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Do antidepressants work? A commentary on "Initial severity and antidepressant benefits: a meta-analysis of data submitted to the Food and Drug Administration" by Kirsch et al
Institute of Neuroscience, Newcastle University
Correspondence to:
Dr H McAllister-Williams, Reader in Clinical Psychopharmacology and Honorary Consultant Psychiatrist, Psychiatry, Leazes Wing, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UK; r.h.mcallister-williams@ncl.ac.uk
| The first 150 words of the full text of this article appear below. |
The publication of this meta-analysis1 received a vast amount of coverage in the UK. This is despite the "bottom line" that the review does not report any novel findings—antidepressants work and their effectiveness increases with baseline severity of depression. This was not the picture painted in the media. Rather the conclusions drawn by the authors took an extreme viewpoint and the reviews publication was sensationalised both by the journal editor and the media. It is difficult to fully understand the reasons for this. Antidepressants have had a bad press in recent years over a number of issues (for example, discontinuation/withdrawal and suicidality) and the authors conclusions were in a similar "anti-antidepressant" vein—that they dont work.
This is not the first time that Irvine Kirsch, Professor of Psychology at the University of Hull has caused a storm about antidepressants. A previous paper in the BMJ2 argued that antidepressants have little or
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