講者:Kennedy, Sidney
日期:2019-11-17
觀看: 2209
  • 00:00 1.
    Slide 0
  • 00:09 2.
    The many symptoms of depression …
  • 00:48 3.
    Slide 3
  • 00:49 4.
    The many symptoms of depression …
  • 00:49 5.
    Slide 1
  • 09:54 6.
    The many symptoms of depression …
  • 10:16 7.
    Slide 3
  • 10:27 8.
    Expectations of our depressed patients
  • 11:02 9.
    Slide 5
  • 11:17 10.
    Slide 6
  • 11:29 11.
    Slide 7
  • 12:06 12.
    Slide 8
  • 12:10 13.
    Snaith-Hamilton Pleasure Scale (SHAPS)
  • 13:29 14.
    Slide 10
  • 15:03 15.
    Which antidepressant ? Sertraline ? Bupropion ?
  • 15:45 16.
    The efficacy of antidepressants on anhedonia
  • 16:27 17.
    Slide 13
  • 16:40 18.
    Effects on CHEER Index (primary outcome)
  • 17:03 19.
    Effects on depression severity (secondary outcomes)
  • 17:08 20.
    Effects on anxiety severity (secondary outcomes)
  • 17:12 21.
    Group comparisons on CHEER index scores (primary outcome)
  • 17:34 22.
    Group comparisons on depression severity (secondary outcomes)
  • 17:37 23.
    Group comparisons on anxiety severity (secondary outcomes)
  • 17:38 24.
    First study (secondary outcome)
  • 18:14 25.
    Valdoxan: SmPC recomandations
  • 18:31 26.
    Slide 22
  • 18:56 27.
    Slide 23
  • 19:11 28.
    Slide 24
  • 20:13 29.
    Slide 25
  • 20:42 30.
    Slide 26
  • 21:39 31.
    1st reason why agomelatine improves anhedonia so fast.
  • 21:47 32.
    Valdoxan: A New Antidepressant With Novel Pharmacology
  • 22:04 33.
    Slide 29
  • 22:07 34.
    Slide 30
  • 22:47 35.
    2nd reason why agomelatine improves anhedonia so fast.
  • 22:50 36.
    Serotonin (5-HT) Inhibits Dopamine (DA) and Norepinephrine (NE) Release via 5-HT2C Receptors
  • 23:15 37.
    Ago ↓ Stress-induced glutamate release
  • 24:01 38.
    Agomelatine: potential impacts on glutamatergic neurotransmission
  • 25:07 39.
    1. Delayed onset of action of monoaminergic antidepressant.2. Star*D SSRI treatment for 14 weeks, remission rate around 30% (1st treatment level)
  • 26:05 40.
    3rd reason why agomelatine improves anhedonia so fast.
  • 26:09 41.
    Slide 37
  • 27:01 42.
    Slide 38
  • 28:22 43.
    4th reason why agomelatine improves anhedonia so fast.
  • 28:23 44.
    Slide 40
  • 29:58 45.
    Slide 41
  • 32:07 46.
    Slide 42
  • 33:07 47.
    Slide 43
  • 34:56 48.
    Slide 44
  • 35:03 49.
    Slide 45
  • 35:44 50.
    A further possible reason : it is about anxiety
  • 35:49 51.
    Anxious Distress: A New Specifier for MDD
  • 36:01 52.
    MDD with anxiety symptoms were associated with early onset, poor course and functioning
  • 36:13 53.
    Remission Rates With Antidepressant Treatment in Anxious vs Nonanxious Depression
  • 36:27 54.
    Anxiety depression is the hurdle for MDD remission. Sensitive to drugs’ side effects
  • 36:47 55.
    Agomelatine versus SSRI/SNRI
  • 37:20 56.
    Anxiety depression is the hurdle for MDD remission. Sensitive to drugs’ side effects
  • 37:21 57.
    Remission Rates With Antidepressant Treatment in Anxious vs Nonanxious Depression
  • 37:21 58.
    Anxiety depression is the hurdle for MDD remission. Sensitive to drugs’ side effects
  • 37:23 59.
    Agomelatine versus SSRI/SNRI
  • 37:35 60.
    Anxiety enhances- acute exposure of SSRI
  • 38:16 61.
    The underlying mechanism
  • 39:55 62.
    Extended amygdala
  • 40:27 63.
    Anxiety and fear-promoting circuit in the extended amygdala
  • 40:57 64.
    Slide 56
  • 41:50 65.
    Anxiety and fear-promoting circuit in the extended amygdala
  • 42:45 66.
    Anxiety and fear-promoting circuit in the extended amygdala
  • 42:56 67.
    Slide 59
  • 42:56 68.
    Anxiety and fear-promoting circuit in the extended amygdala
  • 43:04 69.
    Slide 59
  • 44:04 70.
    Slide 60
  • 44:11 71.
    Slide 61
  • 44:24 72.
    Slide 62
  • 44:43 73.
    Slide 63
  • 44:54 74.
    Slide 64
  • 45:07 75.
    Slide 65
  • 45:42 76.
    Slide 66
  • 46:08 77.
    2016 CANMAT GuidelinesAgomelatine recommended as a first line antidepressant
  • 46:39 78.
    Slide 68
  • 46:52 79.
    Valdoxan provides combinedgood efficacy with the best acceptability
  • 47:34 80.
    Slide 70
  • 47:44 81.
    Slide 71
  • 48:11 82.
    Case sharing
  • 48:47 83.
    Slide 73
  • 49:16 84.
    Thanks for your attention
  • 50:17 85.
    Slide 0
  • 索引
  • 筆記
  • 討論
  • 全螢幕
Valdoxan antidepressant efficacy for anhedonia in major depression (3)
長度: 54:58, 瀏覽: 2210, 最近修訂: 2019-11-17
    • 00:00 1.
