Differential pharmacological treatment response in high angry hostile and low angry hostile depressed patients: a retrospective analysis

J Affect Disord. 1997 Sep;45(3):161-6. doi: 10.1016/s0165-0327(97)00066-9.

Abstract

Fava et al., Am. J. Psychiatry 150 (1993)1158-1163, have recently proposed the existence of a sub-type of depressed patients who experience anger attacks. These investigators hypothesized that patients who experience anger attacks will respond better to a specific selective serotonin reuptake inhibitor (SSRI) medication than will depressed patients who do not experience anger attacks. Using a non-randomized, archival treatment methodology, 158 patients were classified as either high angry hostile (n = 83) or low angry hostile (n = 75). These patients had been treated with either a primarily noradrenergic reuptake inhibitor (desipramine) a SSRI (sertraline or paroxetine), or the combined serotonin and norepinephrine reuptake inhibitor (SNRI), venlafaxine. A 2 (high angry hostile/low angry hostile) x 3 (medication type) analysis of variance (ANOVA) was non-significant, indicating no differential treatment effects.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial

MeSH terms

  • 1-Naphthylamine / analogs & derivatives
  • 1-Naphthylamine / therapeutic use
  • Adult
  • Ambulatory Care
  • Analysis of Variance
  • Anger*
  • Cyclohexanols / therapeutic use
  • Depressive Disorder / drug therapy*
  • Depressive Disorder / psychology
  • Desipramine / therapeutic use
  • Female
  • Hostility*
  • Humans
  • Male
  • Paroxetine / therapeutic use
  • Retrospective Studies
  • Selective Serotonin Reuptake Inhibitors / therapeutic use*
  • Sertraline
  • Treatment Outcome
  • Venlafaxine Hydrochloride

Substances

  • Cyclohexanols
  • Serotonin Uptake Inhibitors
  • Paroxetine
  • Venlafaxine Hydrochloride
  • 1-Naphthylamine
  • Sertraline
  • Desipramine