Abstract
Limited studies have evaluated the effectiveness of vortioxetine in real-world settings, and none of them has involved patients with dual depression (major depressive disorder [MDD] and substance use disorder [SUD]). The objective of the study was to describe the effectiveness of vortioxetine in clinical practice and determine its effect on affective symptoms, cognitive function, quality of life, and substance use in patients with MDD and SUD. Post-authorization, retrospective, multicenter, descriptive, and observational study in 80 patients with MDD and SUD receiving a maintenance treatment with vortioxetine for six months between January 2017 and April 2021. Compared with baseline, scores significantly decreased after 3 and 6 months of treatment in the Montgomery-Åsberg Depression Rating Scale total (from 28.9 to 17.7 and 12.0), and global functional impairment of the Sheehan Disability Inventory (from 26.3 to 19.1 and 16.7). The number of correct answers in the symbol digit modalities test significantly improved during vortioxetine treatment (from 40.4 to 43.8 and 48.4). Regarding the clinical global impression scale, the score for disease severity significantly decreased from 3.8 to 3.0 and 2.4. Compared with baseline, there was a significant reduction in consumption of practically all substances, especially of alcohol, cannabis, and cocaine. Vortioxetine was effective in clinical practice for alleviating depressive symptoms and functional impairment, and in improving cognitive and executive functions and disease severity in patients with MDD and SUD. Moreover, the treatment with vortioxetine favored a reduction in substance use and the severity of the SUDs.
Original language | English |
---|---|
Pages (from-to) | 0965-976 |
Number of pages | 12 |
Journal | Neuropsychiatric Disease and Treatment |
Volume | 18 |
DOIs | |
Publication status | Published - 2022 |
Keywords
- Dual disorder
- Major depressive disorder
- Major dual depressive disorder
- Real-world evidence
- Substance use disorder
- Vortioxetine
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Basurte-Villamor, I., Vega, P., Martínez-Raga, J., Grau-López, L., Aguilar, L., Torrens, M., & Szerman, N. (2022). A Feasibility Study of Patients with Major Depression and Substance Use Disorders : Vortioxetine as Maintenance Treatment. Neuropsychiatric Disease and Treatment, 18, 0965-976. https://doi.org/10.2147/NDT.S358782
Basurte-Villamor, Ignacio ; Vega, Pablo ; Martínez-Raga, José et al. / A Feasibility Study of Patients with Major Depression and Substance Use Disorders : Vortioxetine as Maintenance Treatment. In: Neuropsychiatric Disease and Treatment. 2022 ; Vol. 18. pp. 0965-976.
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title = "A Feasibility Study of Patients with Major Depression and Substance Use Disorders :: Vortioxetine as Maintenance Treatment",
abstract = "Limited studies have evaluated the effectiveness of vortioxetine in real-world settings, and none of them has involved patients with dual depression (major depressive disorder [MDD] and substance use disorder [SUD]). The objective of the study was to describe the effectiveness of vortioxetine in clinical practice and determine its effect on affective symptoms, cognitive function, quality of life, and substance use in patients with MDD and SUD. Post-authorization, retrospective, multicenter, descriptive, and observational study in 80 patients with MDD and SUD receiving a maintenance treatment with vortioxetine for six months between January 2017 and April 2021. Compared with baseline, scores significantly decreased after 3 and 6 months of treatment in the Montgomery-{\AA}sberg Depression Rating Scale total (from 28.9 to 17.7 and 12.0), and global functional impairment of the Sheehan Disability Inventory (from 26.3 to 19.1 and 16.7). The number of correct answers in the symbol digit modalities test significantly improved during vortioxetine treatment (from 40.4 to 43.8 and 48.4). Regarding the clinical global impression scale, the score for disease severity significantly decreased from 3.8 to 3.0 and 2.4. Compared with baseline, there was a significant reduction in consumption of practically all substances, especially of alcohol, cannabis, and cocaine. Vortioxetine was effective in clinical practice for alleviating depressive symptoms and functional impairment, and in improving cognitive and executive functions and disease severity in patients with MDD and SUD. Moreover, the treatment with vortioxetine favored a reduction in substance use and the severity of the SUDs.",
keywords = "Dual disorder, Major depressive disorder, Major dual depressive disorder, Real-world evidence, Substance use disorder, Vortioxetine",
author = "Ignacio Basurte-Villamor and Pablo Vega and Jos{\'e} Mart{\'i}nez-Raga and Lara Grau-L{\'o}pez and Lourdes Aguilar and Marta Torrens and Nestor Szerman",
year = "2022",
doi = "10.2147/NDT.S358782",
language = "English",
volume = "18",
pages = "0965--976",
}
Basurte-Villamor, I, Vega, P, Martínez-Raga, J, Grau-López, L, Aguilar, L, Torrens, M & Szerman, N 2022, 'A Feasibility Study of Patients with Major Depression and Substance Use Disorders : Vortioxetine as Maintenance Treatment', Neuropsychiatric Disease and Treatment, vol. 18, pp. 0965-976. https://doi.org/10.2147/NDT.S358782
A Feasibility Study of Patients with Major Depression and Substance Use Disorders : Vortioxetine as Maintenance Treatment. / Basurte-Villamor, Ignacio; Vega, Pablo; Martínez-Raga, José et al.
