Evidence map›Paper›PMID 39226275›Full record

ArticlePloS one2024

Self-stigmatization and treatment preferences: Measuring the impact of treatment labels on choices for depression medications.

Juan Marcos Gonzalez Sepulveda, Michael Townsend, Heidi C Waters, Maalak Brubaker, Matthew Wallace, Reed Johnson

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Juan Marcos Gonzalez SepulvedaDuke Clinical Research Institute, Duke University School of Medicine Durham, North Carolina, United States of America.ORCID 0000-0002-5386-0907
Michael TownsendLCSW Gateway Counseling Center, Smithtown, New York, United States of America.
Heidi C WatersOtsuka Pharmaceutical Development & Commercialization, Inc., Princeton, NJ, United States of America.
Maalak BrubakerOtsuka Pharmaceutical Development & Commercialization, Inc., Princeton, NJ, United States of America.
Matthew WallaceDuke Clinical Research Institute, Duke University School of Medicine Durham, North Carolina, United States of America.
Reed JohnsonDuke Clinical Research Institute, Duke University School of Medicine Durham, North Carolina, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo collect evidence on the possibility that patients with depression experience self-stigmatization based on label information for medications.

methodsWe developed a discrete-choice experiment (DCE) survey instrument that asked respondents to make choices between hypothetical treatments for major depressive disorder (MDD). We also included treatment type (antidepressants versus antipsychotics) and approved indications for the medication. The choice questions mimicked the information presented in product inserts and required systematic tradeoffs between treatment efficacy, treatment type, and indication. We calculated how many patients were willing to forgo efficacy to avoid treatments with information associated with self-stigmatization, and how much efficacy they were willing to forgo. We also evaluated the impact of contextualizing the treatment information to reduce self-stigmatization by randomizing respondents who received additional context.

resultsA total of 501 patients with MDD were recruited to complete the DCE survey. Respondents had well-defined preferences for treatment outcomes. Over 60% (63.4%) of respondents were found to be significantly affected by treatment indication. These respondents were willing to forgo about 2.5 percentage points in the chance of treatment efficacy to avoid treatments indicated for schizophrenia. We also find that some level of contextualization of the treatment details could help reduce the negative impact of treatment type and indications.

conclusionsProduct-label treatment indication can potentially lead to patient self-stigmatization as shown by patients' avoidance of treatments that are also used to treat schizophrenia. While the effect appears to be relatively small, results suggests that the issue is likely pervasive.

Indexed as

Antidepressive AgentsChoice BehaviorMajor Depressive DisorderPatient PreferenceAdultAgedAntipsychotic AgentsDrug LabelingFemaleHumansMaleMiddle AgedSocial StigmaStereotypingSurveys and QuestionnairesTreatment OutcomeAntidepressive AgentsAntipsychotic Agents

Identifiers

PMID39226275
PMCPMC11371228

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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.