Evidence map›Paper›PMID 25401716›Full record

SynthesisAnnals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists2014

Relapse prevention after index electroconvulsive therapy in treatment-resistant depression.

Nagy A Youssef, W Vaughn McCall

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. The Immediate Early GeneFrontiers in behavioral neuroscience · 2018
    Article
  9. Is Conduct of Research in Electroconvulsive Therapy Ethical?Journal of psychology, neuropsychiatric disorders and brain stimulation · 2016
    Article
  10. Perils of Pragmatic Psychiatry: How We Can Do Better.HSOA journal of psychiatry, depression & anxiety
    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

2 authors at 2 institutions in 1 country.

Nagy A YoussefDepartment of Psychiatry and Health Behavior, The Medical College of Georgia at Georgia Regents University, Charlie Norwood VA Medical Center, Augusta, GA, USA. E-mail: nyoussef@gru.edu.
W Vaughn McCall
Charlie Norwood VA Medical Center · USGeorgia Regents Medical Center · US

Funding

2/8-Prolonging Remission in Depressed Elderly (PRIDE)U01MH084241 · NIMH · DUKE UNIVERSITY · PI WEINER, RICHARD D. · 2009 to 2013
$2.1M
1/3-Reducing Suicial Ideation Through Insomnia Treatment (REST-IT)R01MH095776 · NIMH · AUGUSTA UNIVERSITY · PI MCCALL, WILLIAM VAUGHN · 2012 to 2016
$1.2M
7/8-Prolonging Remission in Depressed Elderly (PRIDE)U01MH086127 · NIMH · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI MCCALL, WILLIAM VAUGHN · 2009 to 2013
$1.1M
NIMH NIH HHS 1R01 MH095776-01A1NIMH NIH HHS 1U01 MH084241NIMH NIH HHS 1U01MH086127-01NIMH NIH HHS R01 MH095776NIMH NIH HHS U01 MH084241NIMH NIH HHS U01 MH086127
6 · The paper itself

Abstract

backgroundOne-third of patients who suffer from depression are resistant to conventional treatments. An acute course of electroconvulsive therapy (ECT) can lead to remission of depressive symptoms in a substantial portion of the treatment-resistant patients. However, prevention of relapse with depressive symptoms after the index course of ECT can be challenging. We review pertinent studies on the topic and analyze the best strategies to avoid relapse and recurrence of depressive symptoms.

methodsWe performed a systematic literature review of PubMed through April 2014 for clinical trials published in English to determine if continuation ECT (C-ECT), continuation medication, continuation psychotherapy, or combinations of these are the best strategy to avoid relapse and recurrence of depressive symptoms after an acute course of ECT. Clinical trials comparing ≥2 of the above strategies were included in the review.

resultsAlthough there are few rigorous randomized clinical trials in this area, most studies suggest that combined C-ECT and continuation pharmacotherapy are the most effective strategy in relapse prevention.

conclusionsC-ECT and continuation pharmacotherapy may be more effective than either alone for preventing relapse. However, more definitive randomized clinical trials are needed.

Indexed as

Electroconvulsive TherapyAntidepressive AgentsCombined Modality TherapyDepressive Disorder, Treatment-ResistantHumansPsychotherapySecondary PreventionTreatment FailureAntidepressive Agents

Identifiers

PMID25401716
PMCPMC4420179
OpenAlexW2283249823

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.