Current nosology of treatment resistant depression: a controversy resistant to revision
- PMID: 20563286
- PMCID: PMC2887642
- DOI: 10.2174/1745017901006010020
Current nosology of treatment resistant depression: a controversy resistant to revision
Abstract
Treatment-Resistant Depression (TRD) represents a source of ongoing clinical and nosological controversy and confusion. While no univocal consensus on its definition and specific correlation with major mood disorders has been reached to date, a progressively greater number of evidences tend to suggest a revision of current clinical nosology. Since a better assessment of TRD should be considered mandatory in order to achieve the most appropriate clinical management, this narrative review aims to briefly present current most accepted definitions of the phenomenon, speculating on its putative bipolar diathesis for some of the cases originally assessed as unipolar depression.
Keywords: Bipolar Disorder; Controversy.; Treatment Resistant Depression.
References
-
- Little A. Treatment-resistant depression. Am Fam Physician. 2009;80(2):167–72. - PubMed
-
- WHO. The World Health Report 2001 - Mental Health: New Understanding, New Hope. World Health Organization. The World Health Report 2001 - Mental Health: New Understa. 2001.
-
- Trivedi MH, Fava M, Wisniewski SR, et al. Medication augmentation after the failure of SSRIs for depression. N Engl J Med. 2006;354(12):1243–52. - PubMed
-
- Papakostas GI, Fava M, Thase ME. Treatment of SSRI-resistant depression: a meta-analysis comparing within- versus across-class switches. Biol Psychiatry. 2008;63(7):699–704. - PubMed
LinkOut - more resources
Full Text Sources