Evidence map›Paper›PMID 39695322›Full record

SynthesisMolecular psychiatry2025

Efficacy and acceptability of pharmacological interventions for tardive dyskinesia in people with schizophrenia or mood disorders: a systematic review and network meta-analysis.

Marco Solmi, Michele Fornaro, Stefano Caiolo, Marialaura Lussignoli, Claudio Caiazza, Michele De Prisco, Niccolo Solini, Andrea de Bartolomeis, Felice Iasevoli, Giorgio Pigato and 3 more

Abstract readSystematic ReviewNetwork Meta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Molecular psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The Australian and New Zealand journal of psychiatry · 2026
    Guideline
  2. Trial
  3. Article
  4. Article
  5. Real-world comprehensive care of people living with schizophrenia: recommendations across different settings and clinical stages.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026
    Article
  6. Article
  7. Article
  8. Clinical practice guidelines for the treatment of tardive dyskinesia in Europe: A descriptive review.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Review
  9. 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

13 authors.

Marco SolmiDepartment of Psychiatry, University of Ottawa, Ottawa, ON, Canada. msolmi@toh.ca.ORCID 0000-0003-4877-7233
Michele FornaroFederico II University, Section of Psychiatry, Department of Neuroscience, Reproductive Sciences and Dentistry, Naples, Italy.ORCID 0000-0002-9647-0853
Stefano CaioloPsychiatry Section - Military Department of Forensic Medicine, Padua, Italy.
Marialaura LussignoliDipartimento di Salute Mentale, Azienda ULSS 7 Pedemontana, Thiene, VI, Italy.ORCID 0009-0003-3968-9060
Claudio CaiazzaFederico II University, Section of Psychiatry, Department of Neuroscience, Reproductive Sciences and Dentistry, Naples, Italy.
Michele De PriscoBipolar and Depressive Disorders Unit, Hospìtal Clinic de Barcelona, Barcelona, Spain.ORCID 0000-0002-2032-1181
Niccolo SoliniFederico II University, Section of Psychiatry, Department of Neuroscience, Reproductive Sciences and Dentistry, Naples, Italy.ORCID 0000-0002-1749-2908
Andrea de BartolomeisFederico II University, Section of Psychiatry, Department of Neuroscience, Reproductive Sciences and Dentistry, Naples, Italy.ORCID 0000-0002-3188-5652
Felice IasevoliFederico II University, Section of Psychiatry, Department of Neuroscience, Reproductive Sciences and Dentistry, Naples, Italy.ORCID 0000-0002-7051-5013
Giorgio PigatoPsychiatry Department, Padua University Hospital, Padua, Italy.
Cinzia Del GiovaneDepartment of Medical and Surgical Sciences for Children and Adults, University-Hospital of Modena and Reggio Emilia, Modena, Italy.
Andrea CiprianiDepartment of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK.ORCID 0000-0001-5179-8321
Christoph U CorrellDepartment of Child and Adolescent Psychiatry, Charité Universitätsmedizin, Berlin, Germany.ORCID 0000-0002-7254-5646

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tardive Dyskinesia (TD) can occur in people exposed to dopamine receptor antagonists (DRAs). Its clinical management remains challenging. We conducted a systematic review/random-effects network meta-analysis (NMA) searching PubMed/MEDLINE/PsycINFO/ClinicalTrials.gov/Cochrane Central Register (22/05/2023, pre-defined protocol https://osf.io/b52ae/ ), for randomized controlled trials (RCTs) of pharmacological/brain stimulation interventions for DRA-induced TD in adults with schizophrenia or mood disorders. Primary outcomes were TD symptom change (standardized mean difference/SMD) and all-cause discontinuation (acceptability-risk ratio/RR). Sensitivity analyses were conducted. Global, local inconsistencies, risk of bias (RoB-2 tool), and confidence in evidence (CINeMA) were measured. We included 46 trials (n = 2844, age = 52.89 ± 9.94 years, males = 59.8%, schizophrenia = 84.6%, mood disorders = 15.4%), all testing pharmacological interventions versus placebo. We identified three subnetworks. In network 1, several treatments outperformed placebo on TD symptoms with large effect sizes (k = 34, n = 2269), encompassing 22 interventions versus placebo, but 18 had 1 RCTs only, and 15 had n ≤ 20. High heterogeneity (I

Indexed as

Mood DisordersSchizophreniaTardive DyskinesiaAdultAntipsychotic AgentsDopamine AntagonistsFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicTetrabenazineTreatment OutcomeValineAntipsychotic AgentsDopamine AntagonistsTetrabenazinevalbenazineValine

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.