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  Vol. 31 No. 4, October 1974 TABLE OF CONTENTS
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Doxepin in a Single Bedtime Dose in Psychoneurotic Outpatients

Harold L. Goldberg, MD; Richard J. Finnerty, MA; Leon Nathan, MD; Jonathan O. Cole, MD

Arch Gen Psychiatry. 1974;31(4):513-517.


Abstract

Forty-one psychoneurotic outpatients with mixed anxiety/depression and resultant sleep disturbances were randomly assigned to receive either doxepin hydrochloride or a placebo at bedtime in a double-blind study for four weeks.

Scales used were the Lipman-Rickels Scale, the Psychiatric Outpatient Mood Scale, the Hamilton Anxiety Scale, and the Finnerty-Goldberg Sleep Evaluation Scale.

The results of this study indicated that doxepin, given at bedtime, is significantly more effective than a placebo in treating mixed anxiety/depression, as shown by all three psychiatric rating scales used and by overall evaluation, even when the improvement is controlled for pretreatment correlates of improvement. The prediction model indicated that subjects with higher occupational levels, more severe Hamilton mental rating, and less severe Hamilton behavior rating, were more likely to improve.

Bedtime dosing seemed to accelerate the antidepressive effect of doxepin while yielding significant improvement in sleep patterns.



Author Affiliations

From the West-Ros-Park Mental Health Center of Boston State Hospital.


Footnotes

Accepted for publication Dec 14, 1973.

Reprint requests to the West-Ros-Park Mental Health Center, Boston State Hospital, Boston, MA 02124 (Dr. Goldberg).



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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Prediction of Tricyclic Antidepressant Response: A Critical Review
Bielski and Friedel
Arch Gen Psychiatry 1976;33:1479-1489.
ABSTRACT  





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