In: Neuropsychiatric Disease and Treatment, Vol. 18, 2022, p. 0965-976.
Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - A Feasibility Study of Patients with Major Depression and Substance Use Disorders :
T2 - Vortioxetine as Maintenance Treatment
AU - Basurte-Villamor, Ignacio
AU - Vega, Pablo
AU - Martínez-Raga, José
AU - Grau-López, Lara
AU - Aguilar, Lourdes
AU - Torrens, Marta
AU - Szerman, Nestor
PY - 2022
Y1 - 2022
N2 - Limited studies have evaluated the effectiveness of vortioxetine in real-world settings, and none of them has involved patients with dual depression (major depressive disorder [MDD] and substance use disorder [SUD]). The objective of the study was to describe the effectiveness of vortioxetine in clinical practice and determine its effect on affective symptoms, cognitive function, quality of life, and substance use in patients with MDD and SUD. Post-authorization, retrospective, multicenter, descriptive, and observational study in 80 patients with MDD and SUD receiving a maintenance treatment with vortioxetine for six months between January 2017 and April 2021. Compared with baseline, scores significantly decreased after 3 and 6 months of treatment in the Montgomery-Åsberg Depression Rating Scale total (from 28.9 to 17.7 and 12.0), and global functional impairment of the Sheehan Disability Inventory (from 26.3 to 19.1 and 16.7). The number of correct answers in the symbol digit modalities test significantly improved during vortioxetine treatment (from 40.4 to 43.8 and 48.4). Regarding the clinical global impression scale, the score for disease severity significantly decreased from 3.8 to 3.0 and 2.4. Compared with baseline, there was a significant reduction in consumption of practically all substances, especially of alcohol, cannabis, and cocaine. Vortioxetine was effective in clinical practice for alleviating depressive symptoms and functional impairment, and in improving cognitive and executive functions and disease severity in patients with MDD and SUD. Moreover, the treatment with vortioxetine favored a reduction in substance use and the severity of the SUDs.
AB - Limited studies have evaluated the effectiveness of vortioxetine in real-world settings, and none of them has involved patients with dual depression (major depressive disorder [MDD] and substance use disorder [SUD]). The objective of the study was to describe the effectiveness of vortioxetine in clinical practice and determine its effect on affective symptoms, cognitive function, quality of life, and substance use in patients with MDD and SUD. Post-authorization, retrospective, multicenter, descriptive, and observational study in 80 patients with MDD and SUD receiving a maintenance treatment with vortioxetine for six months between January 2017 and April 2021. Compared with baseline, scores significantly decreased after 3 and 6 months of treatment in the Montgomery-Åsberg Depression Rating Scale total (from 28.9 to 17.7 and 12.0), and global functional impairment of the Sheehan Disability Inventory (from 26.3 to 19.1 and 16.7). The number of correct answers in the symbol digit modalities test significantly improved during vortioxetine treatment (from 40.4 to 43.8 and 48.4). Regarding the clinical global impression scale, the score for disease severity significantly decreased from 3.8 to 3.0 and 2.4. Compared with baseline, there was a significant reduction in consumption of practically all substances, especially of alcohol, cannabis, and cocaine. Vortioxetine was effective in clinical practice for alleviating depressive symptoms and functional impairment, and in improving cognitive and executive functions and disease severity in patients with MDD and SUD. Moreover, the treatment with vortioxetine favored a reduction in substance use and the severity of the SUDs.
KW - Dual disorder
KW - Major depressive disorder
KW - Major dual depressive disorder
KW - Real-world evidence
KW - Substance use disorder
KW - Vortioxetine
U2 - 10.2147/NDT.S358782
DO - 10.2147/NDT.S358782
M3 - Article
C2 - 35547266
SN - 1178-2021
VL - 18
SP - 965
EP - 976
JO - Neuropsychiatric Disease and Treatment
JF - Neuropsychiatric Disease and Treatment
ER -
Basurte-Villamor I, Vega P, Martínez-Raga J, Grau-López L, Aguilar L, Torrens M et al. A Feasibility Study of Patients with Major Depression and Substance Use Disorders : Vortioxetine as Maintenance Treatment. Neuropsychiatric Disease and Treatment. 2022;18:0965-976. doi: 10.2147/NDT.S358782