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Anhedonia among patients with major depressive disorder: A comparison between patients on escitalopram and healthy controls

Lookup NU author(s): Dr Huai Seng Loh

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Abstract

© 2014. Società Editrice Universo (SEU). Background and Aims. Escitalopram has widely been recognized as one of the most frequently used antidepressants, with superior tolerability and great efficacy in preventing major depressive disorder (MDD) relapse and recurrence. However, anhedonia, which is a core symptom of MDD, remains difficult to treat. This study investigates the hedonic levels of MDD patients treated with Escitalopram. Materials and Methods. A total of 108 participants, 26 of whom with MDD on Escitalopram, were recruited in this cross sectional study. They were evaluated using the Snaith-Hamilton Pleasure Scale (SHAPS) and Beck Depression Inventory (BDI) questionnaires to assess their hedonic state, general mental health condition and level of depression. Results. Our study shows that most items in the SHAPS scores are significantly different between MDD patients on Escitalopram and the controls. Conclusions. The hedonic capacity remains different between the two groups despite patients with MDD are put on Escitalopram treatment. Escitalopram fails to alleviate the hedonic state of MDD patients. Antidepressants that improve both depressive symptoms and hedonic states should be considered when treating MDD patients in clinical settings.


Publication metadata

Author(s): Ng CG, Wong SK, Loh HS, Yee A

Publication type: Article

Publication status: Published

Journal: Clinica Terapeutica

Year: 2014

Volume: 165

Issue: 6

Pages: e384-e390

Acceptance date: 01/01/1900

ISSN (print): 0009-9074

ISSN (electronic): 1972-6007

Publisher: Societa Editrice Universo

URL: https://doi.org/10.7417/CT.2014.1778

DOI: 10.7417/CT.2014.1778


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