Evidence map›Paper›PMID 39056019›Full record

ReviewFrontiers in psychiatry2024

Major challenges in youth psychopathology: treatment-resistant depression. A narrative review.

Giulia Menculini, Gianmarco Cinesi, Francesca Scopetta, Matteo Cardelli, Guido Caramanico, Pierfrancesco Maria Balducci, Filippo De Giorgi, Patrizia Moretti, Alfonso Tortorella

Abstract readReview
In one paragraph

Review in Frontiers in psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

9 authors.

Giulia MenculiniSection of Psychiatry, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Gianmarco CinesiSection of Psychiatry, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Francesca ScopettaSection of Psychiatry, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Matteo CardelliSection of Psychiatry, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Guido CaramanicoSection of Psychiatry, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Pierfrancesco Maria BalducciSection of Psychiatry, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Filippo De GiorgiDivision of Psychiatry, Clinical Psychology and Rehabilitation, General Hospital of Perugia, Perugia, Italy.
Patrizia MorettiSection of Psychiatry, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Alfonso TortorellaSection of Psychiatry, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Major depressive disorder (MDD) represents a major health issue in adolescents and young adults, leading to high levels of disability and profoundly impacting overall functioning. The clinical presentation of MDD in this vulnerable age group may slightly differ from what can be observed in adult populations, and psychopharmacological strategies do not always lead to optimal response. Resistance to antidepressant treatment has a prevalence estimated around 40% in youths suffering from MDD and is associated with higher comorbidity rates and suicidality. Several factors, encompassing biological, environmental, and clinical features, may contribute to the emergence of treatment-resistant depression (TRD) in adolescents and young adults. Furthermore, TRD may underpin the presence of an unrecognized bipolar diathesis, increasing the overall complexity of the clinical picture and posing major differential diagnosis challenges in the clinical practice. After summarizing current evidence on epidemiological and clinical correlates of TRD in adolescents and young adults, the present review also provides an overview of possible treatment strategies, including novel fast-acting antidepressants. Despite these pharmacological agents are promising in this population, their usage is expected to rely on risk-benefit ratio and to be considered in the context of integrated models of care.

Indexed as

adolescentsesketaminefast-acting antidepressantsglutamateketaminemajor depressive disordertreatment-resistant depressionyouth psychopathology

Identifiers

PMID39056019
PMCPMC11269237

What OpenQuestion holds

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Registered trials

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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.