TY - JOUR T1 - DIfferential symptom reduction by drugs and psychotherapy in acute depression AU - DiMascio A, Weissman MM, Prusoff BA, Neu C, Zwilling M, Klerman GL Y1 - 1979/12/01 N1 - 10.1001/archpsyc.1979.01780130068008 JO - Archives of General Psychiatry SP - 1450 EP - 1456 VL - 36 IS - 13 N2 - • A randomized, controlled trial compared the combination of amitriptyline hydrochloride and short-term interpersonal psychotherapy, either treatment alone, and a nonscheduled treatment control group in ambulatory acute, nonbipolar, nonpsychotic depressives. Results show the efficacy of both psychotherapy and amitriptyline in overall symptom reduction. Amitriptyline and psychotherapy were about equal, and the effects of both treatments in combination were additive. The additive effect of combined treatment was largely due to the differential effects of the two treatments. Amitriptyline had its effect mainly on the vegetative symptoms of depression such as sleep and appetite disturbance, these occurred early in treatment, often within the first week. Psychotherapy had its effect mainly on mood, suicidal ideation, work, and interests; these effects occurred slightly later, at four to eight weeks. SN - 0003-990X M3 - doi: 10.1001/archpsyc.1979.01780130068008 UR - http://dx.doi.org/10.1001/archpsyc.1979.01780130068008 ER -