Evidence map›Paper›PMID 27111134›Full record

ReviewAnnals of the New York Academy of Sciences2016

Innovative approaches to bipolar disorder and its treatment.

Paul J Harrison, Andrea Cipriani, Catherine J Harmer, Anna C Nobre, Kate Saunders, Guy M Goodwin, John R Geddes

Open access · hybridAbstract readReview
In one paragraph

Review in Annals of the New York Academy of Sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 3 pooled it
8.2field-weighted citation impact, top 2% 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

47 citing papers in PubMed, 3 syntheses or guidelines pooled it, 120 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. 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

7 authors at 3 institutions in 1 country.

Paul J HarrisonDepartment of Psychiatry, University of Oxford, Oxford, United Kingdom.
Andrea CiprianiDepartment of Psychiatry, University of Oxford, Oxford, United Kingdom.
Catherine J HarmerDepartment of Psychiatry, University of Oxford, Oxford, United Kingdom.
Anna C NobreDepartment of Psychiatry, University of Oxford, Oxford, United Kingdom.
Kate SaundersDepartment of Psychiatry, University of Oxford, Oxford, United Kingdom.
Guy M GoodwinDepartment of Psychiatry, University of Oxford, Oxford, United Kingdom.
John R GeddesDepartment of Psychiatry, University of Oxford, Oxford, United Kingdom.
University of Oxford · GBOxford Health NHS Foundation Trust · GBWellcome Centre for Integrative Neuroimaging · GB

Funding

Medical Research CouncilWellcome Trust 104571
6 · The paper itself

Abstract

All psychiatric disorders have suffered from a dearth of truly novel pharmacological interventions. In bipolar disorder, lithium remains a mainstay of treatment, six decades since its effects were serendipitously discovered. The lack of progress reflects several factors, including ignorance of the disorder's pathophysiology and the complexities of the clinical phenotype. After reviewing the current status, we discuss some ways forward. First, we highlight the need for a richer characterization of the clinical profile, facilitated by novel devices and new forms of data capture and analysis; such data are already promoting a reevaluation of the phenotype, with an emphasis on mood instability rather than on discrete clinical episodes. Second, experimental medicine can provide early indications of target engagement and therapeutic response, reducing the time, cost, and risk involved in evaluating potential mood stabilizers. Third, genomic data can inform target identification and validation, such as the increasing evidence for involvement of calcium channel genes in bipolar disorder. Finally, new methods and models relevant to bipolar disorder, including stem cells and genetically modified mice, are being used to study key pathways and drug effects. A combination of these approaches has real potential to break the impasse and deliver genuinely new treatments.

Indexed as

AnimalsAntidepressive AgentsAntipsychotic AgentsBipolar DisorderGenome-Wide Association StudyHumansTherapies, InvestigationalTreatment OutcomeAntidepressive AgentsAntipsychotic Agentsbipolar disorderclinicalgeneticsmoodtherapy

Identifiers

PMID27111134
PMCPMC4850752
OpenAlexW2344768536

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.