Evidence map›Paper›PMID 40070349›Full record

SynthesisCNS spectrums2025

Early or recent trauma in treatment-resistant depression: a systematic review.

Sara Fantasia, Lorenzo Conti, Debora Andreoli, Andrea Bordacchini, Berenice Rimoldi, Valerio Dell'Oste, Virginia Pedrinelli, Claudia Carmassi

Abstract readSystematic Review
In one paragraph

Synthesis in CNS spectrums, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Rethinking the Treatment-Resistant Depression.Advances in experimental medicine and biology · 2026
    Review
  3. Article
  4. 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

8 authors.

Sara FantasiaDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Lorenzo ContiDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Debora AndreoliDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Andrea BordacchiniDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Berenice RimoldiDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Valerio Dell'OsteDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.ORCID 0000-0003-0520-4785
Virginia PedrinelliDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Claudia CarmassiDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.ORCID 0000-0002-3662-8073

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncreasing attention has been recently devoted to treatment-resistant depression (TRD); however, its clinical characteristics, potential risk factors, and course are still debated. Most recently, childhood trauma exposure has been correlated to TRD, but systematic investigation on the role of lifetime trauma is still lacking. The aim of this paper was to revise current evidence on early and recent trauma exposure in TRD.

methodsA systematic search was conducted from the 1st of June to the 20th of February 2024 in accordance with the PRISMA 2020 guidelines and using the electronic databases PubMed, Web of Science, and Embase.

resultsThe primary database search produced a total of 1998 record, and finally, the search yielded a total of 22 publications, including 18 clinical studies, 3 case reports, and 1 case series, all from the period 2014 to 2024. LIMITATIONS: Limitations include a small sample size of some studies and the lack of homogeneity in the definition of TRD. Furthermore, we only considered articles in English, we excluded preprints or abstracts, and we included case reports.

conclusionsThis review highlights the role of early and recent trauma in TRD, even in the absence of a full-blown post-traumatic stress disorder (PTSD), highlighting the need for a thorough assessment of trauma in patients with TRD and of its role as a therapeutic target.

Indexed as

Depressive Disorder, Treatment-ResistantHumansStress Disorders, Post-Traumaticchildhood traumadepressive disorderPTSDresistancestresstraumatreatment-resistant depression

Identifiers

PMID40070349
PMCPMC13064700

What Socratic holds

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LicenceCC BY
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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.