Reexamining Paroxetine and Cognitive-Behavioral Therapy in Postpartum Depression and Anxiety
J Clin Psychiatry 2005;66(11):1494-1495 [letter]
© Copyright 2015 Physicians Postgraduate Press, Inc.
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The recent (September 2004) study by Misri et al.1
evaluating the use of paroxetine and cognitive-behavioral
therapy (CBT) to treat postpartum depression and anxiety is
timely and informative; however, I have several concerns.
The results of the study are not generalizable to the majority
of women with postpartum depression and anxiety. At best, the
sample is representative only of the very small subset of women
with severe comorbid anxiety and depression who are diagnosed
by their primary care physician and referred for specialty