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Table 1 (Categories of) exclusion criteria found in psychotherapy efficacy trials

From: The generalizability of psychotherapy efficacy trials in major depressive disorder: an analysis of the influence of patient selection in efficacy trials on symptom outcome in daily practice

Categorical exclusion criterion

Subtypes of exclusion criteria included in Category*

Proportion of trials using the criteria

Bipolar disorder or history of (hypo-) manic episode

 

95%

Schizophrenia, a history of psychosis or psychotic features

 

90%

Current or past abuse or dependence on alcohol and/or drugs

- Alcohol abuse or dependence

85%

 

- Drug abuse or dependence

 

Not meeting a minimum severity threshold

 

80%

Previous use of medication or ECT

- ECT less than 6 months before start of trial

70%

 

- History of use of a tricyclic antidepressant

 
 

- Use of amitriptyline less than 3 months prior to trial

 
 

- Use of imipramine less than 3 months prior to trial

 
 

- Use of paroxetine less than 1 year prior to trial

 
 

- Use of any antidepressant less than 2 months prior to trial

 
 

- Use of any antidepressant less than 1 month prior to trial

 
 

- Use of any antidepressant less than 2 weeks prior to trial

 
 

- Current use of an antidepressant

 

Co morbid personality disorder

- Borderline personality disorder

60%

 

- Antisocial personality disorder

 
 

- Schizotypical personality disorder

 

Cognitive disorders

- Cognitive disorders in general

55

 

- Organic brain syndrome

 
 

- Delirium or dementia

 
 

- Mental retardation

 

Somatic concerns

- Somatic co morbidity in general

55%

 

- Co morbid somatisation disorder

 

Anxiety disorder as primary diagnosis

- Generalized anxiety disorder

45%

 

- Specific phobia

 
 

- Obsessive-compulsive disorder

 
 

- Panic disorder

 

Contra indication for the use of medication in general

 

45%

Suicidal ideation

 

40%

Previous psychotherapy, with or without success

History of psychotherapy

 
 

- Psychotherapy less than 5 years prior to trial

 
 

- Psychotherapy less than 2 years prior to trial

 
 

- Psychotherapy less than 1 year prior to trial

 
 

- Psychotherapy less than 2 months prior to trial

 
 

- Current psychotherapy

 

Psychiatric co morbidity in general, including eating disorders

 

25%

Crisis

- Need for immediate intervention

20%

 

- Indication for admission

 
  1. *If no subtypes are mentioned, the categorical exclusion criterion was reported in the same way in all trials.