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Old 08-14-2022, 05:18 PM
 
Location: New Jersey
4,177 posts, read 5,056,132 times
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Quote:
Our comprehensive review of the major strands of research on serotonin shows there is no convincing evidence that depression is associated with, or caused by, lower serotonin concentrations or activity.
https://www.nature.com/articles/s41380-022-01661-0
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Old 08-15-2022, 10:23 AM
 
5,703 posts, read 4,276,476 times
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Quote:
Our comprehensive review of the major strands of research on serotonin shows there is no convincing evidence that depression is associated with, or caused by, lower serotonin concentrations or activity.
https://www.nature.com/articles/s41380-022-01661-0




There never has been.
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Old 08-18-2022, 03:34 AM
 
Location: The Driftless Area, WI
7,237 posts, read 5,114,062 times
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The meta analysis did not find that serotonin levels weren't involved. It found that there was no consistent evidence of a causal association between levels of serotonin and depression. Some studies showed there was an association and some that there wasn't.....Either way, we don't know if low serotonin is a cause of depression, or if it's a result of depression....(Eg- fever is associated with infection. Does infection cause fever, or does fever cause infection?)

Psychiatric pathology is no doubt very complex and it's probably a little too simplistic to think one lousy chemical holds the key to the problem.
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Old 08-18-2022, 08:39 PM
 
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Originally Posted by guidoLaMoto View Post
The meta analysis did not find that serotonin levels weren't involved. It found that there was no consistent evidence of a causal association between levels of serotonin and depression. Some studies showed there was an association and some that there wasn't.....Either way, we don't know if low serotonin is a cause of depression, or if it's a result of depression....(Eg- fever is associated with infection. Does infection cause fever, or does fever cause infection?)

Psychiatric pathology is no doubt very complex and it's probably a little too simplistic to think one lousy chemical holds the key to the problem.

And yet that's what psychiatry has been selling for what...4 decades?
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Old 08-19-2022, 04:28 AM
 
Location: The Driftless Area, WI
7,237 posts, read 5,114,062 times
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What about insulin, BS & DM?...Much more complicated than that-- yet it's been 100 yrs now and we're just starting to see the light.

When your only tool is a hammer, the whole world looks like a nail to you.
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Old 08-19-2022, 11:05 AM
 
50,717 posts, read 36,411,320 times
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Originally Posted by Deserterer View Post
And yet that's what psychiatry has been selling for what...4 decades?
All medical knowledge evolves over time. And you can’t just dismiss that many people have been helped by antidepressants, my brother being one. So it’s not like they are now saying “we were completely wrong about everything”. And this is just one study.
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Old 08-19-2022, 04:55 PM
 
5,703 posts, read 4,276,476 times
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Originally Posted by ocnjgirl View Post
All medical knowledge evolves over time. And you can’t just dismiss that many people have been helped by antidepressants, my brother being one. So it’s not like they are now saying “we were completely wrong about everything”. And this is just one study.



It was a comprehensive review. And many studies have shown them to be no more effective than placebo.
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Old 08-19-2022, 06:54 PM
 
Location: Redwood City, CA
15,250 posts, read 12,947,351 times
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Originally Posted by Deserterer View Post
It was a comprehensive review. And many studies have shown them to be no more effective than placebo.

Uh-huh.


Right.


Escitalopram turned my life around but hey, there was a "comprehensive review."
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Old 08-20-2022, 02:04 AM
 
Location: The Driftless Area, WI
7,237 posts, read 5,114,062 times
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Quote:
Originally Posted by Deserterer View Post
It was a comprehensive review. And many studies have shown them to be no more effective than placebo.
Like I've written before-- 1000 subjects selected randomly and given Vit C will show no benefits. 1000 subjects with scurvy will show great improvement. Anti-depressants that work via serotonin effects, may work only in those pts with problems with serotonin, while having no effect in other depressed pts.

We can't discount the studies that show they do have beneficial effects. Our job is to figure out why some studies say they work and some say they don't...Is it flaws in the studies or flaws in the drug paradigm?

For the individual case, the proof is in the pudding. If they work for you, keep on using them. If they don't, try something else.
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Old 08-20-2022, 05:55 AM
 
50,717 posts, read 36,411,320 times
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Quote:
Originally Posted by Deserterer View Post
It was a comprehensive review. And many studies have shown them to be no more effective than placebo.
So you’re implying it’s all in the peoples head who say they are helped with them? I don’t believe that for a second. I can see the difference they made in my brother.
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