Evidence map›Paper›PMID 42444842›Full record

ArticleNeuropsychiatric disease and treatment2026

Changes in Anxiety Severity and Acceptability of Venlafaxine in Generalized Anxiety Disorder in the United States: Results From a Real-World Study.

Christoph U Correll, Kannan Subramaniam, Pradeep Purushottamahanti, Bituparna Bayan, Luke A Bryden, Emily O C Palmer, Nadia Lipunova

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Article in Neuropsychiatric disease and treatment, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Christoph U CorrellDepartment of Psychiatry, Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA.ORCID 0000-0002-7254-5646
Kannan SubramaniamGlobal Medical Affairs, Viatris Inc, Auckland, New Zealand.ORCID 0000-0001-5551-4103
Pradeep PurushottamahantiGlobal Medical Affairs, Viatris Inc, Bangalore, Karnataka, India.ORCID 0009-0000-8001-1305
Bituparna BayanReal-World Evidence and Outcomes Research, Viatris Inc, Bangalore, Karnataka, India.
Luke A BrydenReal-World Evidence, Holmusk Technologies Inc, London, UK.
Emily O C PalmerReal-World Evidence, Holmusk Technologies Inc, London, UK.ORCID 0000-0003-1190-4622
Nadia LipunovaReal-World Evidence, Holmusk Technologies Inc, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Anxiety disorders, including the common generalized anxiety disorder (GAD), are among the leading causes of disability globally. Clinical practice guidelines recommend venlafaxine, a serotonin and norepinephrine reuptake inhibitor, as a first-line pharmacological treatment option for GAD. Methods: This retrospective cohort study utilized longitudinal real-world data from the US-based database, Holmusk NeuroBlu Data, to explore anxiety severity changes following 30-90 days of venlafaxine prescription in adults with GAD. The main outcome was change from baseline (mean and median) in the 7-item Generalized Anxiety Disorder Questionnaire (GAD-7) score, as well as clinically meaningful change (a difference of ≥4 points). Results: Of 756 patients with GAD (78.6% female, 78.4% White, mean [standard deviation] age 38.5 [14.4 years]), 71.8% had a diagnosis of comorbid major depressive disorder (MDD) at baseline and 23.0% had another anxiety/phobic disorder. Median (interquartile range [IQR]) GAD-7 scores decreased significantly (P<0.001) from 14.0 (10.0-18.0) at baseline (-30 to +7 days from first venlafaxine prescription) to 9.0 (5.0-14.0) points at follow-up (30-90 days after first venlafaxine prescription), a median (IQR) change of -3.0 (-8.0-0.0), corresponding to a shift from moderate to mild anxiety severity. Stratified by baseline anxiety severity, symptom improvement was more pronounced among patients with greater baseline severity. Overall, 48.1% of patients had a clinically meaningful decrease of ≥4 points in GAD-7 score, while only 7.5% significantly worsened. Altogether, 63.6% of patients continued venlafaxine for ≥90 days after first venlafaxine prescription. Conclusion: In this real-world cohort, improved GAD-7 scores were observed to be associated with venlafaxine prescription.

Indexed as

all-cause discontinuationanxiety disorderseffectivenessreal-world evidenceserotonin and noradrenaline reuptake inhibitor

Identifiers

PMID42444842
PMCPMC13361472

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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.