Trazodone effectiveness in depression: impacts of trazodone extended release vs SSRIs on the health status and quality of life of patients with major depressive disorder
Frontiers in Pharmacology,
Journal Year:
2025,
Volume and Issue:
15
Published: Jan. 23, 2025
Introduction
Early
research
on
the
pharmacotherapy
for
major
depressive
disorder
(MDD)
has
largely
focused
symptomatic
improvements,
whereas
this
focus
shifted
to
functioning
and
quality
of
life
in
recent
years.
Studies
have
confirmed
that
antidepressants
generally
improve
functional
outcomes
MDD,
but
very
few
works
compared
efficacies
specific
drugs.
The
present
work
aims
compare
impacts
trazodone
once-a-day
extended-release
(XR)
vs
selective
serotonin
reuptake
inhibitors
(SSRIs)
health
status
MDD.
Methods
Data
were
gathered
from
180
subjects
through
a
naturalistic
observation
study
effectiveness
depression
(TED)
analyzed.
TED
participants
received
XR
SSRIs
flexible
doses
12
weeks.
health-related
(HRQoL)
evaluated
using
EQ-5D-5L
tool
at
baseline
as
well
2,
4,
8,
Results
At
baseline,
treated
with
presented
similar
profiles
HRQoL
values
respect
mobility,
self-care,
anxiety/depression
dimensions
along
lower
scores
usual
activities,
pain/discomfort,
overall
HRQoL,
status.
Both
improved
MDD
patients
all
subsequent
timepoints.
Compared
SSRIs,
provided
greater
improvements
terms
measures
more
often
participant
HRQoL.
More
reported
mixed
changes
their
SSRI
group
than
group.
Discussion
Health
both
treatment
arms,
preferable
vs.
Language: Английский
A web‐based survey on the occurrence of emotional blunting in patients with major depressive disorder in Japan: Patient perceptions and attitudes
Neuropsychopharmacology Reports,
Journal Year:
2024,
Volume and Issue:
44(2), P. 321 - 332
Published: April 14, 2024
Abstract
Aims
To
determine
the
prevalence
and
impact
of
emotional
blunting
(EB)
in
patients
with
major
depressive
disorder
(MDD)
Japan,
identify
treatment
needs
for
EB
using
patients'
perceptions
attitudes.
Methods
Eligible
Japan
(aged
18–59
years)
who
reported
a
diagnosis
MDD
antidepressant
medication
use
>3
months
were
eligible
to
complete
an
online
survey.
The
primary
outcome
was
EB,
self‐reported
validated
screening
question.
Secondary
outcomes
included
correlation
between
symptoms
(measured
by
Oxford
Depression
Questionnaire
[ODQ])
scores
on
Patient
Health
9‐item
(PHQ‐9),
Generalized
Anxiety
Disorder
7‐item
(GAD‐7),
Work
Social
Adjustment
Scale
(WSAS),
EuroQol
5‐Dimension
5‐Levels
questionnaire
(EQ‐5D‐5L).
Descriptive
questions
used
explore
attitudes
toward
EB.
Results
In
total,
3376
analysis
(56%
male;
48%
aged
50–59
years).
Overall,
67.1%
10%
rating
these
as
severe.
mean
(SD)
ODQ
total
score
78.2
(21.5),
which
increased
worsening
symptoms.
There
correlations
PHQ‐9,
GAD‐7,
WSAS,
EQ‐5D‐5L
(correlation
coefficients:
0.67,
0.55,
0.56,
−0.51,
respectively;
all
p
<
0.0001).
analyses
showed
that
one‐third
reporting
did
not
tell
their
physician,
two‐thirds
finding
distressing
likely
affect
recovery.
Conclusion
is
important
clinical
issue
be
considered
alongside
functional
recovery
when
managing
MDD.
Language: Английский