Information
for the study was gathered from six different placebo-controlled studies taking
place across a 29-year span. It included data from 718 adult outpatients being
treated for minor or major depressive disorder.
“The
magnitude of benefit of antidepressant medication compared with placebo
increases with severity of depression symptoms,” authors of the study explain,
“and may be minimal or nonexistent, on average, in patients with mild or
moderate symptoms.”
According
to the New York Times, the success rate of placebos in some studies such as
this can be as high as 50 percent for individuals with mild to moderate
depression. People who continue to use antidepressants do appear to have a
lower relapse rate, though—just one-third to one-half that of those taking
placebos.
The study
has its limitations, however. First of all, its conclusions are based on
studies including just two different antidepressants. Another drawback is that,
for the purpose of discovering which drugs are most effective, many studies of
antidepressant medications exclude people who get better using placebos.
Finally,
results may be limited because of the difficulty of finding studies that
include people with mild to moderate depression, rather than just those with
severe depression. A study with a much larger pool of participants would
provide greater insight into the effectiveness of placebos versus
antidepressants.
The study
is merely suggestive, and neither proves nor disproves the claim that
antidepressants are no more effective than placebos. In no way does it mean that
someone should stop taking medication prescribed for depression. Rather, it
provides something for antidepressant users to consider and discuss with their
doctors.
“For patients with very severe depression, the benefit of medications over placebo is substantial,” authors concluded.
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