Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

2,119 questions · 2,206 findings · 117 reviews · Common Mental Disorders

No studies found 387 · 17.5%GRADE not reported 111 · 5%Very low 635 · 28.8%Low 568 · 25.7%Moderate 449 · 20.4%High 56 · 2.5%

Valproate vs OLANZAPINE

Dropout · Adults (aged 18 and over) with acute mania

Valproate showed no clear difference in dropout rate ‐ All‐cause At 3‐12 weeks (secondary acceptability… compared with olanzapine (high certainty).

1 finding from 1 review

Valproate vs RISPERIDONE

Response rate at 8 weeks (primary efficacy outcome) · Children and adolescents with acute mania

Valproate may leads to lower response rate at 8 weeks (primary efficacy outcome) compared with risperidone (low certainty).

1 finding from 1 review

Valproate vs RISPERIDONE

Number of participants with any adverse event (primary tolerability outcome) · Children and adolescents with acute mania

The review found no eligible studies for this question.

1 finding from 1 review

Valproate vs RISPERIDONE

Adverse effects: 1. Sedation · Children and adolescents with acute mania

It is very uncertain whether valproate changes adverse events ‐ Sedation At 8 weeks (secondary tolerability outcome) compared with risperidone (very low certainty).

1 finding from 1 review

Valproate vs RISPERIDONE

Change in symptom severity at 5 ‐ 12 weeks (secondary efficacy outcome) · Children and adolescents with acute mania
1 finding from 1 review

Valproate vs placebo

Adverse effects: 1. Sedation · Adults (aged 18 and over) with acute mania

Valproate showed no clear difference in individual adverse events ‐ Sedation At 3‐8 weeks (secondary… compared with placebo (high certainty).

1 finding from 1 review

Valproate vs RISPERIDONE

Dropout · Children and adolescents with acute mania

Valproate showed no clear difference in dropout rate ‐ All‐cause (secondary acceptability outcome) At 5 ‐ 12… compared with risperidone (low certainty).

1 finding from 1 review

Valproate vs placebo

Change in symptom severity at 3 weeks (secondary efficacy outcome) · Adults (aged 18 and over) with acute mania
1 finding from 1 review

Valproate vs placebo

Dropout · Adults (aged 18 and over) with acute mania

Valproate showed no clear difference in dropout rate ‐ All‐cause 3‐8 weeks (secondary acceptability outcome) compared with placebo (moderate certainty).

1 finding from 1 review

Valproate vs placebo

Response rate at 8 weeks (primary efficacy outcome) · Children and adolescents with acute mania

It is very uncertain whether valproate changes response rate at 4 weeks (primary efficacy outcome) compared with placebo (very low certainty).

1 finding from 1 review

Valproate vs placebo

Primary outcome 3: Adverse events · Children and adolescents with acute mania

It is very uncertain whether valproate changes number with any adverse event at 4 weeks (primary tolerability… compared with placebo (very low certainty).

1 finding from 1 review

Valproate vs placebo

Adverse effects: 1. Sedation · Children and adolescents with acute mania

It is very uncertain whether valproate changes individual adverse events ‐ Sedation At 4 weeks (secondary… compared with placebo (very low certainty).

1 finding from 1 review

Valproate vs placebo

Change in symptom severity at 3 weeks (secondary efficacy outcome) · Children and adolescents with acute mania
1 finding from 1 review

Family therapy vs psychological interventions

Remission

It is very uncertain whether family therapy changes remission post‐intervention compared with psychological interventions (very low certainty).

2 findings from 1 review

Any early psychological intervention vs inactive control (usual care care, attention control, waitlist)

Diagnosis of PTSD after treatment · various

It is very uncertain whether any early psychological intervention changes PTSD diagnosis: post‐treatment compared with waiting list/usual care (very low certainty).

1 finding from 1 review