Table 3.
Controlled studies on treatment of post-stroke depression
Authors | No | Treatment studied | Design | Time from stroke | Trial length | Outcome measures | Results |
---|---|---|---|---|---|---|---|
Lipsey et al 1984 | 34 | nortryptiline vs placebo | DB | ≤18 m | 4–6 w | HDRS, ZSRDS | nortriptyline more effective than placebo in reduction of depression |
Reding et al 1986 | 27 | trazodone vs placebo | DB | 6 w | ~4–5 w | ZSRDS | trazodone trend towards better functional status |
Andersen et al 1994 | 66 | citalopram vs placebo | DB | 2–52 w | 16 w | HDRS | citalopram more effective than placebo in reduction of depression |
Lauritzen et al 1994 | 20 | Imipramine+mianserin vs desipramine+mianserin | DB | <3 m | 6 w | HDRS | Imipramine + mianserin more effective than desipramine + mianserin in reduction of depression |
Robinson et al 2000 | 56 | nortryptiline vs fluoxetine vs placebo | DB | 4–16 w | 12 w | HDRS | nortriptyline produced a significantly higher response rate than fluoxetine or placebo |
Wiart et al 2000 | 31 | fluoxetine vs placebo | DB | <3 m | 6 w | MADRS | fluoxetine more effective than placebo in reduction of depression |
Fruehwald et al 2003 | 54 | fluoxetine vs placebo | DB | <2 w | 3 m | HDRS, BDI | fluoxetine more effective than placebo at 18-month follow-up evaluation |
Rampello et al 2004 | 74 | citalopram vs reboxetina | DB | <12 m | 16 w | HDRS, BDI | citalopram better in anxious depressed patients, reboxetine more effective in retarded depressed patients |
Murray et al 2005 | 123 | sertraline vs placebo | DB | 3 d – 1y | 26 w | MADRS, EDS | sertraline superior only in emotional distress, emotionalism and QoL |
Choi-Kwon et al 2006 | 152 | fluoxetine vs placebo | DB | 14 m | 3 m | BDI, clinical, STAS | fluoxetine more efficacious only in the treatment of emotional incontinence and anger proneness. |
Abbreviations: w, weeks; m, months; y, years; DB, double-blind; BDI, Beck Depression Inventory; HDRS, Hamilton Depression Rating Scale; MADRS, Montgomery Asberg Depression Rating Scale; QoL, Quality of Life; STAS, Spielberger Trait Anger Scale.