Page last updated: 2024-10-29

imipramine and Dysthymic Disorder

imipramine has been researched along with Dysthymic Disorder in 20 studies

Imipramine: The prototypical tricyclic antidepressant. It has been used in major depression, dysthymia, bipolar depression, attention-deficit disorders, agoraphobia, and panic disorders. It has less sedative effect than some other members of this therapeutic group.
imipramine : A dibenzoazepine that is 5H-dibenzo[b,f]azepine substituted by a 3-(dimethylamino)propyl group at the nitrogen atom.

Dysthymic Disorder: Chronically depressed mood that occurs for most of the day more days than not for at least 2 years. The required minimum duration in children to make this diagnosis is 1 year. During periods of depressed mood, at least 2 of the following additional symptoms are present: poor appetite or overeating, insomnia or hypersomnia, low energy or fatigue, low self-esteem, poor concentration or difficulty making decisions, and feelings of hopelessness. (DSM-IV)

Research Excerpts

ExcerptRelevanceReference
"In a multicenter study, 410 patients with early-onset primary dysthymia were treated in a randomized prospective fashion with sertraline, imipramine, or placebo."9.09Double-blind comparison of sertraline, imipramine, and placebo in the treatment of dysthymia: effects on personality. ( Chapman, D; Harrison, W; Hellerstein, DJ; Kocsis, JH; Stewart, JW, 2000)
"In a multicenter, double-blind, parallel-group trial, 416 patients with a diagnosis of early-onset primary dysthymia (DSM-III-R) of at least 5 years' duration without concurrent major depression were randomly assigned to 12 weeks of acute-phase therapy with sertraline, imipramine, or placebo."9.08Double-blind comparison of sertraline, imipramine, and placebo in the treatment of dysthymia: psychosocial outcomes. ( Davidson, J; Halbreich, U; Hellerstein, DJ; Kocsis, JH; Rosenbaum, J; Shelton, R; Yonkers, K; Zisook, S, 1997)
" We compared the prevalence of anger attacks in 168 outpatients with atypical depression or primary dysthymia with 38 normal subjects and tested the effect of treatment on anger attacks in a double-blind, placebo-controlled trial of sertraline versus imipramine."9.08A preliminary study on the efficacy of sertraline and imipramine on anger attacks in atypical depression and dysthymia. ( Fava, M; Nierenberg, AA; Pearlstein, T; Quitkin, FM; Rosenbaum, JF; Stone, A; Zisook, S, 1997)
"An international, multicenter, placebo-controlled study was undertaken to determine the safety and antidepressant efficacy of moclobemide, a new reversible inhibitor of monoamine oxidase A, and imipramine in the treatment of dysthymia (DSM-III-R)."9.08Moclobemide and imipramine in chronic depression (dysthymia): an international double-blind, placebo-controlled trial. International Collaborative Study Group. ( Amrein, R; Stabl, M; Versiani, M, 1997)
"The subsequent delineation of dysthymia in DSM-III and its future editions as well as ICD."6.40Pharmacotherapy of dysthymic and chronic depressive disorders: overview with focus on moclobemide. ( Versiani, M, 1998)
"Subjects diagnosed with DSM-III-R chronic major depressive disorder or double depression (dysthymia with concurrent major depressive episode) were randomly assigned between February 1993 and December 1994 to 12 weeks of double-blind treatment with flexibly-dosed sertraline or imipramine, with crossover to the alternate drug in the absence of response."5.12Acute worsening of chronic depression during a double-blind, randomized clinical trial of antidepressant efficacy: differences by sex and menopausal status. ( Clary, CM; Harvey, AT; Kornstein, SG; Silkey, BS, 2007)
"This was a multisite study in which outpatients with chronic major depression (with or without concurrent dysthymia), who failed to respond to 12 weeks of double-blind treatment with either sertraline hydrochloride (n = 117) or imipramine hydrochloride (n = 51), were crossed over or switched to 12 additional weeks of double-blind treatment with the alternate medication."5.10Double-blind switch study of imipramine or sertraline treatment of antidepressant-resistant chronic depression. ( Fawcett, J; Gelenberg, AJ; Harrison, W; Hirschfeld, RM; Howland, RH; Keller, MB; Klein, DN; Kocsis, JH; Koran, LM; Kornstein, SG; LaVange, LM; Rush, AJ; Russell, JM; Schatzberg, AF; Thase, ME, 2002)
