The article doesn't say that, what it says is"Given these results, the researchers conclude that there is little reason to prescribe new-generation antidepressant medications to any but the most severely depressed patients unless alternative treatments have been ineffective. ".
The other thing to keep in mind is that this was a meta-analysis using data pooled across many different trials. It certainly isn't as rigorous as a RCT.[1]
> "Given these results, the researchers conclude that there is little reason to prescribe new-generation antidepressant medications to any but the most severely depressed patients unless alternative treatments have been ineffective."
You seem to be taking that demonstrate efficacy, when what they're actually saying is more like 'there is no evidence that this works, but if nothing works then why the hell not.' It's no different than doctors giving patients the go ahead to use alternative medicine or whatever when the doctors know the patient is already going to die from cancer regardless.
The other thing to keep in mind is that this was a meta-analysis using data pooled across many different trials. It certainly isn't as rigorous as a RCT.[1]
[1]http://www.ccjm.org/content/75/6/431.full