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Sexual dysfunction during treatment with serotonergic and noradrenergic antidepressants: Clinical description and the role of the 5-HTTLPR

Identifieur interne : 000897 ( Main/Exploration ); précédent : 000896; suivant : 000898

Sexual dysfunction during treatment with serotonergic and noradrenergic antidepressants: Clinical description and the role of the 5-HTTLPR

Auteurs : Jana Strohmaier [Allemagne] ; Stefan Wüst [Allemagne] ; Rudolf Uher [Royaume-Uni] ; Neven Henigsberg [Croatie] ; Ole Mors [Danemark] ; Joanna Hauser [Pologne] ; Daniel Souery [Belgique] ; Astrid Zobel [Allemagne] ; Mojca Z. Dernovsek [Slovénie] ; Fabian Streit [Allemagne] ; Christine Schm L [Allemagne] ; Dejan Kozel [Slovénie] ; Anna Placentino [Italie] ; Anne Farmer [Royaume-Uni] ; Peter Mcguffin [Royaume-Uni] ; Katherine J. Aitchison [Royaume-Uni] ; Marcella Rietschel [Allemagne]

Source :

RBID : PMC:3279131

Abstract

Objectives

Sexual dysfunction (SD) is a frequently reported side-effect of antidepressant treatment, particularly of selective serotonin reuptake inhibitors (SSRIs). In the multicentre clinical and pharmacogenetic GENDEP study (Genome-based Therapeutic Drugs for Depression), the effect of the serotonin transporter gene promoter polymorphism 5-HTTLPR on sexual function was investigated during treatment with escitalopram (SSRI) and nortriptyline (tricyclic antidepressant).

Methods

A total of 494 subjects with an episode of DSM-IV major depression were randomly assigned to treatment with escitalopram or nortriptyline. Over 12 weeks, depressive symptoms and SD were measured weekly with the Montgomery-Asberg Depression Rating Scale, the Antidepressant Side-Effect Checklist, the UKU Side Effect Rating Scale, and the Sexual Functioning Questionnaire.

Results

The incidence of reported SD after 12 weeks of treatment was relatively low, and did not differ significantly between antidepressants (14.9% escitalopram, 19.7% nortriptyline). There was no significant interaction between the 5-HTTLPR and antidepressant on SD. Improvement in depressive symptoms and younger age were both associated with lower SD. The effect of age on SD may have been moderated by the 5-HTTLPR.

Conclusions

In GENDEP, rates of reported SD during treatment were lower than those described in previous reports. There was no apparent effect of the 5-HTTLPR on the observed decline in SD.


Url:
DOI: 10.3109/15622975.2011.559270
PubMed: 21388237
PubMed Central: 3279131


Affiliations:


Links toward previous steps (curation, corpus...)


