Evalution of the effect of Escitalopram vs. placebo on changing the temperament traits of neuroticism

https://doi.org/10.53730/ijhs.v6nS7.13421

Authors

  • Ahmad Fakhri Psychiatrist M.D, Associate professor, Department of Psychiatric, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  • Shahin Norouzi Psychiatrist M.D, Assistant professor, Department of Psychiatric, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  • Hamzeh Rostami Psychiatrist M.D, Assistant professor, Department of Psychiatric, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  • Siamak Baghaei Assistant Professor of Internal Medicine, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
  • Mina Kianmanesh Rad Department of Psychiatric, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Keywords:

Escitalopram, Neuroticism, depression

Abstract

Introduction: Neuroticism is a personality trait that is most related to the mental health challenges. Escitalopram is the selective serotonin reuptake inhibitors (SSRIS) that are usually used in the treatment of depression and anxiety disorders. The aim of this study was to evaluate the efficacy and safety of escitalopram on improving the temperament traits on the neurotic patients. Methods: In this randomized placebo controlled trial, 172 residents in three hospitals in Ahvaz, Iran were randomly assigned to receive esitalopram 20 mg/daily/ orally (No=86, 29.9 ± 6.4 years with a range of 20 to 48 years old) or placebo (N=86, 29.8+6.3 years, ranged 21-47 years old) for 4 weeks.. At the beginning of the treatment the neuroticism and deoression scores were measured using NEO-60 and HAM-D questionnaires, and the patients were re-evaluated every two weeks during the treatment. The changes of temperament traits of neuroticism and depression in the two groups were analyzed using SPSS software. Results: Administration of escitalopram in the treatment group reduced the neuroticism score 5.84 % and 13.3% after 2 and 4 weeks, respectively, compared with placebo group (P<0.01). The changes in neuroticism temperament traits were not significant in placebo group during 4 weeks (P<0.05). 

Downloads

Download data is not yet available.

References

Sauer-Zavala S, Wilner JG, Barlow DH. Addressing neuroticism in psychological treatment. Personality Disorders: Theory, Research, and Treatment. 2017;8(3):191-8.

Kalokerinos EK, Murphy SC, Koval P, Bailen NH, Crombez G, Hollenstein T, et al. Neuroticism may not reflect emotional variability. Proceedings of the National Academy of Sciences. 2020;117(17):9270-6.

Widiger TA, Oltmanns JR. Neuroticism is a fundamental domain of personality with enormous public health implications. World psychiatry. 2017;16(2):144-52.

Cipriani A, Santilli C, Furukawa TA, Signoretti A, Nakagawa A, McGuire H, et al. Escitalopram versus other antidepressive agents for depression. Cochrane Database of Systematic Reviews. 2009;15(2):112-20.

Gołyszny M, Obuchowicz E. Are neuropeptides relevant for the mechanism of action of SSRIs? Neuropeptides. 2019;75(5):1-17.

David D, Gardier A. The pharmacological basis of the serotonin system: Application to antidepressant response. L'encephale. 2016;42(3):255-63.

Edes AE, McKie S, Szabo E, Kokonyei G, Pap D, Zsombok T, et al. Spatiotemporal brain activation pattern following acute citalopram challenge is dose dependent and associated with neuroticism: A human phMRI study. Neuropharmacology. 2020;170:107807.

Sanchez C, Reines EH, Montgomery SA. A comparative review of escitalopram, paroxetine, and sertraline: are they all alike? International clinical psychopharmacology. 2014;29(4):185-94.

Knorr U, Vinberg M, Hansen A, Klose M, Feldt-Rasmussen U, Hilsted L, et al. Escitalopram and neuroendocrine response in healthy first-degree relatives to depressed patients–a randomized placebo-controlled trial. PLoS One. 2011;6(6):212-24.

Peters EM, Knorr U, Vinberg M, Kessing LV, Bowen R. A randomized placebo‐controlled trial examining the effects of escitalopram on neuroticism and state anxiety in a nonclinical sample. Human Psychopharmacology: Clinical and Experimental. 2019;34(5):271-9.

