Evidence map›Paper›PMID 39073428›Full record

ArticleRheumatology international2024

Chronobiological variables predict non-response to serotonin and noradrenaline reuptake inhibitors in fibromyalgia: a cross-sectional study.

Anna J Krupa, Adrian A Chrobak, Zbigniew Sołtys, Mariusz Korkosz, Jarosław Nowakowski, Dominika Dudek, Marcin Siwek

Abstract read
In one paragraph

Article in Rheumatology international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
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  3. 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

7 authors.

Anna J KrupaDepartment of Affective Disorders, Jagiellonian University Medical College, Kopernika 21a, Krakow, 31- 501, Poland.ORCID 0000-0003-3291-9663
Adrian A ChrobakDepartment of Adult Psychiatry, Jagiellonian University Medical College, Krakow, Poland.ORCID 0000-0002-2107-9980
Zbigniew SołtysLaboratory of Experimental Neuropathology, Institute of Zoology and Biomedical Research, Jagiellonian University, Krakow, Poland.ORCID 0000-0003-0656-8505
Mariusz KorkoszDepartment of Rheumatology and Immunology, Jagiellonian University Medical College, Krakow, Poland.ORCID 0000-0002-1749-9739
Jarosław NowakowskiDepartment of Rheumatology and Immunology, Jagiellonian University Medical College, Krakow, Poland.ORCID 0000-0002-8748-7581
Dominika DudekDepartment of Adult Psychiatry, Jagiellonian University Medical College, Krakow, Poland.ORCID 0000-0001-6120-0506
Marcin SiwekDepartment of Affective Disorders, Jagiellonian University Medical College, Kopernika 21a, Krakow, 31- 501, Poland. marcin.siwek@uj.edu.pl.ORCID 0000-0002-3109-1895

Funding

Uniwersytet Jagielloński Collegium Medicum N41/DBS/000535
6 · The paper itself

Abstract

Available data shows associations between chronotype, circadian rhythms, sleep quality and fibromyalgia (FM) presentation. However, no studies have explored links between the chronobiological variables and effectiveness of pharmacotherapy. We aimed to assess the chronotypes, circadian rhythms, sleep-wake cycle and sleep quality in FM and their links to treatment response to serotonin and noradrenalin reuptake inhibitors (SNRI). 60 FM patients: 30 responsive to SNRI (FM T[+]), 30 non-responsive to SNRI (FM T[-]) and 30 healthy controls participated. Subjects were assessed by physician and with questionnaire tools: Composite Scale of Morningness, Biological Rhythms Interview of Assessment in Neuropsychiatry, Sleep-Wake Pattern Assessment Questionnaire, Pittsburgh Sleep Quality Index and Fibromyalgia Impact Questionnaire. ANOVA analysis and simple logistic regressions were used to examine the relationships between chronological variables and response to SNRI. FM T[-] vs. FM T[+] presented lower morning affect (11.50[95%CI 9.96-13.04] vs. 14.00[95%CI 12.42-15.57];p=0.04), anytime wakeability (2.27[95%CI 1.4-3.13] vs. 4.03[95%CI 2.99-5.08];p=0.013) worse overall (11.40[95%CI 9.92-12.88] vs. 7.97[95%CI 6.75-9.19];p=0.002) and subjective (1.70[95%CI 1.30-2.01] vs. 1.17[95%CI 0.94-1.39];p=0.008) sleep quality, higher circadian rhythm disruptions (55.47[95%CI 52.32-58.62] vs. 44.97[95%CI 41.31-48.62];p<0.001), sleep disturbances (1.63[95%CI 1.38-1.68] vs. 1.30[95%CI 1.1-1.5];p=0.04), sleeping-medication use (1.80[95%CI 1.27-2.32] vs. 0.70[95%CI 0.28-1.12];p=0.003). Levels of morningness (AIC=82.91,OR=0.93,p=0.05), morning affect (AIC=81.901,OR=0.86,p=0.03) diurnal dysrhythmia (AIC=69.566,OR=1.14,p<0.001), anytime wakeability (AIC=80.307,OR=0.76,p=0.015), overall sleep quality (AIC=74.665, OR=1.31,p=0.002) subjective sleep quality (AIC=79.353, OR=2.832,p=0.01) and disturbances (AIC=82.669,OR=2.54,p=0.043), sleep medication use (AIC=77.017, OR=1.9,p=0.003) and daytime disfunction (AIC=82.908, OR=1.971,p=0.049) were predictors of non-response to SNRI. Chronobiological variables vary between FM T[+] and FM T[-] and are predictors of non-response to SNRI.

Indexed as

Circadian RhythmFibromyalgiaSerotonin and Noradrenaline Reuptake InhibitorsAdultCase-Control StudiesCross-Sectional StudiesFemaleHumansMaleMiddle AgedSelective Serotonin Reuptake InhibitorsSleep QualitySurveys and QuestionnairesTreatment OutcomeSelective Serotonin Reuptake InhibitorsSerotonin and Noradrenaline Reuptake InhibitorsAntidepressantsChronotypeCircadian rhythmFibromyalgiaSleep qualitySleep-wake cycle

Identifiers

PMID39073428
PMCPMC11393292

What OpenQuestion holds

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LicenceCC BY
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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.