Cochrane · systematic review · CD001026

Antidepressants plus benzodiazepines for adults with major depression

Ogawa, Y, Takeshima, N, Hayasaka, Y, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

Common Mental DisordersAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 16.7%Low 2 · 33.3%Moderate 3 · 50%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Antidepressants plus benzodiazepines compared to antidepressants alone for major depression in adults

Population: people with major depression
6 questions
OutcomeEffectEvidenceStatus / GRADE
Depression severity: early phase (2 weeks, range 1–4 weeks)
Antidepressants plus benzodiazepines vs antidepressants alone
no estimate extracted10 studies · 598 participantsModerate
Downgraded: risk of bias
Depression severity: acute phase (8 weeks, range 5–12 weeks)
Antidepressants plus benzodiazepines vs antidepressants alone
no estimate extracted7 studies · 347 participantsLow
Downgraded: risk of bias, imprecision
Depression severity: continuous phase (> 12 weeks)
Antidepressants plus benzodiazepines vs antidepressants alone
no estimate extracted1 study · 50 participantsLow
Downgraded: risk of bias, imprecision
Acceptability of treatment (dropout for any reason)
Antidepressants plus benzodiazepines vs antidepressants alone
RR 0.76 [0.54, 1.07]10 studies · 731 participantsModerate
Downgraded: risk of bias
Anxiety severity: early phase (2 weeks, range 1–4 weeks)
Antidepressants plus benzodiazepines vs antidepressants alone
no estimate extracted3 studies · 129 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Adverse effects (dropouts)
Antidepressants plus benzodiazepines vs antidepressants alone
RR 0.54 [0.32, 0.9]10 studies · 731 participantsModerate
Downgraded: risk of bias