Evidence map›Paper›PMID 26487439›Full record

SynthesisJournal of psychopharmacology (Oxford, England)2016

Propranolol for the treatment of anxiety disorders: Systematic review and meta-analysis.

Serge A Steenen, Arjen J van Wijk, Geert J M G van der Heijden, Roos van Westrhenen, Jan de Lange, Ad de Jongh

Registry-linked trialOpen access · hybridAbstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of psychopharmacology (Oxford, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03388957 (Evaluating of Oral Propranolol Effect on Managing Anxiety of Dental Extractions in Children), which is not on this map. Cited by 101 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed, 3 pooled it
16.2field-weighted citation impact, top 1% 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.

NCT03388957 nacompletednot on this mapstarted 2018, after this paper: background citation

Evaluating of Oral Propranolol Effect on Managing Anxiety of Dental Extractions in Children: A Randomized Controlled Clinical Trial

TypeinterventionalSponsorDamascus UniversityRan2018 to 2020Enrolled60ConditionsExtrusion of ToothArmsPropranolol, Midazolam
3 · Its place in the literature

Who cites it

101 citing papers in PubMed, 3 syntheses or guidelines pooled it, 227 citations in OpenAlex.

  1. Pooled it
  2. Brazilian Psychiatric Association guidelines for the treatment of social anxiety disorder.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 2025
    Guideline
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Altered Insula Connectivity under MDMA.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2017
    Trial
  8. Trial
  9. Beta-Blockers for the Treatment of Arrhythmias: Which Drug for Which Arrhythmia? A State-of-the-Art Narrative Review.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2026
    Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. The problem of propranolol poisoning.British journal of clinical pharmacology · 2025
    Article
  19. Review
  20. Review

41 more citing papers are in PubMed but not listed here.

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 3 institutions in 2 countries.

Serge A SteenenDepartment of Oral and Maxillofacial Surgery, Academic Medical Centre, University of Amsterdam, Amsterdam, the Netherlands s.a.steenen@amc.uva.nl.
Arjen J van WijkDepartment of Social Dentistry and Behavioural Sciences, Academic Centre for Dentistry Amsterdam, University of Amsterdam and VU University, Amsterdam, the Netherlands.
Geert J M G van der HeijdenDepartment of Social Dentistry and Behavioural Sciences, Academic Centre for Dentistry Amsterdam, University of Amsterdam and VU University, Amsterdam, the Netherlands.
Roos van WestrhenenDepartment of Psychiatry, Erasmus University Medical Centre, Rotterdam, the Netherlands.
Jan de LangeDepartment of Oral and Maxillofacial Surgery, Academic Medical Centre, University of Amsterdam, Amsterdam, the Netherlands.
Ad de JonghDepartment of Social Dentistry and Behavioural Sciences, Academic Centre for Dentistry Amsterdam, University of Amsterdam and VU University, Amsterdam, the Netherlands School of Health Sciences, Salford University, Manchester, UK.
University of Amsterdam · NLAcademic Center for Dentistry Amsterdam · NLErasmus University Rotterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The effects of propranolol in the treatment of anxiety disorders have not been systematically evaluated previously. The aim was to conduct a systematic review and meta-analysis of randomised controlled trials, addressing the efficacy of oral propranolol versus placebo or other medication as a treatment for alleviating either state or trait anxiety in patients suffering from anxiety disorders. Eight studies met the inclusion criteria. These studies concerned panic disorder with or without agoraphobia (four studies, total n = 130), specific phobia (two studies, total n = 37), social phobia (one study, n = 16), and posttraumatic stress disorder (PTSD) (one study, n = 19). Three out of four panic disorder trials qualified for pooled analyses. These meta-analyses found no statistically significant differences between the efficacy of propranolol and benzodiazepines regarding the short-term treatment of panic disorder with or without agoraphobia. Also, no evidence was found for effects of propranolol on PTSD symptom severity through inhibition of memory reconsolidation. In conclusion, the quality of evidence for the efficacy of propranolol at present is insufficient to support the routine use of propranolol in the treatment of any of the anxiety disorders.

Indexed as

Administration, OralAdrenergic beta-AntagonistsAnti-Anxiety AgentsAnxiety DisordersHumansPropranololRandomized Controlled Trials as TopicSeverity of Illness IndexAdrenergic beta-AntagonistsAnti-Anxiety AgentsPropranololanxiety disordersmeta-analysispanic disorderPropranolol

Identifiers

PMID26487439
PMCPMC4724794
OpenAlexW2266059207

What OpenQuestion holds

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LicenceCC BY-NC
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.