Evidence map›Paper›PMID 35018097›Full record

Trial reportNeuropsychiatric disease and treatment2022

A Preliminary Study of Different Treatment Strategies for Anxious Depression.

Yun Wang, Xiaohua Liu, Daihui Peng, Yan Wu, Yun'ai Su, Jia Xu, Xiancang Ma, Yi Li, Jianfei Shi, Xiaojing Cheng and 2 more

Registry-linked trialOpen access · goldAbstract readCase ReportsClinical Trial
In one paragraph

Trial report in Neuropsychiatric disease and treatment, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03219008 (Multi-dimensional Diagnosis,Individualized Therapy,and Management Technique for Major Depressive Disorder), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 35% 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.

NCT03219008 phase4unknown statusnot on this map

Multi-dimensional Diagnosis,Individualized Therapy,and Management Technique for Major Depressive Disorder:Based on Clinical and Pathological Characteristics

TypeinterventionalSponsorShanghai Mental Health CenterRan2017 to 2020Enrolled800ConditionsDepressive DisorderArmsFluoxetine, fluoxetine + cognitive-behavioral treatment(CBT), fluoxetine + Amfebutamone, physical treatment+fluoxetine+amfebutamone, Fluvoxamine
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. The Potential Role of Aripiprazole Augmentation for Major Depressive Disorder with Anxious Distress in Naturalistic Treatment Setting.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2024
    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

12 authors at 6 institutions in 1 country.

Yun WangDivision of Mood Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
Xiaohua LiuDepartment of Psychiatry, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
Daihui PengDepartment of Psychiatry, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.ORCID 0000-0003-4338-967X
Yan WuDepartment of Psychiatry, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
Yun'ai SuDepartment of Psychiatry, Peking University Sixth Hospital, Peking, People's Republic of China.ORCID 0000-0001-8445-9633
Jia XuDepartment of Psychiatry, Harbin First Specific Hospital, Harbin, People's Republic of China.
Xiancang MaDepartment of Psychiatry, The First Affiliated Hospital of Xi'an Jiao Tong University, Xi'an, People's Republic of China.ORCID 0000-0002-7826-305X
Yi LiDepartment of Psychiatry, Wuhan Mental Health Center, Wuhan, People's Republic of China.
Jianfei ShiDepartment of Psychiatry, Hangzhou Seventh People's Hospital, Hangzhou, People's Republic of China.
Xiaojing ChengDepartment of Psychiatry, Shandong Mental Health Center, Shandong, People's Republic of China.
Han RongDepartment of Psychiatry, Shenzhen Kangning Hospital, Shenzhen, People's Republic of China.
Yiru FangDivision of Mood Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.ORCID 0000-0002-8748-9085
Shanghai Jiao Tong University · CNFirst Affiliated Hospital of Xi'an Jiaotong University · CNHangzhou Seventh Peoples Hospital · CNPeking University · CNShandong Mental Health Center · CNShenzhen KangNing Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the best treatments, about 20% of patients with major depressive disorder (MDD) receiving drugs and psychological intervention show little or no improvement. There is no trial comparing different treatment methods in patients with anxiety/somatic subtype MDD.

aimTo compare the efficacy and safety of various treatments in patients with anxiety/somatic subtype MDD.

methodsThis was a preliminary multicenter randomized controlled trial at eight participating hospitals in China (09/2016-06/2019) (ClinicalTrials.gov #NCT03219008). The patients were randomized to mirtazapine/SNRIs, mirtazapine/SNRIs+cognitive behavioral therapy (CBT), mirtazapine+SNRIs, or mirtazapine+SNRIs+physical therapies (modified electroconvulsive treatment or repetitive transcranial magnetic stimulation). The primary endpoint was the 17-item Hamilton Depression Scale (HAMD-17). The Quick Inventory of Depressive Symptomatology-Self-Report (QIDS-SR) and Quality of Life (QOL)-6 were the secondary endpoints. The adverse events (AEs) were monitored. The patients were assessed at baseline (0 weeks), and at the end of the 2nd, 4th, 6th, 8th, and 12th week during treatment.

resultsFinally, 107 patients were included: mirtazapine/SNRIs (n=36), mirtazapine/SNRIs+CBT (n=28), mirtazapine+SNRIs (n=29), and mirtazapine+SNRIs+physical therapies (n=14). The 17-HDRS and QIDS-SR scores decreased in all four groups, and the QOL-6 scores increased. There were no differences in the 17-HDRS (P=0.099), QIDS-SR (P=0.407), and QOL-6 (P=0.485) scores among the four groups. There were no differences in the occurrence of AEs among the four groups (P=0.942).

conclusionThis preliminary trial suggests that all four interventions (mirtazapine/SNRIs, mirtazapine/SNRIs+CBT, mirtazapine+SNRIs, or mirtazapine+SNRIs+physical therapies) achieved similar response and remission rates in patients with anxiety/somatic subtype MDD. The safety profile was manageable.

Indexed as

anxietycognitive behavioral therapyHamilton Depression Scalemajor depressive disordermirtazapineserotonin-norepinephrine reuptake inhibitor

Identifiers

PMID35018097
PMCPMC8742615
OpenAlexW4205616432

What OpenQuestion holds

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Registered trials

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.