Evidence map›Paper›PMID 30723316›Full record

Trial reportThe pharmacogenomics journal2019

Predicting antidepressant treatment outcome based on socioeconomic status and citalopram dose.

Aurelia Viglione, Flavia Chiarotti, Silvia Poggini, Alessandro Giuliani, Igor Branchi

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in The pharmacogenomics journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Anticipating depression trajectories by measuring plasticity and change through symptom network dynamics.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  5. Article
  6. Biomarkers of stress resilience: A review.Neuroscience applied · 2024
    Article
  7. Heterogeneity of depression across the socioeconomic spectrum.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  8. Review
  9. Article
  10. Combinatorial approaches for treating neuropsychiatric social impairment.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2022
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. 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

5 authors.

Aurelia Viglione *Center for Behavioral Sciences and Mental Health, Istituto Superiore di Sanità, Rome, Italy.
Flavia Chiarotti *Center for Behavioral Sciences and Mental Health, Istituto Superiore di Sanità, Rome, Italy.
Silvia PogginiCenter for Behavioral Sciences and Mental Health, Istituto Superiore di Sanità, Rome, Italy.
Alessandro GiulianiDepartment of Environment and Health, Istituto Superiore di Sanità, Rome, Italy.
Igor BranchiCenter for Behavioral Sciences and Mental Health, Istituto Superiore di Sanità, Rome, Italy. igor.branchi@iss.it.ORCID http://orcid.org/0000-0003-4484-3598

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Selective serotonin reuptake inhibitors (SSRIs), the most prescribed antidepressant drugs, have incomplete efficacy and no clear mechanism of action. In addition, no reliable methods to identify patients who will benefit from treatment is available. In this study, we show that citalopram, a commonly used SSRI, produces a dose-dependent amplification of the influence of the environment on mood, making the severity of symptoms dependent on the level of socioeconomic status (SES). As a consequence, based on SES, we were able to predict which patients would show remission following 12 weeks of treatment in the high, but not the low dose group. Our findings support a novel mechanism of action for SSRIs, which calls for a permissive rather than an instructive role of these drugs, and indicate that treatment outcome can be predicted based on SES and dose. Finally, our findings suggest that the patient's social and economic conditions should be considered in setting up personalized strategies aimed at enhancing SSRI efficacy.

Indexed as

Antidepressive AgentsCitalopramMajor Depressive DisorderAdolescentAdultAffectAgedFemaleHumansMaleMiddle AgedPrognosisSelective Serotonin Reuptake InhibitorsSocial ClassTreatment OutcomeYoung AdultAntidepressive AgentsCitalopramSelective Serotonin Reuptake Inhibitors

Identifiers

What OpenQuestion holds

Textmetadata
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.