Cited by 12Treatment of Major DepressionPain Management and Placebo EffectStatistical Methods in Clinical Trials

The DOI matches its Crossref record; 16 of the 18 references it cites were found in a registry or an index.

Declining Differences in Response Rates with Antidepressants versus Placebo: A Modest Proposal for Another Contributing Cause

PRESKORN, SHELDON H.·2013·Journal of Psychiatric Practice

Abstract

This column discusses declining differences in response rates between sequentially introduced selective serotonin reuptake inhibitors (SSRI) and placebo. Although discussions of this phenomenon in the literature have largely focused on increasing placebo response rates, the author proposes that another factor may be responsible. That factor is an order effect, meaning that response rates have been declining as a function of the number of SSRIs on the market when the next SSRI is in development. The rationale is that the pool of potential clinical trial participants likely to respond to a drug with this mechanism of action (MOA) becomes progressively smaller with the introduction of each new agent with the same MOA, because many patients will already have been treat- ed and responded to an earlier member of the class. This phenomenon is not limited to the SSRIs but generalizes to any class of treatments that shares the same MOA.

Overview

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Crossref · 10.1097/01.pra.0000430506.37144.d1

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16 of 16 references verified0 citation errors · 0 not checkable

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Research works printed but not linked: 1

  1. Kalia, 2011, Vilazodone for major depressive disorder., Curr Psychiatry, 10, 84

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Metadata

Authors
PRESKORN, S. H.
Affiliations
University of Kansas (US)
Corresponding author
PRESKORN, SHELDON H.
Venue
Journal of Psychiatric Practice
Published
2013-05
Volume
19
Issue
3
Pages
227-233
ISSN
  • 1527-4160 (ISSN-L)
  • 1538-1145
OpenAlex
W2048542310
Cited by
12
References
18
Citations by year
2025: 1 · 2024: 2 · 2022: 1 · 2021: 2 · 2020: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2014: 1 · 2013: 1
FWCI
0.74
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Psychiatric Practice (publishedVersion)
  • PubMed (publishedVersion)
  • Holmes Museum Of Anthropology (Wichita State University) (submittedVersion)
Topics
  • Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
  • Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Clinical Trials
Keywords
antidepressants, selective serotonin reuptake inhibitors, placebo response, treatment response rate, order effects, mechanism of action, clinical trial participants, drug development
MeSH terms
Antidepressive Agents, Depressive Disorder, Drug Utilization, Humans, United States, United States Food and Drug Administration, Placebo Effect, Randomized Controlled Trials as Topic, Treatment Outcome, Drug Approval, Selective Serotonin Reuptake Inhibitors, Drug Substitution, Depressive Disorder, Treatment-Resistant

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