Evidence map›Paper›PMID 31576131›Full record

ArticleNeuropsychiatric disease and treatment2019

Subthreshold Depression Needs A Prime Time In Old Age Psychiatry? A Narrative Review Of Current Evidence.

Marina Maria Biella, Marcus Kiiti Borges, Jason Strauss, Sivan Mauer, José Eduardo Martinelli, Ivan Aprahamian

Open access · goldAbstract read
In one paragraph

Article in Neuropsychiatric disease and treatment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 49 citations in OpenAlex.

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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

6 authors at 4 institutions in 2 countries.

Marina Maria BiellaDepartment and Institute of Psychiatry, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Marcus Kiiti BorgesDepartment and Institute of Psychiatry, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.ORCID 0000-0001-8441-9519
Jason StraussGeriatric Psychiatry, Cambridge Health Alliance, Harvard Medical School, Boston, MA, USA.
Sivan MauerDepartment of Psychiatry, Tufts Medical Center, Tufts University Scholl of Medicine, Boston, MA, USA.ORCID 0000-0002-1318-1897
José Eduardo MartinelliGeriatrics & Psychiatry Division, Department of Internal Medicine, Faculty of Medicine of Jundiaí, Jundiaí, Brazil.ORCID 0000-0002-2783-772X
Ivan AprahamianDepartment and Institute of Psychiatry, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.ORCID 0000-0003-3806-7895
Universidade de São Paulo · BRCambridge Health Alliance · USFaculdade de Medicina de Jundiaí · BRTufts University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to carry out a narrative review, aiming to update the literature on subsyndromic depression (SD), which is the most prevalent depressive disorder in older adults, and no formal guidelines or consensus are dedicated to this topic. We carried out an electronic search for articles on SD. Relevant articles were retrieved from Pubmed, EMBASE and Web of Science using the search terms "subthreshold depression," "prevalence," "treatment" and "older adults" in several combinations. Original articles in English were included from inception to 1st March 2019. No clear consensus exists in the literature on its nosologic classification, diagnostic tools, causes, course, outcomes or management. SD diagnosis should base in depressive symptoms scales and DSM criteria. Treatment relies mainly on collaborative care and psychotherapy. SD is relevant in clinical practice and research in geriatric psychiatry. Given the negative outcomes and potential benefits of treatment, we recommend brief psychotherapy as first-line treatment and use of psychotropic agents in cases with greater severity and/or functional impairment in association with psychotherapy. SD can precede major depressive disorder, but it also may consist of a primary depressive disorder in older adults. Furthermore, adequate treatment of SD can prevent or reduce negative outcomes associated with depressive symptoms such as worsening of clinical comorbidities, loss of functionality, increased demand for health services, and increased mortality.

Indexed as

depressive symptomsolder adultsprevalencesubthreshold depressiontreatment

Identifiers

PMID31576131
PMCPMC6765057
OpenAlexW2973601943

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.