"In a multicenter study, 410 patients with early-onset primary dysthymia were treated in a randomized prospective fashion with sertraline, imipramine, or placebo."5.09Double-blind comparison of sertraline, imipramine, and placebo in the treatment of dysthymia: effects on personality. ( Chapman, D; Harrison, W; Hellerstein, DJ; Kocsis, JH; Stewart, JW, 2000)
", major depression superimposed on dysthymia) were randomly assigned to 12 weeks of double-blind treatment with sertraline or with imipramine after placebo washout."5.09Gender differences in treatment response to sertraline versus imipramine in chronic depression. ( Davis, SM; Gelenberg, AJ; Harrison, WM; Keitner, GI; Keller, MB; Kornstein, SG; McCullough, JP; Schatzberg, AF; Thase, ME; Yonkers, KA, 2000)
"After 12 weeks of acute phase treatment in a double-blind, randomized, parallel-group, multi-center trial of sertraline or imipramine, patients with chronic depression (> or = 2 years in major depression, or major depression superimposed on dysthymia) continued study drug for 16 weeks."5.09Sertraline versus imipramine to prevent relapse in chronic depression. ( DeBattista, C; Friedman, RA; Gelenberg, AJ; Hirschfeld, RM; Howland, RH; Keller, MB; Klein, D; Kocsis, JH; Koran, LM; Kornstein, SG; LaVange, LM; Rush, AJ; Schatzberg, AF; Thase, ME, 2001)
"In a multicenter, double-blind, parallel-group trial, 416 patients with a diagnosis of early-onset primary dysthymia (DSM-III-R) of at least 5 years' duration without concurrent major depression were randomly assigned to 12 weeks of acute-phase therapy with sertraline, imipramine, or placebo."5.08Double-blind comparison of sertraline, imipramine, and placebo in the treatment of dysthymia: psychosocial outcomes. ( Davidson, J; Halbreich, U; Hellerstein, DJ; Kocsis, JH; Rosenbaum, J; Shelton, R; Yonkers, K; Zisook, S, 1997)
" We compared the prevalence of anger attacks in 168 outpatients with atypical depression or primary dysthymia with 38 normal subjects and tested the effect of treatment on anger attacks in a double-blind, placebo-controlled trial of sertraline versus imipramine."5.08A preliminary study on the efficacy of sertraline and imipramine on anger attacks in atypical depression and dysthymia. ( Fava, M; Nierenberg, AA; Pearlstein, T; Quitkin, FM; Rosenbaum, JF; Stone, A; Zisook, S, 1997)
"An international, multicenter, placebo-controlled study was undertaken to determine the safety and antidepressant efficacy of moclobemide, a new reversible inhibitor of monoamine oxidase A, and imipramine in the treatment of dysthymia (DSM-III-R)."5.08Moclobemide and imipramine in chronic depression (dysthymia): an international double-blind, placebo-controlled trial. International Collaborative Study Group. ( Amrein, R; Stabl, M; Versiani, M, 1997)
"1 years; mean duration of dysthymia = 23+/-13 years) and high rates of comorbidity, 52% of patients achieved a satisfactory therapeutic response to sertraline or imipramine (by a conservative, intent-to-treat analysis)."5.08The treatment of chronic depression, part 2: a double-blind, randomized trial of sertraline and imipramine. ( Davis, SM; Fawcett, JA; Gelenberg, AJ; Harrison, WM; Hirschfeld, RM; Keller, MB; Klein, DN; Kocsis, JH; Koran, LM; Kornstein, SG; Markowitz, JC; McCullough, JP; Rush, AJ; Russell, JM; Thase, ME, 1998)
"Sertraline was significantly superior in tolerability with less discontinuations due to adverse events (10."2.71Sertraline is more effective than imipramine in the treatment of non-melancholic depression: results from a multicentre, randomized study. ( Baca, E; García-Toro, M; González de Chávez, M; Pérez-Arnau, F; Porras-Chavarino, A, 2003)
"Although the mean duration of dysthymia was about 30 years and almost half of the patients had previous episodes of major depression, only 41."2.68The undertreatment of dysthymia. ( Davidson, J; Halbreich, U; Koran, L; Pearlstein, T; Shelton, RC; Thase, ME; Yonkers, KA, 1997)
"The subsequent delineation of dysthymia in DSM-III and its future editions as well as ICD."2.40Pharmacotherapy of dysthymic and chronic depressive disorders: overview with focus on moclobemide. ( Versiani, M, 1998)