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<name sortKey="Schm L, Christine" sort="Schm L, Christine" uniqKey="Schm L C" first="Christine" last="Schm L">Christine Schm L</name>
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<name sortKey="Placentino, Anna" sort="Placentino, Anna" uniqKey="Placentino A" first="Anna" last="Placentino">Anna Placentino</name>
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<nlm:aff id="au11">Psychiatric Unit 23, Department of Mental Health, Spedali Civili Hospital and Biological Psychiatry Unit, Centro San Giovanni di Dio IRCCS-FBF, Brescia, Italy</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Psychiatric Unit 23, Department of Mental Health, Spedali Civili Hospital and Biological Psychiatry Unit, Centro San Giovanni di Dio IRCCS-FBF, Brescia</wicri:regionArea>
<wicri:noRegion>Brescia</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Farmer, Anne" sort="Farmer, Anne" uniqKey="Farmer A" first="Anne" last="Farmer">Anne Farmer</name>
<affiliation wicri:level="1">
<nlm:aff id="au2">Medical Research Council (MRC) Social, Genetic, and Developmental Psychiatry Research Centre, Institute of Psychiatry, King's College London, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Medical Research Council (MRC) Social, Genetic, and Developmental Psychiatry Research Centre, Institute of Psychiatry, King's College London</wicri:regionArea>
<wicri:noRegion>King's College London</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Mcguffin, Peter" sort="Mcguffin, Peter" uniqKey="Mcguffin P" first="Peter" last="Mcguffin">Peter Mcguffin</name>
<affiliation wicri:level="1">
<nlm:aff id="au2">Medical Research Council (MRC) Social, Genetic, and Developmental Psychiatry Research Centre, Institute of Psychiatry, King's College London, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Medical Research Council (MRC) Social, Genetic, and Developmental Psychiatry Research Centre, Institute of Psychiatry, King's College London</wicri:regionArea>
<wicri:noRegion>King's College London</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Aitchison, Katherine J" sort="Aitchison, Katherine J" uniqKey="Aitchison K" first="Katherine J" last="Aitchison">Katherine J. Aitchison</name>
<affiliation wicri:level="1">
<nlm:aff id="au2">Medical Research Council (MRC) Social, Genetic, and Developmental Psychiatry Research Centre, Institute of Psychiatry, King's College London, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Medical Research Council (MRC) Social, Genetic, and Developmental Psychiatry Research Centre, Institute of Psychiatry, King's College London</wicri:regionArea>
<wicri:noRegion>King's College London</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="au12">Division of Psychological Medicine and Psychiatry, Institute of Psychiatry, King's College London, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Division of Psychological Medicine and Psychiatry, Institute of Psychiatry, King's College London</wicri:regionArea>
<wicri:noRegion>King's College London</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Rietschel, Marcella" sort="Rietschel, Marcella" uniqKey="Rietschel M" first="Marcella" last="Rietschel">Marcella Rietschel</name>
<affiliation wicri:level="3">
<nlm:aff id="au1">Central Institute of Mental Health, Division of Genetic Epidemiology in Psychiatry, Mannheim, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Central Institute of Mental Health, Division of Genetic Epidemiology in Psychiatry, Mannheim</wicri:regionArea>
<placeName>
<region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
<settlement type="city">Mannheim</settlement>
</placeName>
</affiliation>
</author>
</analytic>
<series>
<title level="j">The World Journal of Biological Psychiatry</title>
<idno type="ISSN">1562-2975</idno>
<idno type="eISSN">1814-1412</idno>
<imprint>
<date when="2011">2011</date>
</imprint>
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</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Objectives</title>
<p>Sexual dysfunction (SD) is a frequently reported side-effect of antidepressant treatment, particularly of selective serotonin reuptake inhibitors (SSRIs). In the multicentre clinical and pharmacogenetic GENDEP study (Genome-based Therapeutic Drugs for Depression), the effect of the serotonin transporter gene promoter polymorphism
<italic>5-HTTLPR</italic>
on sexual function was investigated during treatment with escitalopram (SSRI) and nortriptyline (tricyclic antidepressant).</p>
</sec>
<sec>
<title>Methods</title>
<p>A total of 494 subjects with an episode of DSM-IV major depression were randomly assigned to treatment with escitalopram or nortriptyline. Over 12 weeks, depressive symptoms and SD were measured weekly with the Montgomery-Asberg Depression Rating Scale, the Antidepressant Side-Effect Checklist, the UKU Side Effect Rating Scale, and the Sexual Functioning Questionnaire.</p>
</sec>
<sec>
<title>Results</title>
<p>The incidence of reported SD after 12 weeks of treatment was relatively low, and did not differ significantly between antidepressants (14.9% escitalopram, 19.7% nortriptyline). There was no significant interaction between the
<italic>5-HTTLPR</italic>
and antidepressant on SD. Improvement in depressive symptoms and younger age were both associated with lower SD. The effect of age on SD may have been moderated by the
<italic>5-HTTLPR</italic>
.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>In GENDEP, rates of reported SD during treatment were lower than those described in previous reports. There was no apparent effect of the
<italic>5-HTTLPR</italic>
on the observed decline in SD.</p>
</sec>
</div>
</front>
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