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Emotional side-effects of antidepressants reported by more than 50% of largest sample surveyed to date

MEDIA RELEASE – UNIVERSITY OF LIVERPOOL – 18.02.2014

A survey of 1829 New Zealanders prescribed antidepressants, the largest sample ever surveyed, has found high rates of emotional and interpersonal adverse effects. The abstract of the paper, just published online in Psychiatry Research, follows:

Background: In the context of rapidly increasing antidepressant use internationally, and recent reviews raising concerns about efficacy and adverse effects, this study aimed to survey the lived experience of the largest sample of AD recipients to date.

Methods: An online questionnaire about experiences with, and beliefs about, antidepressants was completed by 1829 adults who had been prescribed antidepressants in the last five years.

Results: Eight of the 20 adverse effects studied were reported by over half the participants; most frequently Sexual Difficulties (62%) and Feeling Emotionally Numb (60%). Percentages for other effects included: Feeling Not Like Myself – 52%, Reduction In Positive Feelings – 42%, Caring Less About Others – 39%, Suicidality – 39% and Withdrawal Effects – 55%. Total Adverse Effect scores were related to younger age, lower education and income, and type of antidepressant, but not to level of depression prior to taking antidepressants.

Conclusions: The adverse effects of antidepressants may be more frequent than previously reported, and include emotional and interpersonal effects. Lead researcher, Professor John Read (Institute of Psychology, Health and Society; University of Liverpool) comments: “The medicalization of sadness and distress has reached bizarre levels. One in ten people in some countries are now prescribed antidepressants each year.”

“While the biological side effects of antidepressants, such as weight gain and nausea, are well documented, the psychological and interpersonal effects have been largely ignored or denied. They appear to be alarmingly common.”

“Effects such as feeling emotionally numb and caring less about other people are of major concern. Our study also found that people are not being told about these effects when prescribed the drugs.”

“Our finding that over a third of respondents reported suicidality ‘as a result of taking the antidepressants’ suggests that earlier studies may have underestimated the problem.”

Over half (55%) of young people (18-25years) reported suicidality.

“Our sample was not biased towards people with an axe to grind about anti-depressants; 82% reported that the drugs had helped alleviate their depression.”

readj@liv.ac.uk

Read, J., Cartwright, C., Gibson, K. (2014). Adverse emotional and interpersonal effects reported by 1,829 New Zealanders while taking antidepressants.  Psychiatry Research

http://dx.doi.org/10.1016/j.psychres.2014.01.042

Liverpool University Media Release

MEDIA RELEASE
BY LIVERPOOL UNIVERSITY
FEBRUARY 2014

Research led by a University of Liverpool psychologist has found strong support for the theory that early childhood trauma, such as abuse and neglect, could lead to the development of psychosis in later life.

An international team of researchers reviewed more than 120 reports on the biological mechanisms underlying the relationship between childhood trauma and psychosis.

They concluded that people experiencing psychosis should be offered evidence-based psychological therapies that address the social causes of their difficulties.

Anomalies in the brains of people diagnosed with mental health problems such as ‘schizophrenia’ have traditionally been used to support the notion that such problems are biologically based brain disorders that have little to do with life events.

Recent research, however, shows support for the ‘traumagenic neurodevelopmental’ model of psychosis, which suggests that those differences can be caused by adverse life events, especially those occurring in early childhood.

Professor John Read, from the University of Liverpool’s Institute of Psychology, Health and Society, said:

“Trauma based brain changes should not be thought of as being indicative of having a brain disorder or disease. The changes are reversible. Recent studies have found, for example, that the brain’s oversensitivity to stressors can be reduced by properly designed psychotherapy.

“The primary prevention implications are profound. Protection and nurturance of the developing brain in young children would seem to be of paramount importance.

“We hope that this vast body of literature will encourage more mental health staff to take more of an interest in the lives of the people they are trying to help, rather than viewing hearing voices and having unusual beliefs as mere symptoms of an ‘illness’ that need to be suppressed with medication.”

The review was published in Neuropsychiatry.

READ THE FULL ARTICLE HERE: http://www.futuremedicine.com/doi/full/10.2217/npy.13.89