Table 4. Clinical practice guidelines for the pharmacological treatment of depression: Subtypes of depression.
Recommendations/clinical practice guidelines | Chilean CPG1 [21] | Colombian CPG [22] | England CPG [23] | ICSI2 CPG [24] | APA3 CPG [26] | CANMAT4 CPG [25] |
---|---|---|---|---|---|---|
Subtypes of depression | - | ● | ● | ● | ● | ● |
Chronic or dysthymia | - | - | - | ● | - | - |
Combination of antidepressants and psychotherapy | - | - | - | ● | - | - |
Beginning of pharmacological treatment (pure dysthymia) | - | - | - | ● | - | - |
Depression with psychotic features | - | ● | ● | - | ● | ● |
Contraindication of isolated psychotherapy | - | - | - | - | - | - |
Indication of antipsychotic agents in combination with antidepressants | - | ● | ● | - | ● | ● |
Catatonic | - | - | - | - | ● | ● |
Benzodiazepines in combination with antidepressants | - | - | - | - | ● | ● |
Barbiturates in combination with antidepressants | - | - | - | - | ● | - |
Depression with atypical features | - | - | - | ● | ● | ● |
Monoamine oxidase inhibitors | - | - | - | ● | ● | - |
Selective serotonin reuptake inhibitors and bupropion | - | - | - | - | ● | - |
No specific antidepressants have demonstrated superiority | - | - | - | - | - | ● |
Depression with melancholic features | - | - | - | - | ● | ● |
Serotonin and noradrenaline reuptake inhibitors and tricyclic antidepressants | - | - | - | - | ● | - |
No specific antidepressants have demonstrated superiority | - | - | - | - | - | ● |
Depression with seasonal pattern | - | - | - | - | - | ● |
No specific antidepressants have demonstrated superiority | - | - | - | - | - | ● |
Depression with somatic symptoms (fatigue) | - | - | - | - | - | ● |
Mixed depression disorder | - | - | - | - | - | ● |
1CPG = clinical practice guideline;
2ICSI = Institute for Clinical Systems Improvement;
3APA = American Psychiatry Association;
4CANMAT = Canadian Network for Mood and Anxiety Treatments.
● = CPG does contain topic; - = CPG does not contain topic.