Evidence map›Paper›PMID 31539672›Full record

ArticleJournal of affective disorders2020

What do patients learn about psychotropic medications on the web? A natural language processing study.

Kamber L Hart, Roy H Perlis, Thomas H McCoy

Abstract read
In one paragraph

Article in Journal of affective disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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.

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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. 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

3 authors.

Kamber L HartCenter for Quantitative Health, Massachusetts General Hospital, 185 Cambridge Street, 6th Floor, Boston, MA 02114, USA.
Roy H PerlisCenter for Quantitative Health, Massachusetts General Hospital, 185 Cambridge Street, 6th Floor, Boston, MA 02114, USA.
Thomas H McCoyCenter for Quantitative Health, Massachusetts General Hospital, 185 Cambridge Street, 6th Floor, Boston, MA 02114, USA. Electronic address: thmccoy@partners.org.

Funding

Machine learning for data-driven subtyping of major depressionR56MH115187 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI PERLIS, ROY H. · 2018 to 2018
$596k
NIMH NIH HHS R56 MH115187
6 · The paper itself

Abstract

backgroundLow rates of medication adherence remain a major challenge across psychiatry. In part, this likely reflects patient concerns about safety and adverse effects, accurate or otherwise. We therefore sought to characterize online information about common psychiatric medications in terms of positive and negative sentiment.

methodsWe applied a natural language processing tool to score the sentiment expressed in web search results for 51 psychotropic medications across 3 drug classes (antidepressants, antipsychotics, and mood stabilizers), as a means of seeing if articles referencing these medications were generally positive or generally negative in tone. We compared between medications of the same class, and across medication classes.

resultsAcross 12,733 web search results, significant within-class differences in positive (antidepressants: F(24,2682) = 2.97, p < 0.001; antipsychotics: F(16,4029) = 3.25, p < 0.001; mood stabilizers: F(8,2371) = 6.88, p < 0.001) and negative sentiment (antidepressants: F(24,6282) = 11.17, p < 0.001; antipsychotics: F(16, 4029)  = 12.13, p < 0.001; mood stabilizers: F(8, 2371) = 13.28, p < 0.001) were identified. Among these were significantly greater negative sentiment for the antidepressants sertraline, duloxetine, venlafaxine, and paroxetine, and for the antipsychotics, quetiapine and risperidone. Conversely, lithium preparations and valproate exhibited less negative sentiment than other mood stabilizing medications. LIMITATIONS: While these results provide a novel means of comparing medications, the present analyses cannot be linked to individual patient consumption of this information, or to its influence on their future clinical interactions.

conclusionsOverall, a subset of psychotropic medications were associated with significantly more negative sentiment. Characterizing these differences may allow clinicians to anticipate patient willingness to initiate or continue medications.

Indexed as

Natural Language ProcessingAntidepressive AgentsAntimanic AgentsAntipsychotic AgentsConsumer Health InformationFemaleHumansInternetMaleMedication AdherencePsychiatryPsychotropic DrugsAntidepressive AgentsAntimanic AgentsAntipsychotic AgentsPsychotropic DrugsConsumer health informationInternetMachine learningMedication adherenceNatural language processingPsychotropic drugsSentiment analysis

Identifiers

PMID31539672
PMCPMC6921244

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Registered trials

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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.