Evidence map›Paper›PMID 19170399›Full record

ReviewDialogues in clinical neuroscience2008

Incomplete response in late-life depression: getting to remission.

Eric J Lenze, Meera Sheffrin, Henry C Driscoll, Benoit H Mulsant, Bruce G Pollock, Mary Amanda Dew, Frank Lotrich, Bernie Devlin, Robert Bies, Charles F Reynolds

Open access · diamondAbstract readReview
In one paragraph

Review in Dialogues in clinical neuroscience, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
2.7field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 78 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Depression in Parkinson's disease: symptom improvement and residual symptoms after acute pharmacologic management.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2011
    Trial
  6. Home-delivered problem adaptation therapy (PATH) for depressed, cognitively impaired, disabled elders: A preliminary study.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2010
    Trial
  7. Trajectories of late-life depression: insights from molecular imaging.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  8. Article
  9. Age as a moderating factor of treatment resistance in depression.European psychiatry : the journal of the Association of European Psychiatrists · 2023
    Article
  10. Article
  11. Article
  12. Illness narratives and preferences for treatment among older veterans living with treatment-resistant depression and insomnia.Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists · 2020
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Directions for Effectiveness Research to Improve Health Services for Late-Life Depression in the United States.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2016
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Eric J LenzeWashington University School of Medicine, Department of Psychiatry, St Louis, MO, USA.
Meera Sheffrin
Henry C Driscoll
Benoit H Mulsant
Bruce G Pollock
Mary Amanda Dew
Frank Lotrich
Bernie Devlin
Robert Bies
Charles F Reynolds
University of Pittsburgh · USUniversity of Toronto · CAWashington University in St. Louis · US

Funding

UNIVERSITY OF PITTSBURGH CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE: BPCAUL1RR024153 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2006 to 2011
$73.9M
CLINICAL RESEARCH TRAINING IN LATE-LIFE MOOD DISORDERST32MH019986 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HOWARD J AIZENSTEIN, Carmen Andreescu · 1997 to 2026
$6.9M
Research Network Development Core (pages 329-374)P30MH071944 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REYNOLDS, CHARLES F. · 2005 to 2009
$6.7M
2/3-Incomplete Response in Late-Life Depression: Getting to RemissionR01MH083648 · NIMH · WASHINGTON UNIVERSITY · PI LENZE, ERIC J · 2009 to 2013
$2.0M
MAINTENANCE THERAPIES IN LATE-LIFE DEPRESSIONR37MH043832 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REYNOLDS, CHARLES F · 1989 to 1998
–
NCRR NIH HHS UL1 RR024153NIMH NIH HHS P30 MH071944NIMH NIH HHS R01 MH083648NIMH NIH HHS R01 MH3786769NIMH NIH HHS R37 MH043832NIMH NIH HHS R37 MH43832NIMH NIH HHS T32 MH019986
6 · The paper itself

Abstract

Incomplete response in the treatment of late-life depression is a large public health challenge: at least 50% of older people fail to respond adequately to first-line antidepressant pharmacotherapy, even under optimal treatment conditions. Treatment-resistant late-life depression (TRLLD) increases risk for early relapse, undermines adherence to treatment for coexisting medical disorders, amplifies disability and cognitive impairment, imposes greater burden on family caregivers, and increases the risk for early mortality, including suicide. Getting to and sustaining remission is the primary goal of treatment, yet there is a paucity of empirical data on how best to manage TRLLD. A pilot study by our group on aripiprazole augmentation in 24 incomplete responders to sequential SSRI and SRNI pharmacotherapy found that 50% remitted over 12 weeks with the addition of aripiprazole, and that remission was sustained in all participants during 6 months of continuation treatment. In addition to controlled assessment, evidence is needed to support personalized treatment by testing the moderating role of clinical (e.g., comorbid anxiety, medical burden, and executive impairment) and genetic (eg, selected polymorphisms in serotonin, norepinephrine, and dopamine genes) variables, while also controlling for variability in drug exposure. Such studies may advance us toward the goal of personalized treatment in late-life depression.

Indexed as

AgedAntidepressive AgentsAntipsychotic AgentsAripiprazoleClinical Trials as TopicDepressive DisorderDrug Therapy, CombinationHumansMental DisordersPiperazinesQuinolonesTreatment OutcomeAntidepressive AgentsAntipsychotic AgentsAripiprazolePiperazinesQuinolones

Identifiers

PMID19170399
PMCPMC3181898
OpenAlexW52098624

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.