Evidence map›Paper›PMID 39901169›Full record

ArticleBMC psychiatry2025

Uncovering antidepressant prescription patterns: a three-year analysis of outpatient trends.

Hossein Karami, Reza Mehrizi, Mohammad Effatpanah, Azamsadat Rivandi, Rajabali Daroudi, Nezam Armand, Leila Ghamkhar

Abstract read
In one paragraph

Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

7 authors.

Hossein KaramiNational Center for Health Insurance Research, No.1, Shajarian st (N Falamak St), Eivanak Blvd, Qods (West) Town, Tehran, Iran.
Reza MehriziNational Center for Health Insurance Research, No.1, Shajarian st (N Falamak St), Eivanak Blvd, Qods (West) Town, Tehran, Iran.
Mohammad EffatpanahPediatric Department, School of Medicine, Imam Khomeini Hospital, Tehran University of Medical Sciences, National Center for Health Insurance Research, Tehran, Iran.
Azamsadat RivandiDepartment of Health Care Management, Faculty of Health, Tehran University of Medical Sciences, Tehran, Iran.
Rajabali DaroudiDepartment of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Nezam ArmandDietary Supplements and Probiotic Research Center, Alborz University of Medical Sciences, Karj, Iran. armandnezam@yahoo.com.ORCID 0000-0003-2458-4293
Leila GhamkharNational Center for Health Insurance Research, No.1, Shajarian st (N Falamak St), Eivanak Blvd, Qods (West) Town, Tehran, Iran. lghamkhar@yahoo.com.ORCID 0000-0003-4979-748X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntidepressants (ADs) are prescribed for various conditions, including neurological and rheumatoid diseases. This study aims to analyze ADs prescribing trends in Iranian outpatients over three years, with a focus on age, sex, and ADs class.

methodsA retrospective cohort study was conducted using prescription data from the Iranian Health Insurance Organization (IHIO) between March 2021 and March 2024. The dataset included 8,924,431 prescriptions from 3,524,273 patients who received at least one ADs. ADs were classified into four groups: tricyclic antidepressants (TCAs), selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), and atypical ADs. The data were processed via the cross-industry standard process for data mining and analyzed using a multivariate logistic regression model.

resultsSSRIs were the most commonly prescribed class, accounting for 63.71% of prescriptions, with sertraline being the most common drug (24.65%). Females accounted for 66.11% of the patient population. ADs prescriptions increased with age, and females were more likely to receive TCAs and SNRIs than males, who had higher rates of atypical ADs use.

conclusionsThis study revealed a notable increase in ADs prescriptions in Iran, particularly among women and older individuals. Continued monitoring of ADs prescription is crucial for optimizing outcomes, especially for vulnerable groups such as elderly individuals.

Indexed as

Antidepressive AgentsDrug PrescriptionsOutpatientsPractice Patterns, Physicians'AdolescentAdultAgedAge FactorsAntidepressive Agents, TricyclicFemaleHumansIranMaleMiddle AgedRetrospective StudiesSelective Serotonin Reuptake InhibitorsAntidepressive AgentsAntidepressive Agents, TricyclicSelective Serotonin Reuptake InhibitorsSerotonin and Noradrenaline Reuptake InhibitorsAntidepressantsMental healthPrescription patternRetrospective cohort

Identifiers

PMID39901169
PMCPMC11792704

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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.