Evidence map›Paper›PMID 27320786›Full record

ArticleDepression and anxiety2016

ANTIDEPRESSANT ADHERENCE ACROSS DIVERSE POPULATIONS AND HEALTHCARE SETTINGS.

Rebecca C Rossom, Susan Shortreed, Karen J Coleman, Arne Beck, Beth E Waitzfelder, Christine Stewart, Brian K Ahmedani, John E Zeber, Greg E Simon

Registry-linked trialAbstract read
In one paragraph

Article in Depression and anxiety, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06799078 (Racial Disparities in Antidepressant Initiation, Titration, and Adherence After Receiving a Psychiatric Consultation), which is not on this map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT06799078 active not recruitingnot on this mapstarted 2024, after this paper: background citation

Racial Disparities in Antidepressant Initiation, Titration, and Adherence After Receiving a Psychiatric Consultation

TypeobservationalSponsorCentre for Addiction and Mental HealthRan2024 to 2026Enrolled60ConditionsDepression - Major Depressive Disorder, Depression DisordersArmsObservation while participants receive treatment by their primary care provider
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  7. Definition of treatment-resistant late-life depression: Conclusions from a European Task Force Delphi process.European psychiatry : the journal of the Association of European Psychiatrists · 2026
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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

9 authors.

Rebecca C RossomHealthPartners Institute, Minneapolis, Minnesota.
Susan ShortreedGroup Health Research Institute, Seattle, Washington.
Karen J ColemanKaiser Permanente Southern California, Department of Research and Evaluation, Pasadena, California.
Arne BeckKaiser Permanente Colorado, Institute for Health Research, Denver, Colorado.
Beth E WaitzfelderKaiser Permanente Center for Health Research, Honolulu, Hawaii.
Christine StewartGroup Health Research Institute, Seattle, Washington.
Brian K AhmedaniHenry Ford Health System, Behavioral Health Services and Center for Health Policy and Health Services Research, Detroit, Michigan.
John E ZeberBaylor Scott & White Health, Center for Applied Health Research, Temple, Texas.
Greg E SimonGroup Health Research Institute, Seattle, Washington.

Funding

SSRI's and SuicidalityU19MH092201 · NIMH · KAISER FOUNDATION RESEARCH INSTITUTE · PI SIMON, GREGORY E. · 2010 to 2018
$19.5M
NIMH NIH HHS U19 MH092201
6 · The paper itself

Abstract

backgroundEarly adherence is key to successful depression treatment, but nearly 60% of patients discontinue antidepressants within 3 months. Our study aimed to determine factors associated with poor early adherence to antidepressants in a large diverse sample of patients.

methodsSix Mental Health Research Network healthcare systems contributed data for adults with depression and a new antidepressant start, defined by a washout period of at least 270 days, between January 1, 2010 and December 31, 2012. Pharmacy fill and self-reported race/ethnicity data were obtained from the electronic medical record. Patients had early adherence if they had a second antidepressant fill within 180 days of the first. We used logistic regression to investigate the relationship between early adherence and patient characteristics.

resultsA total of 177,469 adult patients had 184,967 new episodes of depression with a filled antidepressant prescription. Patients refilled their antidepressants within 180 days in 71% of episodes. Race/ethnicity was a strong predictor of early adherence, with patients from racial/ethnic minorities other than Native Americans/Alaskan Natives less likely (adjusted odd ratios 0.50-0.59) to refill their antidepressants than non-Hispanic whites. Age, neighborhood education, comorbidity burden, provider type and engagement in psychotherapy were also associated with adherence. Other apparent predictors of early adherence, including neighborhood income, gender, and prior mental health hospitalizations, were no longer significant in the fully adjusted model.

conclusionsRace/ethnicity was a robust predictor of early antidepressant adherence, with minority groups other than Native Americans/Alaskan Natives less likely to be adherent. Further research is needed to determine whether early nonadherence in specific minority populations is intentional, due to side effects or patient preference, or unintentional and appropriate for targeted interventions to improve adherence.

Indexed as

AdolescentAdultAgedAged, 80 and overAntidepressive AgentsDepressive DisorderDrug PrescriptionsFemaleHumansMaleMedication AdherenceMiddle AgedUnited StatesYoung AdultAntidepressive Agentsantidepressantsmedication adherencepatient adherence

Identifiers

PMID27320786
PMCPMC5618693

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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.