Source |
Treatment n |
% female |
Mean Age |
Treatment Length |
Measure |
Design |
Response Rate |
Odds Ratiob |
Odds Ratioc |
Lower Limitc |
Upper Limitc |
Amitriptyline |
|
|
|
Birmaher et al.[50] |
13 |
70 |
16.1 |
10 |
HDRS |
RCT |
69% |
0.900b |
2.625c |
.527 |
13.068 |
Kashani et al.[35] |
9 |
11 |
10.8 |
8 |
BDI |
RCT |
67% |
7.000b |
2.500c |
.370 |
16.888 |
Kye et al. [51] |
12 |
29 |
14.6 |
8 |
HAM-D |
RCT |
92% |
1.222b |
11.00c |
1.061 |
114.086 |
Total |
34 |
|
|
|
|
|
76% |
1.825b |
3.523c |
1.179 |
10.568 |
Alprazolam |
|
|
|
Bernstein et al. [52] |
9 |
70 |
14.12 |
8 |
CGI-I |
Comp. |
67% |
- |
2.500c |
.370 |
16.888 |
Total |
9 |
|
|
|
|
|
67% |
- |
2.500c |
.365 |
17.122 |
Bupropion |
|
|
|
Glod et al. [53] |
11 |
45 |
15.5 |
8 |
CGI-I |
Open |
73% |
- |
3.200c |
.540 |
18.980 |
Total |
11 |
|
|
|
|
|
73% |
- |
3.200c |
.532 |
19.262 |
Citalopram |
|
|
|
Shirazi&
Alaghband-Rad [54] |
30 |
53 |
13.6 |
6 |
HDRS |
Open |
73% |
- |
2.750 c |
.934 |
8.100 |
Schirman et al. [55] |
51 |
50.5 |
13.9 |
8 |
CGI-I |
Open |
55% |
- |
1.266c |
.581 |
2.757 |
Von Knorring et al. [56] |
83 |
74 |
14.1* |
12 |
KSADS |
RCT |
60% |
0.967b |
1.552 c |
.839 |
2.871 |
Wagner et al. [57] |
89 |
53 |
12 |
8 |
CDRS-R |
RCT |
36% |
1.825b |
0.574c |
.315 |
1.046 |
Total |
253 |
|
|
|
|
|
52% |
1.311b |
1.117c |
.776 |
1.645 |
Clomipramine |
|
|
|
Braconnier et al. [58] |
55 |
54 |
16 |
8 |
CGI-I |
Comp. |
58% |
- |
1.443c |
.680 |
3.063 |
Total |
55 |
|
|
|
|
|
58% |
- |
1.443c |
.657 |
3.169 |
Desipramine |
|
|
|
Boulos et al. [59] |
12 |
55.3* |
17.5 |
6 |
HAM-D |
RCT |
50% |
2.000b |
1.000 c |
.202 |
4.955 |
Klein et al. [60] |
23 |
67 |
15.7 |
6 |
CGI-I |
RCT |
52% |
1.576b |
1.190 c |
.374 |
3.785 |
Kutcher et al. [61] |
30 |
70 |
17.8 |
8 |
HDRS |
RCT |
47% |
1.511b |
0.875 c |
.318 |
2.410 |
Total |
65 |
|
|
|
|
|
49% |
1.627b |
1.000c |
.496 |
2.020 |
Escitalopram |
|
|
|
Emslie et al. [62] |
154 |
59 |
14.5 |
8 |
CGI-I |
RCT |
64% |
1.605b |
1.847c |
1.170 |
2.916 |
Wagner et al. [63] |
129 |
52 |
12.6 |
8 |
CGI-I |
RCT |
63% |
1.541b |
1.768c |
1.076 |
2.905 |
Total |
283 |
|
|
|
|
|
64% |
1.575b |
1.686 c |
1.246 |
2.629 |
Fluoxetine |
|
|
|
Cornelius et al. [34] |
13 |
77 |
18.8 |
12 |
CGI-I |
Open |
100% |
|
31.154c |
1.533 |
633.140 |
Emslie et al. [64] |
48 |
46 |
12.5 |
8 |
CGI-I |
RCT |
56% |
2.571b |
1.286c |
.576 |
2.871 |
Emslie et al. [65] |
109 |
49 |
12.7 |
9 |
CDRS-R |
RCT |
65% |
1.626b |
1.903c |
1.104 |
3.279 |
Goodyeret al. (66)a |
94 |
55.3* |
14 |
12 |
CGI-I |
Comp. |
61% |
- |
1.608c |
.901 |
2.867 |
The TADS Team [67] |
109 |
54 |
14.6 |
12 |
CGI-I |
RCT |
61% |
2.873b |
1.563c |
0.914 |
2.675 |
Waslick et al. [68] |
12 |
68 |
15.9 |
8 |
CGI-I |
Open |
75% |
- |
3.000c |
0.533 |
16.897 |
Total |
385 |
|
|
|
|
|
63% |
2.239b |
1.700c |
1.249 |
2.332 |
Imipramine |
|
|
|
Bernstein et al. [52] |
6 |
70 |
14.1 |
8 |
CGI-I |
Comp. |