Tse WS, Bond AJ. Serotonergic involvement in the psychosocial dimension of personality. Journal of Psychopharmacology. 2001;15(3):195-8.

McCrae RR, Costa Jr PT. Rotation to maximize the construct validity of factors in the NEO Personality Inventory. Multivariate Behavioral Research. 1989;24(1):107-24.

Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the Hospital Anxiety and Depression Scale: an updated literature review. Journal of psychosomatic research. 2002;52(2):69-77.

Bagby RM, Ryder AG, Schuller DR, Marshall MB. The Hamilton Depression Rating Scale: has the gold standard become a lead weight? American Journal of Psychiatry. 2004;161(12):2163-77.

Hooijer C, Zitman FG, Griez E, Van Tilburg W, Willemse A, Dinkgreve MA. The Hamilton Depression Rating Scale (HDRS): changes in scores as a function of training and version used. Journal of affective disorders. 1991;22(1-2):21-9.

Edwards BC, Lambert MJ, Moran PW, McCully T, Smith KC, Ellingson AG. A meta‐analytic comparison of the Beck Depression Inventory and the Hamilton Rating Scale for Depression as measures of treatment outcome. British Journal of Clinical Psychology. 1984;23(2):93-9.

Blumenthal JA, Smith PJ, Jiang W, Hinderliter A, Watkins LL, Hoffman BM, et al. Effect of exercise, escitalopram, or placebo on anxiety in patients with coronary heart disease: The understanding the benefits of exercise and escitalopram in anxious patients with coronary heart disease (UNWIND) randomized clinical trial. JAMA psychiatry. 2021;78(11):1270-8.

Baldwin DS, Asakura S, Koyama T, Hayano T, Hagino A, Reines E, et al. Efficacy of escitalopram in the treatment of social anxiety disorder: A meta-analysis versus placebo. European Neuropsychopharmacology. 2016;26(6):1062-9.

Garnock-Jones KP, McCormack PL. Escitalopram. CNS drugs. 2010;24(9):769-96.

Nagel M, Watanabe K, Stringer S, Posthuma D, Van Der Sluis S. Item-level analyses reveal genetic heterogeneity in neuroticism. Nature communications. 2018;9(1):1-10.

Aluoja A, Tõru I, Raag M, Eller T, Võhma Ü, Maron E. Personality traits and escitalopram treatment outcome in major depression. Nordic Journal of Psychiatry. 2018;72(5):354-60.

Emslie GJ, Ventura D, Korotzer A, Tourkodimitris S. Escitalopram in the treatment of adolescent depression: a randomized placebo-controlled multisite trial. Journal of the American Academy of Child & Adolescent Psychiatry. 2009;48(7):721-9.

Kirino E. Escitalopram for the management of major depressive disorder: a review of its efficacy, safety, and patient acceptability. Patient preference and adherence. 2012;6:853.

Brown ES, Sayed N, Van Enkevort E, Kulikova A, Nakamura A, Khan DA, et al. A randomized, double-blind, placebo-controlled trial of escitalopram in patients with asthma and major depressive disorder. The Journal of Allergy and Clinical Immunology: In Practice. 2018;6(5):1604-12.

Roy P, Gupta B, Tripathi A, Nischal A, Dalal PK, Kar SK. Sexual functioning in females with depression in remission receiving escitalopram. The Indian Journal of Medical Research. 2019;150(6):606-12.

Rappek NAM, Sidi H, Kumar J, Kamarazaman S, Das S, Masiran R, et al. Serotonin selective reuptake inhibitors (SSRIs) and female sexual dysfunction (FSD): Hypothesis on its association and options of treatment. Current Drug Targets. 2018;19(12):1352-8.

Published

17-12-2022

How to Cite

Fakhri, A., Norouzi, S., Rostami, H., Baghaei, S., & Rad, M. K. (2022). Evalution of the effect of Escitalopram vs. placebo on changing the temperament traits of neuroticism. International Journal of Health Sciences, 6(S7), 6042–6052. https://doi.org/10.53730/ijhs.v6nS7.13421

Issue

Section

Peer Review Articles

Most read articles by the same author(s)