Evidence map›Paper›PMID 29883936›Full record

ArticleJournal of affective disorders2018

Identifying clinical net benefit of psychotropic medication use with latent variable techniques: Evidence from Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD).

Natalie Bareis, Juan Lu, Cynthia K Kirkwood, Susan G Kornstein, Elwin Wu, Briana Mezuk

Abstract read
In one paragraph

Article in Journal of affective disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

6 authors.

Natalie BareisDivision of Behavioral Health Services and Policy Research, Department of Psychiatry, Columbia University and the New York State Psychiatric Institute, 1051 Riverside Drive, Room 6402A, New York, NY 10032, United States. Electronic address: nab2151@cumc.columbia.edu.
Juan LuDivision of Epidemiology, Department of Family Medicine and Population Health, Virginia Commonwealth University School of Medicine, 830 East Main Street, 8th floor, Richmond 23219, VA, United States.
Cynthia K KirkwoodDepartment of Pharmacotherapy and Outcomes Science, Virginia Commonwealth University School of Pharmacy, United States.
Susan G KornsteinDepartment of Psychiatry, Virginia Commonwealth University School of Medicine, United States.
Elwin WuSocial Intervention Group, Columbia School of Social Work, United States.
Briana MezukDivision of Epidemiology, Department of Family Medicine and Population Health, Virginia Commonwealth University School of Medicine, 830 East Main Street, 8th floor, Richmond 23219, VA, United States; Department of Epidemiology, University of Michigan School of Public Health, United States.

Funding

Research Training in Late-Life NeuroPsychiatric DisordersT32MH020004 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Patrick J Brown · 1998 to 2026
$6.1M
TREATMENT OF BIPOLAR DISORDER-278980001N01MH080001 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · 1998 to 2003
$5.3M
Depression, inflammation, and diabetes: Exploring shared etiopathologyK01MH093642 · NIMH · VIRGINIA COMMONWEALTH UNIVERSITY · PI MEZUK, BRIANA · 2012 to 2015
$689k
NIMH NIH HHS K01 MH093642NIMH NIH HHS N01 MH080001NIMH NIH HHS T32 MH020004
6 · The paper itself

Abstract

backgroundPoor medication adherence is common among individuals with Bipolar Disorder (BD). Understanding the sources of heterogeneity in clinical net benefit (CNB) and how it is related to psychotropic medications can provide new insight into ways to improve adherence.

methodsData come from the baseline assessments of the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD). Latent class analysis identified groups of CNB, and validity of this construct was assessed using the SF-36. Adherence was defined as taking 75% or more of medications as prescribed. Associations between CNB and adherence were tested using multiple logistic regression adjusting for sociodemographic characteristics.

resultsFive classes of CNB were identified: High (24%), Moderately high (12%), Moderate (26%), Moderately low (27%) and Low (12%). Adherence to psychotropic medications did not differ across classes (71% to 75%, χ LIMITATIONS: Missing data limited measures used to define CNB. Participants' perceptions of their illness and treatment were not assessed.

conclusionsThis novel operationalization of CNB has construct validity as indicated by the SF-36. Although CNB and polypharmacy regimens are heterogeneous in this sample, adherence is similar across CNB. Studying adherent individuals, despite suboptimal CNB, may provide novel insights into aspects influencing adherence.

Indexed as

Medication AdherenceAdultBipolar DisorderCross-Sectional StudiesFemaleHumansLatent Class AnalysisLogistic ModelsLongitudinal StudiesMaleMiddle AgedPsychotropic DrugsTreatment OutcomePsychotropic DrugsAdverse effectsBipolar DisorderMedication adherencePolypharmacy

Identifiers

PMID29883936
PMCPMC6063799

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.