Evidence map›Paper›PMID 26035190›Full record

ArticleThe Journal of clinical psychiatry2015

Longitudinal examination of the skeletal effects of selective serotonin reuptake inhibitors and risperidone in boys.

Chadi A Calarge, Trudy L Burns, Janet A Schlechte, Babette S Zemel

Open access · greenAbstract read
In one paragraph

Article in The Journal of clinical psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Effect of selective serotonin reuptake inhibitors on bone mineral density: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2018
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Antipsychotic therapies and bone health.Case reports in women's health · 2020
    Article
  7. Review
  8. Article
  9. Article
  10. Observational
  11. Review
  12. Nutrition and Bone Density in Boys with Autism Spectrum Disorder.Journal of the Academy of Nutrition and Dietetics · 2018
    Article
  13. CHRNA7 Deletions are Enriched in Risperidone-Treated Children and Adolescents.Journal of child and adolescent psychopharmacology · 2017
    Observational
  14. Article
  15. Article
  16. Article
  17. Article
  18. Bone Density in Adolescents and Young Adults with Autism Spectrum Disorders.Journal of autism and developmental disorders · 2016
    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

4 authors at 1 institution in 1 country.

Chadi A CalargeBaylor College of Medicine, Texas Children's Hospital, 1102 Bates Ave, Suite 790, Houston, TX 77030 chadi.calarge@bcm.edu.
Trudy L Burns
Janet A Schlechte
Babette S Zemel
Baylor College of Medicine · US

Funding

UNIVERSITY OF IOWA CTSA FOR PEDIATRIC RESEARCHUL1RR024979 · NCRR · UNIVERSITY OF IOWA · PI ROSENTHAL, GARY E · 2007 to 2011
$31.8M
Counteracting Risperidone-Induced Hyperprolactinemia in YouthsK23MH085005 · NIMH · UNIVERSITY OF IOWA · PI CALARGE, CHADI A. · 2009 to 2013
$866k
Long-Term Safety and Genetic Risk Factors of Risperdone Treatment in YouthR21MH080968 · NIMH · UNIVERSITY OF IOWA · PI CALARGE, CHADI A. · 2008 to 2010
$400k
NCRR NIH HHS RR024979NCRR NIH HHS UL1 RR024979NIMH NIH HHS K23 MH085005NIMH NIH HHS K23MH085005NIMH NIH HHS R21 MH080968NIMH NIH HHS R21MH080968NIMH NIH HHS R21MH080968-S1
6 · The paper itself

Abstract

objectiveIn a previous cross-sectional study, we found lower bone mass during treatment with selective serotonin reuptake inhibitors (SSRIs) and risperidone in youths. Here, we evaluate the skeletal effects of these psychotropics at follow-up.

methodBetween April 2005 and July 2011, medically healthy 7- to 17-year-old males treated with risperidone for 6 months or more were enrolled through child psychiatry outpatient clinics and returned for follow-up 1.5 years later. Treatment history was extracted from the medical and pharmacy records. Anthropometric, laboratory, and bone mass measurements were obtained. Multivariable linear regression analyses compared participants who remained on risperidone at follow-up to those who had discontinued risperidone treatment as well as SSRI-treated versus SSRI-unexposed participants.

resultsThe sample consisted of 94 boys with a mean age of 11.8 ± 2.7 years at study entry. The majority had an externalizing disorder and had received risperidone and SSRIs for 2.5 ± 1.7 years and 1.6 ± 1.9 years, respectively, at study entry. By follow-up, 26% (n = 24) had discontinued risperidone. Compared to discontinuing risperidone, continuing it was associated with a decline in participants' age-sex-height-race-specific areal bone mineral density (BMD) z score at the lumbar spine (P < .04) and failure to increase radius trabecular volumetric BMD (P < .03), after accounting for significant covariates. In addition, receiving an SSRI was associated with reduced lumbar spine areal BMD z score and radius trabecular volumetric BMD at both study entry (P < .02 and P < .03, respectively) and follow-up (P < .06 and P < .03, respectively), but without further decline between the 2 visits.

conclusionsChronic SSRI treatment in children and adolescents is associated with reduced, albeit stable, bone mass for age, while chronic risperidone treatment is associated with failure to accrue bone mass.

Indexed as

AdolescentAttention Deficit and Disruptive Behavior DisordersBone DensityChildHumansLongitudinal StudiesLumbar VertebraeMaleRadiographyRisperidoneSelective Serotonin Reuptake InhibitorsRisperidoneSelective Serotonin Reuptake Inhibitors

Identifiers

PMID26035190
PMCPMC6734561
OpenAlexW582605298

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.