Research

Studies (20)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's11 (55.00)18.2507
2000's9 (45.00)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Baca, E1
González de Chávez, M1
García-Toro, M1
Pérez-Arnau, F1
Porras-Chavarino, A1
Harvey, AT1
Silkey, BS1
Kornstein, SG6
Clary, CM1
Kocsis, JH6
Zisook, S2
Davidson, J2
Shelton, R1
Yonkers, K1
Hellerstein, DJ2
Rosenbaum, J1
Halbreich, U2
Shelton, RC1
Yonkers, KA2
Koran, L1
Thase, ME7
Pearlstein, T2
Fava, M1
Nierenberg, AA1
Quitkin, FM2
Stone, A1
Rosenbaum, JF1
Buni, TM1
de Jonghe, F1
Versiani, M2
Amrein, R1
Stabl, M1
Rush, AJ5
Koran, LM4
Keller, MB6
Markowitz, JC3
Harrison, WM4
Miceli, RJ1
Fawcett, JA2
Gelenberg, AJ5
Hirschfeld, RM4
Klein, DN4
McCullough, JP3
Schatzberg, AF5
Russell, JM2
Davis, SM3
Miller, IW1
Keitner, GI2
Schlager, DS1
Stewart, JW2
McGrath, PJ1
Bruder, GE1
Bekaroğlu, M1
Değer, O1
Karahan, SC1
Bilici, M1
Soylu, C1
Orem, A1
Chapman, D1
Harrison, W2
Marsland, TW1
Newton, W1
Howland, RH2
Friedman, RA1
DeBattista, C1
Klein, D1
LaVange, LM2
Reich, J1
Fawcett, J1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Cognitive Remediation for Neuropsychological Impairment in Compulsive Hoarding[NCT01451697]Early Phase 120 participants (Anticipated)Interventional2011-07-31Completed
A Randomized, Double-Blind, Support-of-Concept Phase 2 Study of Single-Dose Psilocybin for Major Depressive Disorder (MDD)[NCT03866174]Phase 2104 participants (Actual)Interventional2019-10-15Completed
Medication Treatment Following Neuropsychologic, Dichotic and f-MRI Tests in Depressed Outpatients With Repeat f-MRI Following Treatment[NCT00296777]Phase 428 participants (Actual)Interventional2004-12-31Completed
Dichotic Listening as a Predictor of Placebo and Medication Response in Depression[NCT00296725]Phase 1/Phase 225 participants (Actual)Interventional1994-04-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Hamilton Depression Scale (HAM-D)

"The HAM-D is a commonly used measure of the severity of depression. While several versions exist consisting of different numbers of items, virtually all include the original 17. Each item is scored from on a 3 or 5 point scale (so, from 0-2 or 0-4), with 0 indicating the item is not present and the highest item score indicating it is present nearly all the time to the severest extent. Item scores are added to obtain a total HAM-D score. Minimum possible score is 0 (indicating none of the 17 items is present), maximal possible score is 52. By convention, scores of <=7 are accepted as indicating remission and scores that have decreased >= 50% from pre-treatment indicate positive response. Higher scores indicate worse depression, while lower scores indicate milder depression or lack of depressive symptoms." (NCT00296725)
Timeframe: 6 weeks

Interventionscore on a scale (Mean)
Fluoxetine10
Imipramine9

Number of Participants With Positive Response as Assessed by the Clinical Global Impression -Global Improvement Scale (CGI-I)

