Evidence map›Paper›PMID 19295509›Full record

Trial reportNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2009

Genetic and clinical predictors of sexual dysfunction in citalopram-treated depressed patients.

Roy H Perlis, Gonzalo Laje, Jordan W Smoller, Maurizio Fava, A John Rush, Francis J McMahon

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
6.4field-weighted citation impact, top 3% 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

32 citing papers in PubMed, 95 citations in OpenAlex.

  1. Sexual dysfunction during treatment with serotonergic and noradrenergic antidepressants: clinical description and the role of the 5-HTTLPR.The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry · 2011
    Trial
  2. Trial
  3. Review
  4. Review
  5. Insufficient correctness of package inserts for psychotropic drugs in Germany.Naunyn-Schmiedeberg's archives of pharmacology · 2025
    Article
  6. Review
  7. Article
  8. Observational
  9. Review
  10. Article
  11. Review
  12. Review
  13. A Model for the Management of Female Sexual Dysfunctions.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2017
    Review
  14. Article
  15. Sexual Function Across Aging.Current psychiatry reports · 2016
    Review
  16. A multivariate approach linking reported side effects of clinical antidepressant and antipsychotic trials to in vitro binding affinities.European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology · 2014
    Article
  17. From pharmacogenetics to pharmacogenomics: the way toward the personalization of antidepressant treatment.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2014
    Review
  18. Article
  19. Article
  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

6 authors at 4 institutions in 1 country.

Roy H PerlisDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA. rperlis@partners.org
Gonzalo Laje
Jordan W Smoller
Maurizio Fava
A John Rush
Francis J McMahon
Massachusetts General Hospital · USNational Institute of Mental Health · USCenter for Human Genetics · USThe University of Texas Southwestern Medical Center · US

Funding

Genetic Determinants of Antidepressant Response in the STAR*D CohortZIAMH002844 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI MCMAHON, FRANCIS J · 2009 to 2025
$11.1M
Pramipexole in Treatment-Resistant DepressionK23MH067060 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI PERLIS, ROY H · 2003 to 2007
$845k
TREATMENT RESISTANT DEPRESSION-278990003N01MH090003 · NIMH · UNIVERSITY OF TEXAS SW MED CTR/DALLAS · 1999 to 2003
–
NIMH NIH HHS K23 MH067060NIMH NIH HHS N01 MH090003
6 · The paper itself

Abstract

Sexual dysfunction is a major contributor to treatment discontinuation and nonadherence among patients treated with selective serotonin reuptake inhibitors (SSRIs). The mechanisms by which depressive symptoms in general, as well as SSRI exposure in particular, may worsen sexual function are not known. We examined genetic polymorphisms, including those of the serotonin and glutamate systems, for association with erectile dysfunction, anorgasmia, and decreased libido during citalopram treatment. Clinical data were drawn from a nested case-control cohort derived from the STAR(*)D study, a multicenter, prospective, effectiveness trial in outpatients with nonpsychotic major depressive disorder (MDD). Self-reports of erectile dysfunction, decreased libido, or difficulty achieving orgasm based on the Patient-Rated Inventory of Side Effects were examined among Caucasian subjects (n=1473) for whom DNA and adverse effect measures were available, and who were treated openly with citalopram for up to 14 weeks. Of 1473 participants, 799 (54%) reported decreased libido; 525 (36%) reported difficulty achieving orgasm. Of 574 men, 211 (37%) reported erectile dysfunction. Using a set-based test for association, single nucleotide polymorphisms in glutamatergic genes were associated with decreased libido (GRIA3; GRIK2), difficulty achieving orgasm (GRIA1), and difficulty achieving erection (GRIN3A) (experiment-wide permuted p<0.05 for each). Evidence of association persisted after adjustment for baseline clinical and sociodemographic differences. Likewise, evidence of association was similar when the cohort was limited to those who did not report a given adverse event at the first post-baseline visit (ie, those whose adverse events were known to be treatment emergent). These hypothesis-generating analyses suggest the potential for glutamatergic treatment targets for sexual dysfunction during major depressive episodes.

Indexed as

AdolescentAdultAgedAntidepressive Agents, Second-GenerationCase-Control StudiesCitalopramCohort StudiesDepressionFemaleGenotypeHumansMaleMiddle AgedPolymorphism, Single NucleotideReceptors, AMPARetrospective StudiesAntidepressive Agents, Second-GenerationCitalopramReceptors, AMPA

Identifiers

PMID19295509
PMCPMC9990953
OpenAlexW2170112971

What OpenQuestion holds

Textmetadata
LicenceTDM
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.