Cochrane · systematic review · CD011271

Melatonin and agomelatine for preventing seasonal affective disorder

Nussbaumer‐Streit, B, Greenblatt, A, Kaminski‐Hartenthaler, A, 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
4
No studies
2
Included studies
NR
No studies 2 · 33.3%Ungraded 0 · 0%Very low 4 · 66.7%Low 0 · 0%Moderate 0 · 0%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

Agomelatine compared to placebo for preventing seasonal affective disorder (SAD)

Population: adults with a history of SAD
6 questions
OutcomeEffectEvidenceStatus / GRADE
Incidence of SAD (modified ITT)
Agomelatine vs placebo
RR 0.83 [0.51, 1.34]1 study · 199 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Number of persons with at least one adverse event within a year
Agomelatine vs placebo
RR 1.06 [0.84, 1.34]1 study · 225 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Severity of depression (SIGH‐SAD score) at the end of the study
Agomelatine vs placebo
no estimate extracted1 study · 199 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Quality of life
Agomelatine vs placebo
no estimate extractedNRNo studies
Quality of interpersonal and social functioning
Agomelatine vs placebo
no estimate extractedNRNo studies
Number of persons with at least one severe adverse event within a year
Agomelatine vs placebo
RR 0.76 [0.17, 3.3]1 study · 225 participantsVery low
Downgraded: risk of bias, imprecision, indirectness