"The CGI consists of two ratings: 1) Global Severity (CGI-S) and 2) Global Improvement (CGI-I), both having seven possible ratings, each from 1-7. Ratings on the CGI-S are: 1=No psychopathology 2=Minimal psychopathology 3=Mild psychopathology 4=Moderate psychopathology 5=Moderately severe psychopathology 6=Severe psychopathology 7 Extreme psychopathology. CGI-I ratings are rated for how the past week's psychopathology compares to the week immediately prior to start of treatment and includes: 1=Very much improved 2=much improved 3=minimally improved 4=Unchanged 5=minimally worse 6=much worse 7=very much worse. Scores on both thus range from 1-7 with lower scores indicating less psychopathology/greater improvement, respectively, and higher scores indicating more psychopathology/less improvement, respectively. We define response as a CGI-I of 1 or 2; nonresponse is all other ratings (i.e., CGI-I = 3 or higher." (NCT00296725)
Timeframe: 6 weeks.

InterventionParticipants (Count of Participants)
Fluoxetine7
Imipramine4

Reviews

1 review available for imipramine and Dysthymic Disorder

ArticleYear
Pharmacotherapy of dysthymic and chronic depressive disorders: overview with focus on moclobemide.
    Journal of affective disorders, 1998, Volume: 51, Issue:3

    Topics: Antidepressive Agents; Antidepressive Agents, Tricyclic; Benzamides; Clinical Trials as Topic; Comor

1998

Trials

16 trials available for imipramine and Dysthymic Disorder

ArticleYear
Sertraline is more effective than imipramine in the treatment of non-melancholic depression: results from a multicentre, randomized study.
    Progress in neuro-psychopharmacology & biological psychiatry, 2003, Volume: 27, Issue:3

    Topics: Adolescent; Adult; Aged; Analysis of Variance; Depressive Disorder, Major; Dysthymic Disorder; Femal

2003
Acute worsening of chronic depression during a double-blind, randomized clinical trial of antidepressant efficacy: differences by sex and menopausal status.
    The Journal of clinical psychiatry, 2007, Volume: 68, Issue:6

    Topics: Adult; Cross-Over Studies; Depressive Disorder, Major; Disease Progression; Double-Blind Method; Dys

2007
Double-blind comparison of sertraline, imipramine, and placebo in the treatment of dysthymia: psychosocial outcomes.
    The American journal of psychiatry, 1997, Volume: 154, Issue:3

    Topics: 1-Naphthylamine; Adult; Age of Onset; Aged; Antidepressive Agents; Double-Blind Method; Dysthymic Di

1997
The undertreatment of dysthymia.
    The Journal of clinical psychiatry, 1997, Volume: 58, Issue:2

    Topics: 1-Naphthylamine; Adult; Age of Onset; Aged; Ambulatory Care; Antidepressive Agents; Comorbidity; Dys

1997
A preliminary study on the efficacy of sertraline and imipramine on anger attacks in atypical depression and dysthymia.
    Psychopharmacology bulletin, 1997, Volume: 33, Issue:1

    Topics: 1-Naphthylamine; Adult; Aged; Anger; Antidepressive Agents, Second-Generation; Antidepressive Agents

1997
Treatment of dysthymia.
    The Journal of family practice, 1997, Volume: 44, Issue:6

    Topics: 1-Naphthylamine; Adrenergic Uptake Inhibitors; Adult; Aged; Antidepressive Agents; Antidepressive Ag

1997
Moclobemide and imipramine in chronic depression (dysthymia): an international double-blind, placebo-controlled trial. International Collaborative Study Group.
    International clinical psychopharmacology, 1997, Volume: 12, Issue:4

    Topics: Adolescent; Adult; Aged; Antidepressive Agents; Antidepressive Agents, Tricyclic; Benzamides; Consti

1997
The treatment of chronic depression, part 1: study design and rationale for evaluating the comparative efficacy of sertraline and imipramine as acute, crossover, continuation, and maintenance phase therapies.
    The Journal of clinical psychiatry, 1998, Volume: 59, Issue:11

    Topics: Antidepressive Agents, Tricyclic; Chronic Disease; Clinical Protocols; Comorbidity; Cross-Over Studi

