Evidence map›Paper›PMID 42058848›Full record

ArticleDepression and anxiety2026

Analysis of Psychotropic Polypharmacy and Associated Factors in Antidepressant-Treated Patients With Depressive Disorder: A Population-Based Cohort Study Using Real World Data.

Diego Infante-Ventura, Benjamín Rodríguez-Díaz, Miguel Ángel García-Bello, Cristina Válcarcel-Nazco, Francisco Estupiñán-Romero, Francisco Javier Acosta Artiles, Beatriz González de León, Isabel Hurtado-Navarro, Tasmania Del Pino-Sedeño

Abstract read
In one paragraph

Article in Depression and anxiety, 2026. 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

9 authors.

Diego Infante-VenturaCanary Islands Health Research Institute Foundation (FIISC), Tenerife, Spain.ORCID 0000-0003-4197-7849
Benjamín Rodríguez-DíazCanary Islands Health Research Institute Foundation (FIISC), Tenerife, Spain.ORCID 0000-0002-7540-8268
Miguel Ángel García-BelloCanary Islands Health Research Institute Foundation (FIISC), Tenerife, Spain.
Cristina Válcarcel-NazcoCanary Islands Health Research Institute Foundation (FIISC), Tenerife, Spain.ORCID 0000-0003-4833-7967
Francisco Estupiñán-RomeroResearch Network on Chronicity, Primary Care and Health Promotion (RICAPPS), Carlos III Health Institute (Instituto de Salud Carlos III), Madrid, Spain, isciii.es.ORCID 0000-0002-6285-8120
Francisco Javier Acosta ArtilesDepartment of Mental Health, General Directorate of Mental Health and Addiction, Canary Island Health Service, Las Palmas de Gran Canaria, Spain.ORCID 0000-0001-5835-2795
Beatriz González de LeónResearch Network on Chronicity, Primary Care and Health Promotion (RICAPPS), Carlos III Health Institute (Instituto de Salud Carlos III), Madrid, Spain, isciii.es.ORCID 0000-0001-5398-104X
Isabel Hurtado-NavarroResearch Network on Chronicity, Primary Care and Health Promotion (RICAPPS), Carlos III Health Institute (Instituto de Salud Carlos III), Madrid, Spain, isciii.es.ORCID 0000-0002-8475-8112
Tasmania Del Pino-SedeñoCanary Islands Health Research Institute Foundation (FIISC), Tenerife, Spain.ORCID 0000-0003-3843-8975

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Psychotropic polypharmacy typically refers to the prescription of more than one psychotropic medication to a patient. While polypharmacy can sometimes be clinically justified, it is widely recognized that multiple drug use and exposure can be problematic. The aim of this article is to analyze polypharmacy experienced by patients with depressive disorders, estimating its incidence during the first year after diagnosis and exploring the sociodemographic, clinical, and health-related lifestyle factors related to psychotropic polypharmacy. Methods: A retrospective population-based cohort study was conducted among adults (aged 18 and over) within the Canary Islands Health Service. The study analyzed routine health record data from patients diagnosed with depressive disorders who received antidepressant treatment between 2013 and 2022. Psychotropic polypharmacy refers to the concurrent use of two or more psychotropic medications by the same patient. To explore the relationship with sociodemographic, clinical, and lifestyle characteristics, multivariate logistic regression analyses were conducted. Results: The study included a total of 39,800 participants, with a polypharmacy incidence of 86.28%. Most patients (48.10%) received three or more medications ( Conclusion: The results highlight the complexity of psychotropic polypharmacy, especially in patients with previous episodes and comorbidities. While the use of multiple medications may be necessary, it is critical to periodically review treatments to ensure their safety, especially in vulnerable populations. New prescription trends suggest a shift toward more rational approaches, although further research is required to support clinical guidelines.

Indexed as

Antidepressive AgentsDepressive DisorderPolypharmacyPsychotropic DrugsAdolescentAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedRetrospective StudiesSpainYoung AdultAntidepressive AgentsPsychotropic Drugs

Identifiers

PMID42058848
PMCPMC13121550

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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.