Correlates of benzodiazepine use in major depressive disorder: The effect of anhedonia

Journal of Affective Disorders
Sakina J RizviSidney H Kennedy

Abstract

Current treatment guidelines emphasize the limited role of benzodiazepines in Major Depressive Disorder (MDD), mainly due to the absence of long-term data, risk of abuse and potential adverse effects. However, benzodiazepines continue to be prescribed for long-term use in a significant number of patients. This study sought to evaluate benzodiazepine use in a large sample of MDD patients seen at a tertiary care clinic, and determine whether use is related to illness severity or complexity, as well as to identify the clinical predictors of benzodiazepine use. This was a naturalistic cross-sectional study conducted in MDD patients seen at the Mood Disorders Pyschopharmacology Unit at the University Health Network (N=326). Detailed information on current medication regimens was collected. A structured diagnostic interview, in addition to measures of symptom severity, quality of life, and personality were administered. Participants were grouped according to the presence or absence of prescribed benzodiazepines for daily use. The prevalence of regular benzodiazepine use was 25%. Benzodiazepine users were more likely to be female, unemployed, have a history of child abuse, and have comorbid panic disorder. Depression and anxiety score...Continue Reading

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Citations

May 28, 2020·International Clinical Psychopharmacology·Bryant LimSakina J Rizvi
Aug 30, 2020·Clinical Pharmacology and Therapeutics·Caroline Victorri-VigneauPascale Jolliet
Jun 11, 2019·Frontiers in Psychiatry·Marianne DestoopGeert Dom
Aug 15, 2018·Translational Psychiatry·Hongyan RenKatherine J Aitchison

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