Depressive Disorder, Treatment-Resistant
Conditions
Keywords
Depressive Disorder, Treatment-Resistant, Anergic-anhednic, TRD, TRAD, MAOI, dopamine D2 receptor agonists, D2RAG, dopamine-sensitive
Brief summary
A form of depression called 'dopamine-sensitive anergic-anhedonic syndrome is usually resistant to standard therapies (TRAD). On the other hand, they respond to dopaminergic approaches for which recommendations have been developed: DATA ('Dopaminergic Antidepressant Therapy Algorithm'). These are two stages starting with non-selective monoamineoxidase inhibitors (MAOI) or dopamine D2 receptor agonists (D2RAG) in 'monotherapy' (DATA1) and proposing to combine them in the event of a partial response (DATA2). The effectiveness of this approach in the management of TRAD has not yet been evaluated in routine care. The aim of this study is to evaluate the feasibility and effectiveness in routine care of the DATA recommendations in the management of TRAD presenting to a specialized consultation for resistant depression (short and long-term results).
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Major patient (≥18 years old) * Man or woman * Patient covered for consultation at the Expert Resistant Depression Center of Alsace (CEDRA) (CHU-Strasbourg branch) for TRAD between 01 January 2013 and 31 March 2023 * Patient not opposing to the reuse of their data for the purposes of this research
Exclusion criteria
* Patient having expressed opposition to participating in the study * Patient under judicial protection * Patient under guardianship or curatorship
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients in remission; Remission time; Survival curves for remissions and responses | 3 months after the patient was taken care of at the Strasbourg University Hospital |
Countries
France