Moderators of antidepressant augmentation versus switch in the OPTIMUM randomised controlled trial

Augmenting was superior to switching antidepressants only in older patients with fewer than three previous antidepressant trials. This suggests that other intervention strategies should be considered following three or more trials.

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Publication Details

Journal
The British Journal of Psychiatry
Published
2025-06-19
DOI
https://doi.org/10.1192/bjp.2025.125
Citations
2
Primary Topic
Treatment of Major Depression
Type
article
Field-Weighted Citation Impact
2.79

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article

Moderators of antidepressant augmentation versus switch in the OPTIMUM randomised controlled trial

Steven P. Roose, Jordan F. Karp, Daniel M. Blumberger, J. Philip Miller et al.
2 citations
The British Journal of Psychiatry
Treatment of Major Depression
2.79
article

Moderators of antidepressant augmentation versus switch in the OPTIMUM randomised controlled trial

Steven P. Roose, Jordan F. Karp, Daniel M. Blumberger, J. Philip Miller, Alastair J. Flint, Benoit H. Mulsant, Eric J. Lenze, Emily Lenard, Helen Lavretsky, Helena K. Kim, Patrick J. Brown, Charles F. Reynolds
article en
2 citations

Abstract

Augmenting was superior to switching antidepressants only in older patients with fewer than three previous antidepressant trials. This suggests that other intervention strategies should be considered following three or more trials.

The British Journal of PsychiatryVol. 227(5)
University Health Network (CA), Centre for Addiction and Mental Health (CA), University of Arizona (US), Mental Health Research Institute (AU), University of California, Los Angeles (US), University of Pittsburgh (US), University of Toronto (CA), Washington University in St. Louis (US), Columbia University Irving Medical Center (US), Health Net (US), University of California System (US), New York Psychoanalytic Society and Institute (US)
Patient-Centered Outcomes Research Institute, Vanderbilt University, University of Pennsylvania, Wake Forest University, University of Texas Southwestern Medical Center, University of Toronto, National Institutes of Health, University of California, San Francisco, Canadian Institutes of Health Research
Good health and well-being
Openalex Percentile: Top 10%
Treatment of Major Depression
2.79
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