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Table 1. Pharmacological Intervention Studies of Bereavement-related Depression
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Reference Citation
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Study Type
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Subjects
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Age (y)
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Treatment
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Results
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| [12] |
Open label |
8 women, 2 men |
Mean not reported; range, 26–65 |
Desipramine |
7 subjects much improveda; 2 subjects minimally improved; 1 dropout |
| [13] |
Open label |
8 women, 5 men |
Mean, 71.1; range, 61–78 |
Nortriptyline |
Mean HDRS scores decreased 67.9%; no dropouts |
| [14] |
Open label |
17 women, 5 men |
Mean, 63.5; range, 45–83 |
Bupropion SR |
Mean HDRS scores decreased 54%; 8 dropouts |
| [15]b |
Randomized controlled |
58 women, 22 men |
Mean range for 4 groups, 63.2–69.5 |
Nortriptyline vs. placebo vs. NTP+IPT or PLA+IPT |
NTP statistically significant compared to PLA; NTP+IPT group had lowest attrition rate |
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HDRS = Hamilton Depression Rating Scale; IPT = interpersonal psychotherapy; NTP = nortriptyline; PLA = placebo; SR = sustained release.
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aImprovement based on the Clinical Global Impression (CGI) rating after review of the decline in HDRS score.
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bSee text for details.
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References
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Jacobs SC, Nelson JC, Zisook S: Treating depressions of bereavement with antidepressants. A pilot study. Psychiatr Clin North Am 10 (3): 501-10, 1987.
[PUBMED Abstract]
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Pasternak RE, Reynolds CF 3rd, Schlernitzauer M, et al.: Acute open-trial nortriptyline therapy of bereavement-related depression in late life. J Clin Psychiatry 52 (7): 307-10, 1991.
[PUBMED Abstract]
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Zisook S, Shuchter SR, Pedrelli P, et al.: Bupropion sustained release for bereavement: results of an open trial. J Clin Psychiatry 62 (4): 227-30, 2001.
[PUBMED Abstract]
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Reynolds CF 3rd, Miller MD, Pasternak RE, et al.: Treatment of bereavement-related major depressive episodes in later life: a controlled study of acute and continuation treatment with nortriptyline and interpersonal psychotherapy. Am J Psychiatry 156 (2): 202-8, 1999.
[PUBMED Abstract]
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