@article {Salter:2016:0885-9701:E21, author = "Salter, Katherine L. and McClure, J. Andrew and Foley, Norine C. and Sequeira, Keith and Teasell, Robert W.", title = "Pharmacotherapy for Depression Posttraumatic Brain Injury: A Meta-analysis", journal = "Journal of Head Trauma Rehabilitation", volume = "31", number = "4", year = "2016", publication date ="2016-07-01T00:00:00", abstract = " Objective: To examine the effectiveness of pharmacotherapy for the treatment of depression following traumatic brain injury (TBI). Design: Systematic review and meta-analysis. Multiple electronic databases were searched to identify relevant studies examining effectiveness of pharmacotherapy for depression post-TBI. Clinical trials evaluating the use of pharmacotherapy in individuals with depression at baseline and using standardized assessments of depression were included. Data abstracted included sample size, antidepressant used, treatment timing/duration, method of assessment, and results pertaining to impact of treatment. Study quality was assessed using a modified Jadad scale. Results: Nine studies met criteria for inclusion. Pooled analyses based on reported means (standard deviations) from repeated assessments of depression showed that, over time, antidepressant treatment was associated with a significant effect in favor of treatment (Hedges g = 1.169; 95% confidence interval, 0.849-1.489; P < .001). Similarly, when limited to placebo-controlled trials, treatment was associated with a significant reduction in symptoms (standardized mean difference = 0.84; 95% confidence interval, 0.314-1.366; P = .002). Conclusion: Pharmacotherapy after TBI may be associated with a reduction in depressive symptomatology. Given limitations within the available literature, further well-powered, placebo-controlled trials should be conducted to confirm the effectiveness of antidepressant therapy in this population.", pages = "E21-E32", itemtype = "ARTICLE", parent_itemid = "infobike://wk/htr", issn = "0885-9701", eissn = "1550-509X", publishercode ="wk", url = "http://www.ingentaconnect.com/content/wk/htr/2016/00000031/00000004/art00003", doi = "doi:10.1097/HTR.0000000000000193", keyword = "traumatic brain injury, meta-analysis, depression, pharmacotherapy" }