Evidence map›Paper›PMID 32144998›Full record

ArticleThe International journal of risk & safety in medicine2020

Presentation of benefits and harms of antidepressants on websites: A cross-sectional study.

Maryanne Demasi, Peter C Gøtzsche

Open access · bronzeAbstract read
In one paragraph

Article in The International journal of risk & safety in medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Maryanne DemasiNordic Cochrane Centre, Copenhagen, Denmark.
Peter C GøtzscheInstitute for Scientific Freedom, Copenhagen, Denmark.
Cochrane · DKCopenhagen Institute for Futures Studies · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany people use the Internet for obtaining information about their medications.

objectiveTo investigate whether information about antidepressants on popular websites reflects the scientific evidence and enables people to make informed choices.

methodsCross-sectional study using a checklist with 14 predefined criteria of 39 websites from 10 countries.

resultsAll 39 websites mentioned the benefits of antidepressants. Twenty-nine (74%) websites attributed depression to a "chemical imbalance" or claimed they could fix an imbalance. Sexual dysfunction was mentioned as a harmful effect on 23 (59%) websites while five (13%) mentioned emotional numbing. Twenty-five (64%) stated that antidepressants may cause increased suicidal ideation, but 23 (92%) of them contained incorrect information, and only two (5%) websites noted that the suicide risk is increased in people of all ages. Twenty-eight websites (72%) warned patients about withdrawal effects but only one stated that antidepressants can be addictive.

conclusionsNone of the websites met our predefined criteria. The information was generally inaccurate and unhelpful and has potential to lead to inappropriate use and overuse of antidepressants and reduce the likelihood that people will seek better options for depression like psychotherapy.

Indexed as

Antidepressive AgentsConsumer Health InformationCross-Sectional StudiesDepressionHumansInternetAntidepressive AgentsAntidepressantsbenefitsdepressionharmsmisinformationwebsites

Identifiers

PMID32144998
PMCPMC7369070
OpenAlexW3009921130

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.