Prediction of response to fluoxetine and placebo in children and adolescents with major depression: a hypothesis generating study

J Affect Disord. 1999 Aug;54(3):269-76. doi: 10.1016/s0165-0327(98)00205-5.

Abstract

Background: The results of multivariate analyses to identify potential predictors of response to fluoxetine or placebo separately in 96 child and adolescent outpatients with major depressive disorder from a recent controlled trial are presented.

Methods: A variety of clinical, demographic and laboratory factors were examined as possible predictors of response to fluoxetine or placebo using logistic regression models.

Results: No single variable or combination of variables strongly predicted response to fluoxetine. For the placebo group, a younger age, a shorter duration of depressive episode, and a lower socioeconomic status predicted response with an overall predictive power of 81%.

Conclusions: This study is limited by the small sample size and should be considered hypothesis generating rather than confirming.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Age Factors
  • Antidepressive Agents, Second-Generation / therapeutic use*
  • Child
  • Depressive Disorder / drug therapy*
  • Double-Blind Method
  • Female
  • Fluoxetine / therapeutic use*
  • Humans
  • Male
  • Prognosis
  • Severity of Illness Index
  • Social Class

Substances

  • Antidepressive Agents, Second-Generation
  • Fluoxetine