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Antidepressant drugs and the response in the placebo group: the real problem lies in our understanding of the issue.

TitleAntidepressant drugs and the response in the placebo group: the real problem lies in our understanding of the issue.
Publication TypeJournal Article
Year of Publication2012
AuthorsFountoulakis, K. N., & Möller H-J.
JournalJ Psychopharmacol
Volume26
Issue5
Pagination744-50
Date Published2012 May
ISSN1461-7285
KeywordsAntidepressive Agents, Artifacts, Comprehension, Depression, Humans, Placebo Effect, Randomized Controlled Trials as Topic, Research Design, Statistics as Topic
Abstract

In a recent paper, Horder and colleagues (Horder et al., 2010, J Psychopharmacol 25: 1277-1288) have suggested that the mainproblem in the Kirsch analysis is methodological. We argue that the results are similar irrespective of the method used. In our opinion the data suggest that placebo and drug effects are non-additive: antidepressants act independently of depression severity, while the placebo effect is present only in milder cases. While the response in the placebo group is due to unstable 'noise' and 'artefacts', the medication effect is reliable, valid and stable.

DOI10.1177/0269881111421969
Alternate JournalJ. Psychopharmacol. (Oxford)
PubMed ID21926425

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