Evidence map›Paper›PMID 38386251›Full record

ReviewCurrent psychiatry reports2024

Recent Advances in the Treatment of Treatment-Resistant Depression: A Narrative Review of Literature Published from 2018 to 2023.

John L Havlik, Syed Wahid, Kayla M Teopiz, Roger S McIntyre, John H Krystal, Taeho Greg Rhee

Abstract readReview
In one paragraph

Review in Current psychiatry reports, 2024. 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
10.7field-weighted citation impact, top 1% 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, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  7. Review
  8. Review
  9. Article
  10. Review
  11. Effectiveness of fMRI-based Neurofeedback Therapy on Depression: A Systematic Review.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2025
    Review
  12. Article
  13. Article
  14. 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

6 authors at 5 institutions in 2 countries.

John L HavlikYale University School of Medicine, New Haven, CT, USA.
Syed WahidThe University of Chicago, Chicago, IL, USA.
Kayla M TeopizBrain and Cognition Discovery Foundation, Toronto, Canada.
Roger S McIntyreBrain and Cognition Discovery Foundation, Toronto, Canada.
John H KrystalDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Taeho Greg RheeDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT, USA. taeho.rhee@yale.edu.
Yale University · USBrain and Cognition Discovery Foundation · CAUniversity of Chicago · USUniversity of Connecticut · USUniversity of Toronto · CA

Funding

Longitudinal Associations of Electroconvulsive Therapy with Neuropsychiatric Symptoms, Geriatric Syndromes, and Nursing Home Admission and Mortality Rates among Adults with DementiaR01AG080647 · NIA · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI RHEE, TAEHO GREGORY · 2023 to 2025
$1.0M
Epidemiology and Clinical Outcomes of Electroconvulsive Therapy Use in Nursing Home Residents with DementiaR21AG078972 · NIA · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI RHEE, TAEHO GREGORY · 2023 to 2024
$294k
NIA NIH HHS R01 AG080647NIA NIH HHS R21 AG078972
6 · The paper itself

Abstract

purpose of reviewWe review recent advances in the treatment of treatment-resistant depression (TRD), a disorder with very limited treatment options until recently. We examine advances in psychotherapeutic, psychopharmacologic, and interventional psychiatry approaches to treatment of TRD. We also highlight various definitions of TRD in recent scientific literature. RECENT

findingsRecent evidence suggests some forms of psychotherapy can be effective as adjunctive treatments for TRD, but not as monotherapies alone. Little recent evidence supports the use of adjunctive non-antidepressant pharmacotherapies such as buprenorphine and antipsychotics for the treatment of TRD; side effects and increased medication discontinuation rates may outweigh the benefits of these adjunctive pharmacotherapies. Finally, a wealth of recent evidence supports the use of interventional approaches such as electroconvulsive therapy, ketamine/esketamine, and transcranial magnetic stimulation for TRD. Recent advances in our understanding of how to treat TRD have largely expanded our knowledge of best practices in, and efficacy of, interventional psychiatric approaches. Recent research has used a variety of TRD definitions for study inclusion criteria; research on TRD should adhere to inclusion criteria based on internationally defined guidelines for more meaningfully generalizable results.

Indexed as

Depressive Disorder, Treatment-ResistantElectroconvulsive TherapyDepressionHumansPsychotherapyTranscranial Magnetic StimulationElectroconvulsive therapy (ECT)EsketamineKetamineMajor depressive disorder (MDD)PharmacotherapyTranscranial magnetic stimulation (TMS)Treatment-resistant depression (TRD)

Identifiers

PMID38386251
PMCPMC13099247
OpenAlexW4392053885

What OpenQuestion holds

Textmetadata
LicenceTDM
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.