      Slide 0
    • 00:09 2.
      The many symptoms of depression …
    • 00:48 3.
      Slide 3
    • 00:49 4.
      The many symptoms of depression …
    • 00:49 5.
      Slide 1
    • 09:54 6.
      The many symptoms of depression …
    • 10:16 7.
      Slide 3
    • 10:27 8.
      Expectations of our depressed patients
    • 11:02 9.
      Slide 5
    • 11:17 10.
      Slide 6
    • 11:29 11.
      Slide 7
    • 12:06 12.
      Slide 8
    • 12:10 13.
      Snaith-Hamilton Pleasure Scale (SHAPS)
    • 13:29 14.
      Slide 10
    • 15:03 15.
      Which antidepressant ? Sertraline ? Bupropion ?
    • 15:45 16.
      The efficacy of antidepressants on anhedonia
    • 16:27 17.
      Slide 13
    • 16:40 18.
      Effects on CHEER Index (primary outcome)
    • 17:03 19.
      Effects on depression severity (secondary outcomes)
    • 17:08 20.
      Effects on anxiety severity (secondary outcomes)
    • 17:12 21.
      Group comparisons on CHEER index scores (primary outcome)
    • 17:34 22.
      Group comparisons on depression severity (secondary outcomes)
    • 17:37 23.
      Group comparisons on anxiety severity (secondary outcomes)
    • 17:38 24.
      First study (secondary outcome)
    • 18:14 25.
      Valdoxan: SmPC recomandations
    • 18:31 26.
      Slide 22
    • 18:56 27.
      Slide 23
    • 19:11 28.
      Slide 24
    • 20:13 29.
      Slide 25
    • 20:42 30.
      Slide 26
    • 21:39 31.
      1st reason why agomelatine improves anhedonia so fast.
    • 21:47 32.
      Valdoxan: A New Antidepressant With Novel Pharmacology
    • 22:04 33.
      Slide 29
    • 22:07 34.
      Slide 30
    • 22:47 35.
      2nd reason why agomelatine improves anhedonia so fast.
    • 22:50 36.
      Serotonin (5-HT) Inhibits Dopamine (DA) and Norepinephrine (NE) Release via 5-HT2C Receptors
    • 23:15 37.
      Ago ↓ Stress-induced glutamate release
    • 24:01 38.
      Agomelatine: potential impacts on glutamatergic neurotransmission
    • 25:07 39.
      1. Delayed onset of action of monoaminergic antidepressant.2. Star*D SSRI treatment for 14 weeks, remission rate around 30% (1st treatment level)
    • 26:05 40.
      3rd reason why agomelatine improves anhedonia so fast.
    • 26:09 41.
      Slide 37
    • 27:01 42.
      Slide 38
    • 28:22 43.
      4th reason why agomelatine improves anhedonia so fast.
    • 28:23 44.
      Slide 40
    • 29:58 45.
      Slide 41
    • 32:07 46.
      Slide 42
    • 33:07 47.
      Slide 43
    • 34:56 48.
      Slide 44
    • 35:03 49.
      Slide 45
    • 35:44 50.
      A further possible reason : it is about anxiety
    • 35:49 51.
      Anxious Distress: A New Specifier for MDD
    • 36:01 52.
      MDD with anxiety symptoms were associated with early onset, poor course and functioning
    • 36:13 53.
      Remission Rates With Antidepressant Treatment in Anxious vs Nonanxious Depression
    • 36:27 54.
      Anxiety depression is the hurdle for MDD remission. Sensitive to drugs’ side effects
    • 36:47 55.
      Agomelatine versus SSRI/SNRI
    • 37:20 56.
      Anxiety depression is the hurdle for MDD remission. Sensitive to drugs’ side effects
    • 37:21 57.
      Remission Rates With Antidepressant Treatment in Anxious vs Nonanxious Depression
    • 37:21 58.
      Anxiety depression is the hurdle for MDD remission. Sensitive to drugs’ side effects
    • 37:23 59.
      Agomelatine versus SSRI/SNRI
    • 37:35 60.
      Anxiety enhances- acute exposure of SSRI
    • 38:16 61.
      The underlying mechanism
    • 39:55 62.
      Extended amygdala
    • 40:27 63.
      Anxiety and fear-promoting circuit in the extended amygdala
    • 40:57 64.
      Slide 56
    • 41:50 65.
      Anxiety and fear-promoting circuit in the extended amygdala
    • 42:45 66.
      Anxiety and fear-promoting circuit in the extended amygdala
    • 42:56 67.
      Slide 59
    • 42:56 68.
      Anxiety and fear-promoting circuit in the extended amygdala
    • 43:04 69.
      Slide 59
    • 44:04 70.
      Slide 60
    • 44:11 71.
      Slide 61
    • 44:24 72.
      Slide 62
    • 44:43 73.
      Slide 63
    • 44:54 74.
      Slide 64
    • 45:07 75.
      Slide 65
    • 45:42 76.
      Slide 66
    • 46:08 77.
      2016 CANMAT GuidelinesAgomelatine recommended as a first line antidepressant
    • 46:39 78.
      Slide 68
    • 46:52 79.
      Valdoxan provides combinedgood efficacy with the best acceptability
    • 47:34 80.
      Slide 70
    • 47:44 81.
      Slide 71
    • 48:11 82.
      Case sharing
    • 48:47 83.
      Slide 73
    • 49:16 84.
      Thanks for your attention
    • 50:17 85.
      Slide 0
    位置
    資料夾名稱
    保健中心
    發表人
    江堤莊
    單位
    台大醫學院資訊組
    建立
    2019-11-17 17:19:47
    最近修訂
    2019-11-17 18:51:42
    長度
    54:58