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Updates and Trends in the Treatment of Major Depressive Disorder

机译:重度抑郁症治疗的最新进展和趋势

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Mental illness accounts for 7.4% of the total disease burden worldwide-more than HIV/AIDS, tuberculosis, or diabetes-making it the leading cause of years lost to disability. 1 Depressive disorders make up 40.5% of that disability, the most of all mental illnesses. Despite the devastating global effects of depression, a report on approval trends by the US Food and Drug Administration (FDA) found that new molecular entities (NMEs) approved for targeting psychiatric illness peaked in the 1960s and have been declining since.(2) Indeed, of the 27 NMEs approved by the FDA in 2013, only 1 had psychiatric indications,(3) highlighting the slow pace of psychiatric drug discovery.(4) Despite this, recent progress has been made. In this article, our aim is to (1) describe recently FDA-approved medications for major depressive disorder (MDD), as well as adjunctive therapies studied during the period 2013 to 2014 (study completion, publication, or meeting reports), and (2) discuss the current trends in novel antidepressant therapies.
机译:精神疾病占全世界总疾病负担的7.4%,超过了HIV / AIDS,结核病或糖尿病,这使它成为多年来失去能力的主要原因。 1抑郁症占所有残疾的40.5%,其中大多数是精神疾病。尽管抑郁症对全球造成了毁灭性的破坏,但美国食品药品监督管理局(FDA)的批准趋势报告发现,批准用于靶向精神病的新分子实体(NME)于1960年代达到顶峰,此后一直在下降。(2)实际上在FDA 2013年批准的27种NME中,只有1种具有精神病适应症,(3)突显了精神药物研发的缓慢。(4)尽管如此,最近取得了进展。在本文中,我们的目的是(1)描述最近FDA批准的用于重度抑郁症(MDD)的药物,以及在2013年至2014年期间研究的辅助疗法(研究完成,出版或会议报告),以及( 2)讨论新型抗抑郁疗法的当前趋势。

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