Antidepressant medication in patients with advanced cancer-an observational study

作者:Lloyd Williams Mari*; Payne Sheila; Reeve Joanne; Dona Ruwanthi Kolamunnage
来源:QJM-An International Journal of Medicine, 2013, 106(11): 995-1001.
DOI:10.1093/qjmed/hct133

摘要

Method: Patients were recruited from hospice day care settings and followed up longitudinally by series of measures for depression for 6 months or until death. %26lt;br%26gt;Results: Six hundred and twenty nine patients recruited. One hundred and fifty six patients in total (25%) were receiving antidepressant medication for a median of 9.5 weeks (range 0-36 weeks) and a mean of 12.2 weeks. There was no significant difference in scores on depression measures over time for patients receiving antidepressant medication. %26lt;br%26gt;Conclusions: Antidepressant medication for advanced cancer patients appeared to have little impact on depression scores. We postulate the holistic approaches within hospice day care may in themselves be interventions for depression thereby masking effect of pharmacological treatment. Further research should explore multi-intervention models for management of depression in advanced cancer.

  • 出版日期2013-11