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Currently 3108 records
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https://ciane.net/id=3166

Created on : 15 Apr 2021
Modified on : 15 Apr 2021

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Bibliographical entry (without author) :

The risk of relapse of depression during pregnancy after discontinuation of antidepressants: A systematic review and meta-analysis. The Journal of clinical psychiatry, 81(4), 0-0.

Author(s) :

Bayrampour, H., Kapoor, A., Bunka, M., & Ryan, D.

Year of publication :

2020

URL(s) :

https://pubmed.ncbi.nlm.nih.gov/32558401/
https://doi.org/10.4088/JCP.19r13134

Résumé (français)  :

Objectif : Le but de cette revue systématique et méta-analyse était de déterminer l’effet de l’arrêt des antidépresseurs sur le risque de rechute de la dépression pendant la grossesse.

Sources de données : MEDLINE, EMBASE, CINAHL et PsycInfo ont été recherchées depuis la création de chaque base de données jusqu’en mars 2019 en utilisant des mots clés tels que antidépresseurs, grossesse, préconception, arrêt, arrêt, récidive, réintroduction et rechute.

Sélection des études : Les études originales impliquant des femmes enceintes qui ont arrêté les antidépresseurs pendant la préconception (c.-à-d. 3 mois avant la grossesse) ou la grossesse et ont examiné la rechute de la dépression pendant la grossesse (c.-à-d. La réapparition de la dépression ou la réintroduction de médicaments) et publiées en anglais ont été inclus. Au total, 2 172 documents ont été identifiés et le texte intégral de 37 articles a été examiné. Huit études répondaient aux critères d’inclusion, dont 6 remplissaient les critères de qualité, et 4 études fournissaient des données pour la méta-analyse.

Extraction des données : Les données ont été extraites à l’aide d’un formulaire d’extraction de données développé aux fins de cette étude. La version 5.3 du logiciel Cochrane Collaboration Review Manager a été utilisée pour effectuer la méta-analyse.

Résultats : Les données regroupées n’ont pas montré de risque plus élevé de rechute de dépression pendant la grossesse pour les femmes qui ont arrêté les antidépresseurs que pour celles qui ont continué les antidépresseurs (risque relatif [RR] = 1,74 ; IC à 95%, 0,97 à 3,10 ; P = 0,06). Dans la sous-analyse basée sur la gravité et la récidive de la dépression dans les populations étudiées, le risque de rechute était significativement plus élevé pour les populations évoquant une dépression sévère ou récurrente (RR = 2,30 ; IC à 95%, 1,58 à 3,35) mais pas pour les populations suggérant une dépression gravité de la dépression légère ou modérée (RR = 1,59 ; IC à 95%, 0,83 à 3,04).

Conclusions : Les femmes souffrant de dépression sévère ou récurrente doivent être informées du risque accru de rechute après l’arrêt des antidépresseurs, et celles qui arrêtent les antidépresseurs doivent être surveillées en cas de rechute.

Abstract (English)  :

Objective: The aim of this systematic review and meta-analysis was to determine the effect of antidepressant discontinuation on the risk of relapse of depression during pregnancy.

Data sources: MEDLINE, EMBASE, CINAHL, and PsycInfo were searched from the inception of each database through March 2019 using keywords such as antidepressants, pregnancy, preconception, discontinuation, stop, recurrence, reintroduction, and relapse.

Study selection: Original studies that involved pregnant women who discontinued antidepressants during preconception (ie, 3 months prior to pregnancy) or pregnancy and examined the relapse of depression during pregnancy (ie, the reemergence of depression or reintroduction of medication) and published in English were included. A total of 2,172 records were identified, and the full texts of 37 articles were reviewed. Eight studies met the inclusion criteria, 6 of which fulfilled the quality criteria, with 4 studies providing data for the meta-analysis.

