From symptoms to social
functioning: differential effects of antidepressant therapy.
Kasper S
Department of General Psychiatry,
University of Vienna, Austria.
Int Clin Psychopharmacol 1999 May; 14 Suppl 1:S27-31
ABSTRACT
Significant impairments in social functioning
frequently occur simultaneously with depressive symptoms. The implications of
such impairments extend beyond the depressed individual to their family,
friends and society at large. Classical rating scales such as the Hamilton
rating scale for depression primarily assess the core symptoms of depression.
A range of rating scales are available, both self-reporting and administered
by clinician; however, many have been criticized for their unspecified
conceptual background and for being complex and time-consuming. While
antidepressants in general appear to improve social functioning, no clear
advantage for any single class of agent has been reported. Recently, a new
self-report rating scale, the Social Adaptation Self-evaluation Scale, has
been developed and used to compare the novel selective noradrenaline reuptake
inhibitor, reboxetine, with the selective serotonin re-uptake inhibitor,
fluoxetine. The noradrenergic agent, reboxetine, was shown to be
significantly more effective in improving social functioning than the
serotonergic agent, fluoxetine. These findings are consistent with
previous observations that noradrenaline may preferentially improve vigilance,
motivation, and self-perception
- Tianeptine
|
Moclobemide
|
Deprenyl
|
Picamilon | cataract
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