Skip to main content
. 2021 Apr 22;2021(4):CD013495. doi: 10.1002/14651858.CD013495.pub2

4. Studies with tapering, included in comparison 2.

Study ID Study design Duration of AD treatment before randomisation Inclusion criteria age Main disorder Duration of trial Number Intervention 1 Duration of tapering Intervention 2 Co‐intervention
Bialos 1982 RCT 3.7 years (0.5 to 8) NR history of MDD 24 weeks 19 taper to placebo 3 weeks continuation ‐ amitriptyline  
Bockting 2018 RCT ≥ 24 weeks NR in remission of MDD > 2 months and ≤ 2 years for ≥ 2 previous depressive episodes in the past 5 years 104 weeks 146 (intervention group split to allow multiple‐arm comparisons) taper to "no placebo" 4 weeks or longer (and within 24 weeks) continuation ‐ different classes PCT
Cook 1986 RCT 12 to 192 months NR MDD and treated with a TCA for a year without evidence of reoccurrence of depressive symptoms warranting a change in therapy 28 weeks 18 taper to placebo 4 or 8 weeks continuation ‐ TCA  
Derubeis 2019 2‐phase RCT mean 80.3 (40) weeks ≥ 18 years MDD either chronic (episode duration ≥ 2 years) or recurrent (with an episode in the past 3 years if only the second episode) 156 weeks 137 taper to "no placebo" 4 weeks or longer if clinically
indicated (not specified) continuation ‐ different classes  
Derubeis 2019 2‐phase RCT mean 80.3 (40) weeks ≥ 18 years MDD either chronic (episode duration ≥ 2 years) or recurrent (with an episode in the past 3 years if only the second episode) 156 weeks 155 taper to "no placebo" 4 weeks or longer if clinically
indicated (not specified) continuation ‐ different classes CBT prerandomisation
Huijbers 2016 RCT ≥ 24 weeks ≥ 18 years history of ≥ 3 depressive episodes and in full or partial remission 65 weeks 249 taper to "no placebo" 5 weeks continuation ‐ different classes MBCT
Keller 1998 3‐phase RCT 28 weeks NR chronic MDD of 2 years' duration or dysthymic disorder with concurrent diagnosis of MDD (double depression) 76 weeks 161 taper to placebo 4 weeks continuation ‐ sertraline  
Keller 2007 4‐phase RCT 86 weeks ≥ 18 years recurrent depression: history of ≥ 3 episodes of major depression 52 weeks 83 taper to placebo 4 weeks continuation ‐ venlafaxine ER  
Khan 2014 2‐phase RCT 24 weeks ≥ 18 years single or recurrent MDD 4 weeks 176 (control group split to allow multiple‐arm comparisons) taper to placebo 1 week continuation ‐ desvenlafaxine  
Kocsis 1996 2‐phase RCT 26 to 28 weeks NR pure dysthymia, double depression, chronic major depression 104 weeks 53 tapering to placebo 4 weeks continuation ‐ desipramine  
Kocsis 2007 3‐phase RCT 34 weeks ≥18 years recurrent depression (DSM‐IV criteria): history of ≥ 3 episodes of major depression 52 weeks 336 tapering to placebo 4 weeks continuation ‐ venlafaxine  
Kupfer 1992 RCT 3 years 21 to 65 years ≥ 3 episodes unipolar depression 104 weeks 20 tapering to placebo 3 weeks continuation ‐ imipramine IPT
Mavissakalian 1999 2‐phase RCT 24 weeks NR panic disorder with agoraphobia 52 weeks 56 tapering to placebo 3 weeks continuation ‐ imipramine  
Mavissakalian 2001 3‐phase RCT 76 weeks NR panic disorder with agoraphobia 52 weeks 11 tapering to placebo 3 weeks continuation ‐ imipramine  
Montgomery 2004 3‐phase RCT 24 weeks ≥ 18 years recurrent major depression (≥ 1 previous episode in the last 5 years) 2 weeks 235 tapering to placebo 2 weeks continuation ‐ venlafaxine IR  
Perahia 2009 3‐phase RCT 28 to 34 weeks ≥ 18 years recurrent major depression (≥ 3 episodes of depressive disorder) 52 weeks 288 tapering to placebo 4 weeks continuation ‐ duloxetine  
Rickels 2010 2‐phase RCT 24 weeks ≥ 18 years generalised anxiety disorder 24 weeks 136 tapering to placebo 4 weeks continuation ‐ venlafaxine  
Rickels 2010 3‐phase RCT 48 weeks ≥ 18 years generalised anxiety disorder 24 weeks 59 tapering to placebo 4 weeks continuation ‐ venlafaxine  
Segal 2010; 3‐phase RCT 28 weeks between 18 and 65 years MDD in remission and ≥ 2 previous episodes 76 weeks 44 (control group split to allow multiple‐arm comparisons) tapering to placebo 4 weeks continuation ‐ different types  
Stewart 1997 3‐phase RCT 30 weeks NR MDD, dysthymia, or both ≥ 2 years and definite or probable atypical
depression 24 weeks 32 tapering to placebo 2 weeks continuation ‐ imipramine  
Stewart 1997 3‐phase RCT 30 weeks NR MDD, dysthymia, or both ≥ 2 years and definite or probable atypical
depression 24 weeks 28 tapering to placebo 2 weeks continuation ‐ phenelzine  

AD: antidepressant.

CBT: cognitive‐behavioural therapy.

IPT: interpersonal therapy.

NR: not reported.

MBCT: mindfulness‐based cognitive therapy.

MDD: major depressive disorder.

PCT: preventive cognitive therapy.

RCT: randomised controlled trial.