad
    PATIENT PREFERENCE AND ADHERENCE, 2012, 6 : 369 - 388