67% |
- |
2.000c |
0.194 |
20.614 |
Hughes et al. [69] |
13 |
55.3* |
14.1* |
6 |
CDRS-R |
RCT |
46% |
0.857b |
1.000c |
0.214 |
4.674 |
Keller et al. [70] |
94 |
59 |
14.9 |
8 |
HAM-D |
RCT |
50% |
1.175b |
1.043c |
0.589 |
1.849 |
Petti & Law [71] |
3 |
55.3* |
9.2 |
4 |
SADLI |
RCT |
100% |
11.667b |
11.667c |
0.322 |
422.139 |
Puig-Antich et al. [33] |
16 |
60.5 |
9.1 |
5 |
KSADS |
RCT |
56% |
0.600b |
1.286 c |
0.320 |
5.169 |
Total |
132 |
|
|
|
|
|
52% |
1.080b |
1.145c |
0.693 |
1.931 |
Nefazodone |
|
|
|
Findling et al. [72] |
28 |
42 |
14.2 |
8 |
CGI-I |
Open |
79% |
- |
3.667c |
1.41 |
11.787 |
Goodnick et al. [73] |
10 |
60 |
15 |
8 |
HDRS |
Open |
70% |
- |
2.333c |
.373 |
14.613 |
Total |
38 |
|
|
|
|
|
76% |
- |
3.219c |
1.181 |
8.737 |
Nortriptyline |
|
|
|
Geller et al. [74] |
22 |
27 |
9.23 |
8 |
CDRS-R |
Open |
64% |
- |
1.750 c |
0.524 |
5.842 |
Geller et al.[75] |
12 |
52 |
14.3 |
8 |
CDRS-R |
RCT |
83% |
0.341b |
0.091 c |
0.009 |
0.943 |
Geller et al. [76] |
26 |
30 |
14.1* |
8 |
KSADS |
RCT |
31% |
2.222b |
0.444 c |
0.143 |
1.381 |
Total |
60 |
|
|
|
|
|
38% |
1.691b |
0.660c |
0.298 |
1.451 |
Paroxetine |
|
|
|
Berard et al. [77] |
177 |
67 |
15.5 |
12 |
MADRS |
RCT |
60% |
1.096b |
1.581c |
1.037 |
2.410 |
Braconnier et al. [58] |
59 |
67 |
16 |
8 |
CGI-I |
Comp. |
59% |
- |
1.509 c |
0.728 |
3.125 |
Emslie et al. [78] |
101 |
47 |
12 |
8 |
CGI-I |
RCT |
49% |
1.106b |
0.961c |
0.554 |
1.669 |
Keller et al. [70] |
90 |
62 |
14.8 |
8 |
HAM-D |
RCT |
63% |
- |
1.806c |
0.996 |
3.276 |
Nobile et al. [79] |
7 |
29 |
14.4 |
12 |
CGI-I |
Open |
71% |
- |
3.333c |
0.362 |
30.701 |
Total |
434 |
|
|
|
|
|
58% |
1.308b |
1.530c |
1.080 |
1.947 |
Sertraline |
|
|
|
Melvin et al. [81] |
26 |
73 |
15 |
12 |
GAF |
Comp. |
46% |
- |
0.857 c |
0.289 |
2.546 |
Nixon et al. [36] |
23 |
87 |
15 |
12 |
HAM-D |
Open |
74% |
- |
3.091c |
0.895 |
10.672 |
Wagner et al. [81] |
185 |
51 |
12 |
10 |
CDRS-R |
RCT |
69% |
1.543b |
2.262c |
1.481 |
3.455 |
Total |
234 |
|
|
|
|
|
67% |
1.543b |
2.073c |
1.345 |
3.100 |
Venlafaxine |
|
|
|
Brent et al. [82] |
166 |
68 |
15.8 |
12 |
CGI-I |
Comp. |
48% |
- |
0.953c |
0.620 |
1.466 |
Emslie et al. [83] |
169 |
46 |
12.2 |
8 |
HAM-D |
RCT |
51% |
1.103b |
1.087 c |
0.708 |
1.669 |
Total |
335 |
|
|
|
|
|
49% |
1.103b |
1.018c |
0.722 |
1.437 |
|
*mean of all included studies used due to missing data |
a May not have included only Fluoxetine |
b Odds Ratio calculated from Study Placebo Condition |
c Odds Ratio Calculated from Estimated Placebo response rate of 49.15% |
BDI=Beck Depression Inventory, CDRS-R = Children’s Depression Rating Scale – Revised, CGI-I = Clinical Global Impression – Improvement, HAM-D = Hamilton Rating Scale for Depression, KSADS = Kiddie-Sads, MADRS = Montgomery-Asberg Depression Scale |
Table 1: Summary of Included Studies Evaluating Antidepressant Medication in Children and Adolescents. |