We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Doxepin in a Single Bedtime Dose in Psychoneurotic Outpatients

Harold L. Goldberg, MD; Richard J. Finnerty, MA; Leon Nathan, MD; Jonathan O. Cole, MD
Arch Gen Psychiatry. 1974;31(4):513-517. doi:10.1001/archpsyc.1974.01760160061013.
Text Size: A A A
Published online


Forty-one psychoneurotic outpatients with mixed anxiety/depression and resultant sleep disturbances were randomly assigned to receive either doxepin hydrochloride or a placebo at bedtime in a double-blind study for four weeks.

Scales used were the Lipman-Rickels Scale, the Psychiatric Outpatient Mood Scale, the Hamilton Anxiety Scale, and the Finnerty-Goldberg Sleep Evaluation Scale.

The results of this study indicated that doxepin, given at bedtime, is significantly more effective than a placebo in treating mixed anxiety/depression, as shown by all three psychiatric rating scales used and by overall evaluation, even when the improvement is controlled for pretreatment correlates of improvement. The prediction model indicated that subjects with higher occupational levels, more severe Hamilton mental rating, and less severe Hamilton behavior rating, were more likely to improve.

Bedtime dosing seemed to accelerate the antidepressive effect of doxepin while yielding significant improvement in sleep patterns.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.