systematic_review
    2021
    High Quality

    Second-generation antidepressants for treatment of seasonal affective disorder

    Nussbaumer-Streit B, Thaler K, Chapman A

    Published in Cochrane Database of Systematic Reviews

    Methodology

    Cochrane systematic review of randomized controlled trials of second-generation antidepressants versus placebo or other treatments in adults with seasonal affective disorder, assessing response, remission and adverse events.

    Key Findings

    Only one small trial of fluoxetine versus placebo met inclusion criteria for seasonal affective disorder, showing a non-significant benefit; no adequately powered evidence supports second-generation antidepressants for SAD treatment.

    Conclusions

    Evidence for the effectiveness of SGAs is limited to one small trial of fluoxetine compared with placebo showing a non-significant effect. The lack of available evidence precluded us from drawing any overall conclusions on the use of SGAs for SAD.

    Limitations

    Extreme scarcity of eligible trials (essentially one small study), short follow-up, and inability to pool data, so the review documents an evidence gap rather than absence of effect.

    Related Health Concerns

    Study Details

    Year:2021
    Sample Size:204
    Duration:8 weeks
    Quality Score:8/10

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