Evidence map›Paper›PMID 24525810›Full record

Trial reportPsychopharmacology2014

Adverse effects from antidepressant treatment: randomised controlled trial of 601 depressed individuals.

Andrew A Crawford, Sarah Lewis, David Nutt, Tim J Peters, Philip Cowen, Michael C O'Donovan, Nicola Wiles, Glyn Lewis

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychopharmacology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 6% 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
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  7. Article
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  9. Review
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  14. Psychotherapy with Psilocybin for Depression: Systematic Review.Behavioral sciences (Basel, Switzerland) · 2023
    Review
  15. Review
  16. Prevalence of constipation in patients undergoing chemotherapy and the effect of constipation on quality of life.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  17. Article
  18. An Active Inference Approach to Dissecting Reasons for Nonadherence to Antidepressants.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2021
    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

8 authors at 5 institutions in 3 countries.

Andrew A CrawfordSchool of Social and Community Medicine, University of Bristol, Oakfield House, Oakfield Grove, Bristol, BS8 2BN, UK, andrew.crawford@bristol.ac.uk.
Sarah Lewis
David Nutt
Tim J Peters
Philip Cowen
Michael C O'Donovan
Nicola Wiles
Glyn Lewis
University of Bristol · GBCardiff University · GBImperial Valley College · USUCL Australia · AUWarneford Hospital · GB

Funding

Medical Research Council G0200243Medical Research Council G0800509Medical Research Council MR/L010305/1
6 · The paper itself

Abstract

rationalePremature discontinuation of antidepressant drugs is a frequent clinical problem. Adverse effects are common, occur early on in treatment and are reported to be one of the main reasons for discontinuation of antidepressant treatment.

objectivesTo investigate the association between adverse effects occurring in the first 2 weeks of antidepressant treatment and discontinuation by 6 weeks as the outcome. To investigate the time profile of adverse effects induced by the selective serotonin reuptake inhibitor citalopram and the noradrenaline reuptake inhibitor reboxetine over 12 weeks of treatment.

methodsSix hundred and one depressed individuals were randomly allocated to either citalopram (20 mg daily) or reboxetine (4 mg twice daily). A modified version of the Toronto Side Effects Scale was used to measure 14 physical symptoms at baseline (medication free) and at 2, 6 and 12 weeks after randomisation.

resultsIndividuals randomised to reboxetine reported a greater number of adverse effects and were more likely to stop treatment than individuals receiving citalopram. Dizziness (OR 1.83; 95% CI 1.09, 3.09; p = 0.02) and the total number of adverse effects (OR 1.12; 95% CI 1.00, 1.25; p = 0.06) reported at 2 weeks were associated with discontinuation from overall antidepressant treatment by 6 weeks. Reports of adverse effects tended to reduce throughout the 12 weeks for both antidepressants.

conclusionsThe majority of adverse effects were not individually associated with discontinuation from antidepressant treatment. Reports of physical symptoms tended to reduce over time. The physical symptoms that did not reduce over time may represent symptoms of depression rather than antidepressant-induced adverse effects.

Indexed as

Adrenergic Uptake InhibitorsAdultAntidepressive AgentsCitalopramDepressive DisorderDizzinessFemaleFollow-Up StudiesHumansMaleMorpholinesReboxetineSelective Serotonin Reuptake InhibitorsTime FactorsTreatment RefusalAdrenergic Uptake InhibitorsAntidepressive AgentsCitalopramMorpholinesReboxetineSelective Serotonin Reuptake Inhibitors

Identifiers

PMID24525810
PMCPMC4099525
OpenAlexW1968895338

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.