Am J Psychiatry 1978; 135:806-811
Copyright © 1978 by American Psychiatric Association
Imipramine response in deluded depressive patients
F Quitkin, A Rifkin and DF Klein
The authors examined how delusions and other psychotic features influenced
treatment outcome with imipramine in patients with primary depression.
Global improvement scores indicated that delusions or other evidence of
psychosis do not contraindicate imipramine treatment. This finding does not
support a recent report suggesting that deluded depressive patients should
not be treated with imipramine. Possible explanations of the discrepancy
between these two studies are discussed.