Publications by authors named "Raphaelle Marie Richieri"

Objectives: Electroconvulsive therapy (ECT) is one of the most effective treatments in mood disorders, mainly in major depressive episode (MDE) in the context of either unipolar (MDD) or bipolar disorder (BD). However, ECT remains a neglected and underused treatment. Older people are at high risk patients for the development of adverse drug reactions.

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Article Synopsis
  • Previous research indicates that individuals with treatment-resistant depression (TRD) experience significant cognitive impairments, but the progression of these impairments based on treatment response has been understudied.
  • The study analyzed 131 TRD patients over a year to compare cognitive performance changes in those who responded to treatment versus those who did not.
  • Findings showed persistent cognitive impairments in both groups, but responders exhibited more significant improvements, suggesting the need for cognitive remediation to enhance their daily functioning post-treatment.
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Background: Major depressive disorder (MDD) is among the most common psychiatric disorders. One-third of patients are usually unresponsive to several lines of treatment. This study aimed to describe the FondaMental French cohort of patients with treatment-resistant depression (TRD) and to estimate utility and healthcare resource use outcomes.

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Background: It is well known that the standard doses of a given drug may not have equivalent effects in all patients. To date, the management of depression remains mainly empirical and often poorly evaluated. The development of a personalized medicine in psychiatry may reduce treatment failure, intolerance or resistance, and hence the burden and costs of mood depressive disorders.

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