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Healthy Skepticism Library item: 10587

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Jureidini JN.
Not a trial of antidepressants
BMJ 2007 Jun 18; epub
http://www.bmj.com./cgi/eletters/bmj.39224.494340.55v1


Abstract:

This paper tells us something about the role of Cognitive Behaviour Therapy (CBT) in adolescent depression, but nothing about the use of drugs. The response rate is not strikingly different from what would be expected from placebo, and as with other studies of combinations of antidepressant and CBT, <1> we can draw no conclusions about the efficacy of antidepressants in the absence of a placebo arm…


Notes:

Rapid response to:
Goodyer I et al. Selective serotonin reuptake inhibitors (SSRIs) and routine specialist care with and without cognitive behaviour therapy in adolescents with major depression: randomised controlled trial. BMJ. 2007 Jun 7; [Epub ahead of print]

 

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Cases of wilful misrepresentation are a rarity in medical advertising. For every advertisement in which nonexistent doctors are called on to testify or deliberately irrelevant references are bunched up in [fine print], you will find a hundred or more whose greatest offenses are unquestioning enthusiasm and the skill to communicate it.

The best defence the physician can muster against this kind of advertising is a healthy skepticism and a willingness, not always apparent in the past, to do his homework. He must cultivate a flair for spotting the logical loophole, the invalid clinical trial, the unreliable or meaningless testimonial, the unneeded improvement and the unlikely claim. Above all, he must develop greater resistance to the lure of the fashionable and the new.
- Pierre R. Garai (advertising executive) 1963