The knowns and unknowns of SSRI treatment in young people with depression and anxiety: efficacy, predictors, and mechanisms of action

The use of SSRIs for the treatment of depression and anxiety in young people is increasing. However, the effects of SSRIs in adolescence, a time when there are substantial changes in neural, cognitive, and social functioning, are not well understood. Here, we review evidence from clinical trials abo...

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Main Authors: Murphy, SE, Capitão, LP, Giles, SLC, Cowen, PJ, Stringaris, A, Harmer, CJ
Format: Journal article
Language:English
Published: Elsevier 2021
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author Murphy, SE
Capitão, LP
Giles, SLC
Cowen, PJ
Stringaris, A
Harmer, CJ
author_facet Murphy, SE
Capitão, LP
Giles, SLC
Cowen, PJ
Stringaris, A
Harmer, CJ
author_sort Murphy, SE
collection OXFORD
description The use of SSRIs for the treatment of depression and anxiety in young people is increasing. However, the effects of SSRIs in adolescence, a time when there are substantial changes in neural, cognitive, and social functioning, are not well understood. Here, we review evidence from clinical trials about the benefits and risks of SSRIs in young people and consider their mechanisms of action, as shown through human experimental work and animal models. We emphasise key outstanding questions about the effects of SSRIs in youth, identified through gaps in the literature and in consultation with young people with lived experience. It is crucial to characterise the mechanisms underpinning risks and benefits of SSRIs in this age group to progress the field, and to narrow the chasm between the widespread use of SSRIs in youth and the science on which this use is based.
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spelling oxford-uuid:18b3e98e-2159-4eee-8b08-c688b97b53b42023-05-25T15:41:04ZThe knowns and unknowns of SSRI treatment in young people with depression and anxiety: efficacy, predictors, and mechanisms of actionJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:18b3e98e-2159-4eee-8b08-c688b97b53b4EnglishSymplectic ElementsElsevier2021Murphy, SECapitão, LPGiles, SLCCowen, PJStringaris, AHarmer, CJThe use of SSRIs for the treatment of depression and anxiety in young people is increasing. However, the effects of SSRIs in adolescence, a time when there are substantial changes in neural, cognitive, and social functioning, are not well understood. Here, we review evidence from clinical trials about the benefits and risks of SSRIs in young people and consider their mechanisms of action, as shown through human experimental work and animal models. We emphasise key outstanding questions about the effects of SSRIs in youth, identified through gaps in the literature and in consultation with young people with lived experience. It is crucial to characterise the mechanisms underpinning risks and benefits of SSRIs in this age group to progress the field, and to narrow the chasm between the widespread use of SSRIs in youth and the science on which this use is based.
spellingShingle Murphy, SE
Capitão, LP
Giles, SLC
Cowen, PJ
Stringaris, A
Harmer, CJ
The knowns and unknowns of SSRI treatment in young people with depression and anxiety: efficacy, predictors, and mechanisms of action
title The knowns and unknowns of SSRI treatment in young people with depression and anxiety: efficacy, predictors, and mechanisms of action
title_full The knowns and unknowns of SSRI treatment in young people with depression and anxiety: efficacy, predictors, and mechanisms of action
title_fullStr The knowns and unknowns of SSRI treatment in young people with depression and anxiety: efficacy, predictors, and mechanisms of action
title_full_unstemmed The knowns and unknowns of SSRI treatment in young people with depression and anxiety: efficacy, predictors, and mechanisms of action
title_short The knowns and unknowns of SSRI treatment in young people with depression and anxiety: efficacy, predictors, and mechanisms of action
title_sort knowns and unknowns of ssri treatment in young people with depression and anxiety efficacy predictors and mechanisms of action
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