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When are Psychotherapy and Pharmacotherapy Combinations the Treatment of Choice for Major Depressive Disorder?

Overview of attention for article published in Psychiatric Quarterly, December 1999
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Title
When are Psychotherapy and Pharmacotherapy Combinations the Treatment of Choice for Major Depressive Disorder?
Published in
Psychiatric Quarterly, December 1999
DOI 10.1023/a:1022042316895
Pubmed ID
Authors

Michael E. Thase

Abstract

Treating major depressive disorder with the combination of psychotherapy and pharmacotherapy is highly valued by both psychiatrists and their patients. However, results of most systematic research studies suggest that this approach may be overvalued: evidence of additive benefits (in relation to the respective component therapies, alone) is meager. In this paper it is argued that the advantage of combined treatment may be limited to treatment of patients with more complex depressive disorders, including characteristics such as comorbidity, chronicity, treatment resistance, episodicity, and severity. Said another way, milder acute depressions, especially initial or sporadic episodes, probably do not warrant the routine use of psychotherapy and pharmacotherapy. By focusing attention on the patient subgroups most likely to show a true additive response to combined treatment, it may be possible to obtain maximum benefits from dwindling resources.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 15 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Ireland 1 7%
Unknown 14 93%

Demographic breakdown

Readers by professional status Count As %
Student > Doctoral Student 3 20%
Researcher 2 13%
Student > Bachelor 2 13%
Lecturer > Senior Lecturer 1 7%
Other 1 7%
Other 3 20%
Unknown 3 20%
Readers by discipline Count As %
Psychology 5 33%
Medicine and Dentistry 2 13%
Agricultural and Biological Sciences 1 7%
Unspecified 1 7%
Computer Science 1 7%
Other 1 7%
Unknown 4 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 September 2023.
All research outputs
#8,534,528
of 25,371,288 outputs
Outputs from Psychiatric Quarterly
#236
of 648 outputs
Outputs of similar age
#24,413
of 107,740 outputs
Outputs of similar age from Psychiatric Quarterly
#2
of 2 outputs
Altmetric has tracked 25,371,288 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% of other outputs scored the same or lower than it.
So far Altmetric has tracked 648 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.9. This one is in the 45th percentile – i.e., 45% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 107,740 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 17th percentile – i.e., 17% of its contemporaries scored the same or lower than it.
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