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Cited by 563

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

Antidepressant-induced analgesia in chronic non-malignant pain: a meta-analysis of 39 placebo-controlled studies

Onghena, Patrick, Van Houdenhove, Boudewijn·1992·Pain

Abstract

For 39 controlled studies on the analgesic effect of antidepressants, a meta-analysis was conducted to get an estimation of the effect size, and to obtain a sight on the possible modes of action and the methodology used. The mean size of the analgesic effect was 0.64. It means that the average chronic pain patient who received an antidepressant treatment had less pain than 74% of the chronic pain patients who received a placebo. This quantification, however, is only as good as the studies on which it is based, and it could be differentiated for each of the pain syndromes and antidepressants examined. Real analgesic qualities of antidepressive agents seemed to offer the most plausible and economical explanation for the effect, but the predominant importance of serotonin reuptake blocking was not confirmed. Finally, the meta-analysis appeared to be fruitful for the generation of new hypotheses, for making some recommendations for future research, and for proposing some provisional guidelines for the clinical use of antidepressants in chronic non-malignant pain.

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Metadata

Authors
Onghena, P., & Van Houdenhove, B.
Venue
Pain
Published
1992-05
Volume
49
Issue
2
Pages
205-219
ISSN
0304-3959 (ISSN-L)
OpenAlex
W2082452224
Cited by
563
References
1
FWCI
2.23
Type
journal article
Language
en
Open access
closed

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