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This trial will set a better standard for figuring out how to study complementary and alternative practices, because we�ve picked patients carefully, and we�ve used rigorous end points. In this study, we�ve used the Hamilton Depression Scale as the primary end point and the change in that, and as a second end point, the rate of complete response, total amelioration of all depressive features in the clinical global impression scale and the HAM-D scale. This is the way you study anti-depressants.

Note: See Hypericum Depression Trial Study Group. Effect of Hypericum perforatum (St. John's wort) in major depressive disorder: a randomized, controlled trial. JAMA, 2002; 287:1807-1814. Full-text of the article is available on the JAMA website at www.jama.com. In short, this NIH-funded study shows that an extract of the herb St. John's wort was no more effective for treating major depression of moderate severity than placebo.