Evidence map›Paper›PMID 22420597›Full record

Trial reportBipolar disorders2012

A randomized pilot study of psychotherapy and quetiapine for the acute treatment of bipolar II depression.

Holly A Swartz, Ellen Frank, Yu Cheng

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Bipolar disorders, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00411463 (Psychotherapy for Bipolar II Depression, Pilot Study, Phase II), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 9% 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.

NCT00411463 phase2 / phase3completednot on this map

Psychotherapy for Bipolar II Depression, Pilot Study, Phase II

TypeinterventionalSponsorUniversity of PittsburghRan2006 to 2010Enrolled25ConditionsBipolar II DisorderArmsInterpersonal and Social Rhythm Therapy (IPSRT-BPII), Seroquel
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Evidence-Based Psychotherapies for Bipolar Disorder.Focus (American Psychiatric Publishing) · 2019
    Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Circadian rhythms and psychiatric illness.Current opinion in psychiatry · 2013
    Review
  16. Article
  17. Treatment of bipolar disorder.Lancet (London, England) · 2013
    Review
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

3 authors at 2 institutions in 1 country.

Holly A SwartzDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA. swartzha@upmc.edu
Ellen Frank
Yu Cheng
University of Pittsburgh · USUniversity of Pittsburgh Medical Center · US

Funding

Psychotherapy and Combined Interventions for Acute Bipolar II DepressionR01MH084831 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SWARTZ, HOLLY A · 2010 to 2014
$3.0M
NIMH NIH HHS R01 MH084831
6 · The paper itself

Abstract

objectivesThe differential roles of psychotherapy and pharmacotherapy in the management of bipolar (BP) II depression are unknown. As a first step toward exploring this issue, we conducted a pilot study to evaluate the feasibility and acceptability of comparing a BP-specific psychotherapy [Interpersonal and Social Rhythm Therapy (IPSRT)] to quetiapine as treatments for BP-II depression.

methodsUnmedicated individuals (n = 25) meeting DSM-IV criteria for BP-II disorder, currently depressed, were randomly assigned to weekly sessions of IPSRT (n = 14) or quetiapine (n = 11), flexibly dosed from 25-300 mg. Participants were assessed with weekly measures of mood and followed for 12 weeks. Treatment preference was queried prior to randomization.

resultsUsing mixed effects models, both groups showed significant declines in the 25-item Hamilton Rating Scale for Depression [F(1,21) = 44, p < 0.0001] and Young Mania Rating Scale [F(1,21) = 20, p = 0.0002] scores over time but no group-by-time interactions. Dropout rates were 21% (n = 3) and 27% (n = 3) in the IPSRT and quetiapine groups, respectively. Overall response rates (defined as ≥ 50% reduction in depression scores without an increase in mania scores) were 29% (n = 4) in the IPSRT group and 27% (n = 3) in the quetiapine group. Measures of treatment satisfaction were high in both groups. Treatment preference was not associated with outcomes.

conclusionsOutcomes in participants with BP-II depression assigned to IPSRT monotherapy or quetiapine did not differ over 12 weeks in this small study. Follow-up trials should examine characteristics that predict differential response to psychotherapy and pharmacotherapy.

Indexed as

AdultAntipsychotic AgentsBipolar DisorderDibenzothiazepinesDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansMaleMiddle AgedPilot ProjectsPsychiatric Status Rating ScalesPsychotherapyQuetiapine FumarateRetrospective StudiesAntipsychotic AgentsDibenzothiazepinesQuetiapine Fumarate

Identifiers

PMID22420597
PMCPMC3307150
OpenAlexW1542501371

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.