Evidence map›Paper›PMID 40632175›Full record

ArticleInternational journal of bipolar disorders2025

Clinical prescription of lithium, anticonvulsants antipsychotics, and antidepressants for major mood disorders.

Carolina Hernandorena, Micaela Dines, Alessandro Miola, Nicolas A Nuñez, Leonardo Tondo, Ross J Baldessarini, Gustavo H Vázquez

Abstract read
In one paragraph

Article in International journal of bipolar disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Carolina HernandorenaCentre for Neuroscience Studies, Queen's University, Kingston, ON, Canada.
Micaela DinesHospital General de Agudos Dr. Juan A. Fernández, Buenos Aires City, Argentina.
Alessandro MiolaDepartment of Neuroscience, University of Padova, Padua, Italy.
Nicolas A NuñezDepartment of Psychiatry, University of Utah, Salt Lake City, UT, USA.
Leonardo TondoInternational Consortium for Mood & Psychotic Disorder Research, McLean Hospital, Belmont, MA, USA.
Ross J BaldessariniInternational Consortium for Mood & Psychotic Disorder Research, McLean Hospital, Belmont, MA, USA.
Gustavo H VázquezCentre for Neuroscience Studies, Queen's University, Kingston, ON, Canada. g.vazquez@queensu.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs choices of treatments for bipolar disorder types I (BD1) and II (BD2) and major depressive disorder (MDD) continue to evolve, we reviewed studies directly comparing current clinical usage rates of medicinal treatments for these disorders.

methodsComprehensive searching of five literature databases through March 2024 identified reports on clinical drug prescription rates for BD and MDD patients. Rates were summarized and compared by random-effects meta-analyses with R-Studio software.

resultsA total of 18 reports (2006-2023) supported comparisons of clinically prescribed treatments for 17,572 mood-disorder patients (mean age 42.8 years; 7936 BD1 age 43.2 years; 6309 BD2, age 43.3; 3327 MDD, age 40.0). Among diagnoses: (BD1 vs. BD2 vs. MDD), treatments differed as: lithium (54.4% vs. 38.0% vs. 6.78%), second-generation antipsychotics (41.6% vs. 22.3% vs. 15.9%), valproate (25.7% vs. 21.5%; no MDD data), lamotrigine (13.1% vs. 27.2%; no MDD data), and antidepressants (34.9% vs. 46.4% vs. 77.5%). International use of lithium for BD appeared to increase between 2006 and 2023. LIMITATIONS: Outcomes were heterogeneous and requiring inclusion of lithium may introduce selection bias.

conclusionsClinical treatment selections for BD1, BD2, and MDD patients differed substantially. Use of modern antipsychotics is undergoing major increases for both BD and MDD; optimal use of antidepressants for BD remains uncertain; and notably, international use of lithium tended to increase in the present data.

Indexed as

AnticonvulsantsAntidepressantsAntipsychoticsBipolar disorder types I and IIClinical prescription patternsLithiumMajor depressive disorderMeta-analysisMood-stabilizers

Identifiers

PMID40632175
PMCPMC12240914

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.