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09-12-2022 | Brief Report

Antidepressant Medication Status as a Moderator of Winter Depression Recurrence Following Cognitive-Behavioral Therapy and Light Therapy: Is There Evidence of an Iatrogenic Effect?

Auteurs: Kelly J. Rohan, Julia M. Terman, Richard J. Norton, Beth M. McCormick, Pamela M. Vacek, Michael J. DeSarno

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 2/2023

Abstract

Hollon (Am Psychol 75(9):1207–1218, 2020) questioned whether antidepressant medication (ADM) has iatrogenic effects that prolong a depressive episode, contributing to relapse when ADM is stopped and explaining the apparent enduring advantage of cognitive-behavioral therapy (CBT) over ADM in reducing risk of recurrence. A randomized clinical trial including 177 adults with winter depression treated with 6 weeks of CBT or light therapy (LT) observed significantly fewer depression recurrences the second winter following CBT than LT, but not the first winter after treatment. Stable ADM use at baseline was allowed, with ADM status tracked at each followup. In logistic regression analyses, neither study treatment-baseline ADM status (CBT, CBT + ADM, LT, LT + ADM) nor ADM status at followup (present/absent) significantly predicted recurrence at either followup, and there were no significant interactions of these variables at either followup. After adjustment for ADM status at second winter, the likelihood of recurrence at second winter was (1) lower in CBT than in LT, among participants without and with baseline ADM (0.43X and 0.56X lower, respectively), and (2) not significantly different for those taking vs. not taking ADM at baseline in either CBT or LT. Results support an enduring effect of CBT, but not iatrogenic effects of ADM in this study.

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Titel: Antidepressant Medication Status as a Moderator of Winter Depression Recurrence Following Cognitive-Behavioral Therapy and Light Therapy: Is There Evidence of an Iatrogenic Effect?
Auteurs: Kelly J. Rohan
Julia M. Terman
Richard J. Norton
Beth M. McCormick
Pamela M. Vacek
Michael J. DeSarno
Publicatiedatum: 09-12-2022
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 2/2023
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-022-10344-7

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