Emotional side-effects of selective serotonin reuptake inhibitors: qualitative study

Br J Psychiatry. 2009 Sep;195(3):211-7. doi: 10.1192/bjp.bp.108.051110.

Abstract

Background: Some people who take selective serotonin reuptake inhibitor (SSRI) antidepressants report that their experience of emotions is 'blunted'. This phenomenon is poorly understood.

Aims: To understand patients' experiences of this phenomenon.

Method: Qualitative study, gathering data through individual interviews, a group interview and validation interviews; and searching patient websites for relevant posts.

Results: There was strong evidence that some people taking SSRIs experience significant emotional symptoms that they strongly attribute to their antidepressant. These emotional symptoms can be described within six key themes. A seventh theme represents the impact of these side-effects on everyday life, and an eighth represents participants' reasons for attributing these symptoms to their antidepressant. Most participants felt able to distinguish between emotional side-effects of antidepressants and emotional symptoms of their depression or other illness.

Conclusions: Emotional side-effects of SSRIs are a robust phenomenon, prominent in some people's thoughts about their medication, having a demonstrable impact on their functioning and playing a role in their decision-making about antidepressant adherence.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Depressive Disorder / drug therapy*
  • Emotions / drug effects*
  • Female
  • Humans
  • Internet
  • Male
  • Middle Aged
  • Patient Satisfaction*
  • Personality / drug effects
  • Psychiatric Status Rating Scales
  • Selective Serotonin Reuptake Inhibitors / adverse effects*
  • Young Adult

Substances

  • Serotonin Uptake Inhibitors