Evidence map›Paper›PMID 37668659›Full record

ArticleEuropean journal of clinical pharmacology2023

Prevalence, trends, and individual patterns of long-term antidepressant medication use in the adult Swiss general population.

Melanie A Amrein, Michael P Hengartner, Markus Näpflin, Renato Farcher, Carola A Huber

Abstract read
In one paragraph

Article in European journal of clinical pharmacology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

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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

5 authors.

Melanie A AmreinDepartment of Health Sciences, Helsana Group, Zurich, Switzerland. melanie.amrein@helsana.ch.ORCID http://orcid.org/0000-0002-0719-5109
Michael P HengartnerDepartment of Applied Psychology, Zurich University of Applied Sciences, Zurich, Switzerland.ORCID http://orcid.org/0000-0002-2956-2969
Markus NäpflinDepartment of Health Sciences, Helsana Group, Zurich, Switzerland.
Renato FarcherDepartment of Health Sciences, Helsana Group, Zurich, Switzerland.
Carola A HuberDepartment of Health Sciences, Helsana Group, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAntidepressant use has increased in many European countries, mostly driven by longer treatment duration. The aim of this study was to provide prevalence rates of long-term users of antidepressants for the Swiss population over the last decade and to investigate associated factors for longer use.

methodsWe examined the prevalence rates of individuals with at least one prescription for antidepressants using longitudinal health claims data for 2013 to 2021. We defined short- (< one year), medium- (one-two years), and long-term users (> two years) for 2015 to 2019. We applied a binary logistic regression model to investigate the effects of population (gender, age, area of living, language, health insurance plan, and nursing home) and treatment characteristics (psychiatric or psychotherapeutic care) on long-term compared to short- and medium-term users in 2019.

resultsIn 2021, 9% of the Swiss population (n = 770,698) received at least one antidepressant prescription, which remained stable since 2013. In 2019, the proportion of long-term users was 57.4%, with steady increase since 2015. The proportion of medium- and short-term users has decreased. Older age, being a woman, living in an urban area, living in a nursing home, being enrolled in a standard care plan, and receiving psychiatric or psychotherapeutic care were factors positively associated with being a long-term user.

conclusionThe proportion of long-term users in Switzerland is high and steadily increasing. Given the ongoing debate about the confounding effects of relapse and withdrawal, more research is needed to investigate longer use of antidepressants that could indicate overprescribing.

Indexed as

Antidepressive AgentsPsychotropic DrugsAdultEuropeFemaleHumansMalePrevalenceSwitzerlandAntidepressive AgentsPsychotropic DrugsAntidepressantsLong-term usePharmacoepidemiologyTime trend

Identifiers

PMID37668659
PMCPMC10618304

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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.