Evidence map›Paper›PMID 34110066›Full record

ArticleDepression and anxiety2021

Sex-related effects in major depressive disorder: Results of the European Group for the Study of Resistant Depression.

Lucie Bartova, Markus Dold, Gernot Fugger, Alexander Kautzky, Marleen M M Mitschek, Ana Weidenauer, Marius G Hienert, Richard Frey, Laura Mandelli, Joseph Zohar and 6 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Depression and anxiety, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. MiR-182-5p: A Novel Biomarker in the Treatment of Depression in CSDS-Induced Mice.The international journal of neuropsychopharmacology · 2024
    Article
  5. Article
  6. The Role of Glutamate Underlying Treatment-resistant Depression.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2023
    Review
  7. Article
  8. Age as a moderating factor of treatment resistance in depression.European psychiatry : the journal of the Association of European Psychiatrists · 2023
    Article
  9. Article
  10. Review
  11. Article
  12. Article
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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

16 authors at 7 institutions in 5 countries.

Lucie BartovaDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-1769-8025
Markus DoldDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-8914-2192
Gernot FuggerDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Alexander KautzkyDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-9251-8285
Marleen M M MitschekDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Ana WeidenauerDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-1210-7617
Marius G HienertDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Richard FreyDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Laura MandelliDepartment of Biomedical and NeuroMotor Sciences, University of Bologna, Bologna, Italy.
Joseph ZoharPsychiatric Division, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Julien MendlewiczSchool of Medicine, Free University of Brussels, Brussels, Belgium.
Daniel SouerySchool of Medicine, Free University of Brussels, Brussels, Belgium.
Stuart MontgomeryImperial College School of Medicine, University of London, London, United Kingdom.
Chiara FabbriDepartment of Biomedical and NeuroMotor Sciences, University of Bologna, Bologna, Italy.ORCID 0000-0003-0276-7865
Alessandro SerrettiDepartment of Biomedical and NeuroMotor Sciences, University of Bologna, Bologna, Italy.ORCID 0000-0003-4363-3759
Siegfried KasperDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-8278-191X
Medical University of Vienna · ATUniversity of Bologna · IT3E (Belgium) · BEEuropean Research Council · BEKing's College London · GBSheba Medical Center · ILUniversity of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSex-related effects on the evolution and phenotype of major depressive disorder (MDD) were reported previously.

methodsThis European multicenter cross-sectional study compared sociodemographic, clinical, and treatment patterns between males and females in a real-world sample of 1410 in- and outpatients with current MDD.

resultsMale MDD patients (33.1%) were rather inpatients, suffered from moderate to high suicidality levels, received noradrenergic and specific serotonergic antidepressants (ADs) as first-line AD treatment, generally higher mean AD daily doses, and showed a trend towards a more frequent administration of add-on treatments. Female MDD patients (66.9%) were rather outpatients, experienced lower suicidality levels, comorbid thyroid dysfunction, migraine, asthma, and a trend towards earlier disease onset.

conclusionsThe identified divergencies may contribute to the concept of male and female depressive syndromes and serve as predictors of disease severity and course, as they reflect phenomena that were repeatedly related to treatment-resistant depression (TRD). Especially the greater necessity of inpatient treatment and more complex psychopharmacotherapy in men may reflect increased therapeutic efforts undertaken to treat suicidality and to avoid TRD. Hence, considering sex may guide the diagnostic and treatment processes towards targeting challenging clinical manifestations including comorbidities and suicidality, and prevention of TRD and chronicity.

Indexed as

Depressive Disorder, Treatment-ResistantMajor Depressive DisorderAntidepressive AgentsCross-Sectional StudiesDepressionFemaleHumansMaleAntidepressive Agentsgendermajor depressive disordermale depressionsextreatment response

Identifiers

PMID34110066
PMCPMC8453858
OpenAlexW3169415762

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.