January 03, 2007

Some Lovely Links

I was working on "the Other Project" last night, and so I have nothing smart to say today--not that I ever do.

Until I recapture my mind, feast on this post by CL Psych commenting on Michael Thase's reply to my query about how effects sizes were calculated in the recent BOLDER II of Seroquel in bipolar depression, which I posted on here yesterday. CL Psych is a stats whiz and stats are intimidating for most of us, but it's worth reading so you become better educated about the nuts-and-bolts of psych research.

Like CL, I cannot say enough nice things about the fact that Thase responded.

In addition, the Journal Watch has a decent roundup of all the big recent studies on atypical antipsychotics, coyly titled "Wondering About the Wonder Drugs." I am glad that the professional journals are starting to display more open skepticism about this class of drugs. I hope they will keep in mind that if these drugs ain't so hot for hardcore schizophrenics, then we are giving them as maintenance meds for bipolar disorder and for children for what reason. I think these meds are OK for short-term use in bipolar disorder--and maybe for short-term use in kiddos at very low doses--but for long-term use I think that the various American and British studies establish that they are not very good at all, especially given their expense. (Hat tips to CL Psych and PharmaGossip for the linkage.)

When NIMH or whomever actually gets off their duffs and studies the long-term use of atypicals in bipolar disorder, I bet we will see similar results and similar problems. Anyone want to bet against me? Shit, I'll give odds.

Posted by Philip Dawdy at January 3, 2007 12:01 AM
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Comments

you wrote "professional journals are starting to display more open skepticism about this class of drugs"
I don't know where to start about how insane this is.
How about (from the link) "Seventy-four percent of patients discontinued their medication for any reason "

First, there is no scientific way to measure schizophrenia. Without science you can't take accurate measurements, its all the psychiatrists opinion of what is "better", if you want YOUR drug to look better than the other drugs, you enterprit the data to look better for your drug. It isn't science.

Second, the chronic schizophrenic patients are a mixture of people who want to be helped, and those who are forcably "helped". Again you can't get accurate data from two clearly different test subjects, being in the same group.

It's a joke

Posted by: Mark at January 3, 2007 05:21 AM

.."and so I have nothing smart to say today--not that I ever do."

Read the links to the award-winning articles and stop being cynical and sarcastic.
Kudos to you for having the guts to speak your mind as a professional journalist regarding mental health issues and more.

Posted by: Stephany at January 7, 2007 07:28 PM

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