Data extraction: Data were extracted using a data extraction form developed for the purpose of this study. The Cochrane Collaboration Review Manager software version 5.3 was used to conduct the meta-analysis.

Results: Pooled data did not show higher risk of relapse of depression during pregnancy for women who discontinued antidepressants than for those who continued antidepressants (risk ratio [RR] = 1.74; 95% CI, 0.97 to 3.10; P =.06). In the subanalysis based on the severity and recurrence of depression in the study populations, the risk of relapse was significantly higher for populations suggestive of severe or recurrent depression (RR = 2.30; 95% CI, 1.58 to 3.35) but not for populations suggestive of mild or moderate depression severity (RR = 1.59; 95% CI, 0.83 to 3.04).

Conclusions: Women with severe or recurrent depression should be informed about the increased risk of relapse following antidepressant discontinuation, and those who discontinue antidepressants should be monitored for relapse.

Sumário (português)  :

Objetivo: O objetivo desta revisão sistemática e meta-análise foi determinar o efeito da descontinuação do antidepressivo sobre o risco de recidiva da depressão durante a gravidez.

Fontes de dados: MEDLINE, EMBASE, CINAHL e PsycInfo foram pesquisados ​​desde o início de cada banco de dados até março de 2019 usando palavras-chave como antidepressivos, gravidez, pré-concepção, descontinuação, parada, recorrência, reintrodução e recaída.

Seleção do estudo: estudos originais que envolveram mulheres grávidas que interromperam os antidepressivos durante a pré-concepção (ou seja, 3 meses antes da gravidez) ou gravidez e examinaram a recaída da depressão durante a gravidez (ou seja, o ressurgimento da depressão ou reintrodução da medicação) e publicados em inglês foram incluído. Foram identificados 2.172 registros e revisados ​​os textos completos de 37 artigos. Oito estudos preencheram os critérios de inclusão, 6 dos quais preencheram os critérios de qualidade, com 4 estudos fornecendo dados para a meta-análise.

Extração de dados: Os dados foram extraídos por meio de um formulário de extração de dados desenvolvido para o propósito deste estudo. O software Cochrane Collaboration Review Manager versão 5.3 foi usado para conduzir a meta-análise.

Resultados: Os dados agrupados não mostraram maior risco de recidiva da depressão durante a gravidez para mulheres que interromperam os antidepressivos do que para aquelas que continuaram com os antidepressivos (razão de risco [RR] = 1,74; IC de 95%, 0,97 a 3,10; P = 0,06). Na subanálise com base na gravidade e recorrência da depressão nas populações do estudo, o risco de recaída foi significativamente maior para as populações sugestivas de depressão grave ou recorrente (RR = 2,30; IC de 95%, 1,58 a 3,35), mas não para as populações sugestivas de gravidade da depressão leve ou moderada (RR = 1,59; IC 95%, 0,83 a 3,04).

Conclusões: Mulheres com depressão grave ou recorrente devem ser informadas sobre o risco aumentado de recidiva após a interrupção do antidepressivo, e aquelas que interrompem os antidepressivos devem ser monitoradas para recidiva.

Resumen (español)  :

Comments :

Argument (français) :

Les femmes souffrant de dépression sévère ou récurrente doivent être informées du risque accru de rechute après l’arrêt des antidépresseurs, et celles qui arrêtent les antidépresseurs doivent être surveillées en cas de rechute.

Argument (English):

Women with severe or recurrent depression should be informed about the increased risk of relapse following antidepressant discontinuation, and those who discontinue antidepressants should be monitored for relapse.

Argumento (português):

Mulheres com depressão grave ou recorrente devem ser informadas sobre o risco aumentado de recidiva após a interrupção do antidepressivo, e aquelas que interrompem os antidepressivos devem ser monitoradas para recidiva.

Argumento (español):

Keywords :

➡ depression, anxiety ; psychology ; maternal health

Author of this record :

Alison Passieux — 15 Apr 2021

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