Population |
Adult (18 years or older) outpatients with major depressive disorder during initial treatment attempt for current episode |
Interventions |
Second generation antidepressants approved for treatment of major depressive disorder by the US Food and Drug Administration: bupropion, citalopram, desvenlafaxine, duloxetine, fluoxetine, escitalopram, fluvoxamine, levomilnacipran, mirtazapine, nefazodone, paroxetine, sertraline, trazodone, venlafaxine, vilazodone, vortioxetine |
Cognitive behavioral therapies as classified by Cochrane Collaborative Depression, Anxiety and Neurosis Group’s framework27
|
Outcomes |
Benefits: response, remission, speed of response, speed of remission, relapse, quality of life, functional capacity, suicidal ideas or behaviors, hospital admission |
Harms: overall adverse events, withdrawals because of adverse events, serious adverse events, specific adverse events (including hyponatremia, seizures, suicidal ideas or behaviors, hepatotoxicity, weight gain, gastrointestinal symptoms, sexual side effects), withdrawals because of specific adverse events |
Study designs |
Benefits: randomized controlled trials, systematic reviews, and meta-analyses |
In addition for harms: non-randomized controlled trials, prospective controlled cohort studies, retrospective controlled cohort studies, case-control studies, all with minimum sample size of 500 participants |