Canadian Psychiatric Association

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Editorial
Mood Disorders—New Definitions, New Treament Directions
Paul Grof
PDF

In Review
"Cade's Disease" and Beyond: Misdiagnosis, Antidepressant Use, and a Proposed Definition for Bipolar Spectrum Disorder
S Nassir Ghaemi, James Y Ko, Frederick K Goodwin
PDF

The Neurobiology of Bipolar Disorder: Focus on Signal Transduction Pathways and the Regulation of Gene Expression
Yarema Bezchlibnyk, L Trevor Young

PDF

Original Research
Major Depression and Its Association With Long-Term Medical Conditions

Lisa M Gagnon, Scott B Patten

PDF

Seasonal Affective Disorders: Relevance of Icelandic and Icelandic-Canadian Evidence to Etiologic Hypotheses
Jóhann Axelsson, Jón G Stefànsson, Andrés Magnússon, Helgi Sigvaldason, Mikael M Karlsson

PDF

Canadian Psychiatric Inpatient Religious Commitment: An Association With Mental Health
Marilyn Baetz, David B Larson, Gene Marcoux, Rudy Bowen, Ron Griffin

PDF

The Moderating Effects of Coping Strategies on Major Depression in the General Population
JianLi Wang, Scott B Patten

PDF

Antidepressant Side Effects in Depression Patients Treated in A Naturalistic Setting: A Study of Bupropion, Moclobemide, Paroxetine, Sertraline, and Venlafaxine
JD Vanderkooy, Sidney H Kennedy, R Michael Bagby

PDF

Treatment Delays for Involuntary Psychiatric Patients Associated With Reviews of Treatment Capacity
Michelle Kelly, Sandra Dunbar, John E Gray, Richard L O'Reilly

PDF

Book Reviews
PDF

Books Received

Letters to the Editor
PDF

Antidepressant Side Effects in Depression Patients Treated in A Naturalistic Setting: A Study of Bupropion, Moclobemide, Paroxetine, Sertraline, and Venlafaxine



Appendix. Toronto Side Effects Scale (TSES)

Within the last two weeks, have you experienced any of the following symptoms?
How much trouble did this side effect cause you?
(Physician: rate frequency and severity of the symptoms.)

 

Frequency

Severity

 

Never

Some-
times

About half
the time

Often

Every-
day

No
trouble

     

Extreme trouble

1. Nervousness

1

2

3

4

5

1

2

3

4

5

2. Agitation

1

2

3

4

5

1

2

3

4

5

3.Tremor

1

2

3

4

5

1

2

3

4

5

4.Twitching/myoclonus (muscle contraction)

1

2

3

4

5

1

2

3

4

5

5. Abdominal pain

1

2

3

4

5

1

2

3

4

5

6. Dyspepsia (upset stomach)

1

2

3

4

5

1

2

3

4

5

7. Nausea

1

2

3

4

5

1

2

3

4

5

8. Diarrhea

1

2

3

4

5

1

2

3

4

5

9. Constipation

1

2

3

4

5

1

2

3

4

5

10. Decreased appetite

1

2

3

4

5

1

2

3

4

5

11. Increased appetite

1

2

3

4

5

1

2

3

4

5

12. Weakness or fatigue

1

2

3

4

5

1

2

3

4

5

13. Dizziness

1

2

3

4

5

1

2

3

4

5

14. Postural hypotension (dizzy when getting up)

1

2

3

4

5

1

2

3

4

5

15. Drowsiness/daytime somnolence

1

2

3

4

5

1

2

3

4

5

16. Increased sleep

1

2

3

4

5

1

2

3

4

5

17. Decreased sleep

1

2

3

4

5

1

2

3

4

5

18. Sweating

1

2

3

4

5

1

2

3

4

5

19. Flushing

1

2

3

4

5

1

2

3

4

5

20. Edema (fluid retention)

1

2

3

4

5

1

2

3

4

5

21. Headache

1

2

3

4

5

1

2

3

4

5

22. Blurred vision

1

2

3

4

5

1

2

3

4

5

23. Dry mouth

1

2

3

4

5

1

2

3

4

5

24. Anorgasmia/no orgasm

1

2

3

4

5

1

2

3

4

5

25. Increased libido

1

2

3

4

5

1

2

3

4

5

26. Decreased libido

1

2

3

4

5

1

2

3

4

5

(Men only: items 27–29)

27. Premature ejaculation

1

2

3

4

5

1

2

3

4

5

28. Delayed ejaculation

1

2

3

4

5

1

2

3

4

5

29. Erectile dysfunction

1

2

3

4

5

1

2

3

4

5

30. Other, specify:

2

3

4

5

1

2

3

4

5

 

None

£ 2lbs

£ 4 lbs

£ 6 lbs

£ 7 lbs

No
trouble

Extreme
trouble

31. Weight gain

1

2

3

4

5

1

2

3

4

5

32. Weight loss

1

2

3

4

5

1

2

3

4

5

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