1998
The treatment of chronic depression, part 2: a double-blind, randomized trial of sertraline and imipramine.
    The Journal of clinical psychiatry, 1998, Volume: 59, Issue:11

    Topics: Adult; Aged; Ambulatory Care; Antidepressive Agents, Tricyclic; Chronic Disease; Comorbidity; Depres

1998
The treatment of chronic depression, part 3: psychosocial functioning before and after treatment with sertraline or imipramine.
    The Journal of clinical psychiatry, 1998, Volume: 59, Issue:11

    Topics: Adaptation, Psychological; Adult; Antidepressive Agents, Tricyclic; Chronic Disease; Comorbidity; De

1998
Do tricyclic responders have different brain laterality?
    Journal of abnormal psychology, 1999, Volume: 108, Issue:4

    Topics: Antidepressive Agents, Tricyclic; Brain; Depressive Disorder, Major; Dichotic Listening Tests; Doubl

1999
Do tricyclic responders have different brain laterality?
    Journal of abnormal psychology, 1999, Volume: 108, Issue:4

    Topics: Antidepressive Agents, Tricyclic; Brain; Depressive Disorder, Major; Dichotic Listening Tests; Doubl

1999
Do tricyclic responders have different brain laterality?
    Journal of abnormal psychology, 1999, Volume: 108, Issue:4

    Topics: Antidepressive Agents, Tricyclic; Brain; Depressive Disorder, Major; Dichotic Listening Tests; Doubl

1999
Do tricyclic responders have different brain laterality?
    Journal of abnormal psychology, 1999, Volume: 108, Issue:4

    Topics: Antidepressive Agents, Tricyclic; Brain; Depressive Disorder, Major; Dichotic Listening Tests; Doubl

1999
Double-blind comparison of sertraline, imipramine, and placebo in the treatment of dysthymia: effects on personality.
    The American journal of psychiatry, 2000, Volume: 157, Issue:9

    Topics: Adult; Age of Onset; Antidepressive Agents, Tricyclic; Double-Blind Method; Dysthymic Disorder; Fact

2000
Gender differences in treatment response to sertraline versus imipramine in chronic depression.
    The American journal of psychiatry, 2000, Volume: 157, Issue:9

    Topics: Adult; Aged; Ambulatory Care; Antidepressive Agents, Tricyclic; Chronic Disease; Depressive Disorder

2000
Are there differences by gender in response to pharmacotherapy for depression?
    The Journal of family practice, 2000, Volume: 49, Issue:12

    Topics: Adult; Aged; Analysis of Variance; Antidepressive Agents; Antidepressive Agents, Tricyclic; Chi-Squa

2000
Sertraline versus imipramine to prevent relapse in chronic depression.
    Journal of affective disorders, 2001, Volume: 65, Issue:1

    Topics: Adult; Aged; Chronic Disease; Cross-Over Studies; Depressive Disorder, Major; Double-Blind Method; D

2001
Double-blind switch study of imipramine or sertraline treatment of antidepressant-resistant chronic depression.
    Archives of general psychiatry, 2002, Volume: 59, Issue:3

    Topics: Adult; Cross-Over Studies; Depressive Disorder, Major; Dysthymic Disorder; Female; Humans; Imipramin

2002

Other Studies

3 other studies available for imipramine and Dysthymic Disorder

ArticleYear
Sertraline and imipramine for the treatment of dysthymia.
    Archives of general psychiatry, 1997, Volume: 54, Issue:10

    Topics: 1-Naphthylamine; Antidepressive Agents, Tricyclic; Dysthymic Disorder; Humans; Imipramine; Placebos;

1997
Effects of antidepressant treatments on polymorphonuclear elastase levels in patients with depression.
    Journal of affective disorders, 2000, Volume: 59, Issue:3

    Topics: Adult; Antidepressive Agents; Antidepressive Agents, Tricyclic; Biomarkers; Depressive Disorder, Maj

2000
Personality change after treatment.
    The American journal of psychiatry, 2002, Volume: 159, Issue:1

    Topics: Double-Blind Method; Dysthymic Disorder; Humans; Imipramine; Personality Assessment; Personality Dis

2002