Here is the link to the study
http://medicine.plosjournals.org/perlserv/?request=get-document&doi=10.1371/journal.pmed.0050045
and to the University of Hull Press Release
http://www.hull.ac.uk/news/feb08/antidepressants.html
What interests me about this study is the issue of publication bias. By
including all unpublished data the effect can be evaluated properly - it
would seem that previous studies, including those used by NICE
systematically over-estimate the effect of the SSRIs.
It is also interesting that the difference between placebo and drug for
the most severely depressed people is attributed to a falling off of the
placebo effect rather than drug efficacy as such.
We might ask a) is there a similar effect with CBT - what are the
publication biases here? what do the unpublished studies tell us? and
b) since there is no equivalent to the FDA or equivalent for
psychotherapies there would seem to be no analogous dataset that could
be interrogated to reveal such an effect.
What is likely to happen as a result of theis study (led by a
psychologist) is an even greater emphasis on individual talking therapy
- so this study won't necessarily lead to more emphasis on social
interventions.
Mark
Elaine Douglas wrote:
> Hi there,
>
> Just spotted this news item on the BBC website related to findings
> recently published from Hull.
>
> http://news.bbc.co.uk/1/hi/health/7263494.stm
>
> Would this be an appropriate article for the list to add backing to the
> ineffectiveness of anti depressants? There were good efforts to get a
> statement out to the media on CBT recently. Perhaps something similar
> here would be good. Additionally, perhaps those more involved/aware (than
> myself) in the SUG might wish to get a statement going from there? I am
> willing to assist in the process.
>
> What do you think?
>
> Elaine
>
>
>
>
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