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Volume 354:2611-2613 June 15, 2006 Number 24
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Depression — Augmentation or Switch after Initial SSRI Treatment

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-PubMed Citation
To the Editor: The report on the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) trial by Rush et al. (March 23 issue)1 advances the evidence base for the treatment of major depression. However, I believe it would be overreaching and incorrect to characterize the results of the study of drug treatment after initial treatment with selective serotonin-reuptake inhibitors (SSRIs) as definitive, owing to the statistical underpowering of the design. This study seems to have the same shortcomings as do other large studies, in that the authors incorrectly estimated the differences in remission among the various therapies that they tested. Rush . . . [Full Text of this Article]




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