Global research trends and mapping knowledge structure of depression in dialysis patients

Abstract

Rapid-cycling bipolar disorder (RCBD) is a phase of bipolar disorder defined by the presence of ≥ 4 mood episodes in a year. It is a common phenomenon characterized by greater severity, a predominance of depression, higher levels of disability, and poorer overall outcomes. It is resistant to treatment by conventional pharmacotherapy. The existing literature underlines the scarcity of evidence and the gaps in knowledge about the optimal treatment strategies for RCBD. However, most reviews have considered only pharmacological treatment options for RCBD. Given the treatment-refractory nature of RCBD, nonpharmacological interventions could augment medications but have not been adequately examined. This review carried out an updated and comprehensive search for evidence regarding the role of nonpharmacological therapies as adjuncts to medications in RCBD. We identified 83 reviews and meta-analyses concerning the treatment of RCBD. Additionally, we found 42 reports on adjunctive nonpharmacological treatments in RCBD. Most of the evidence favoured concomitant electroconvulsive therapy as an acute and maintenance treatment. There was preliminary evidence to suggest that chronotherapeutic treatments can provide better outcomes when combined with medications. The research on adjunctive psychotherapy was particularly scarce but suggested that psychoeducation, cognitive behavioural therapy, family interventions, and supportive psychotherapy may be helpful. The overall quality of evidence was poor and suffered from several methodological shortcomings. There is a need for more methodologically sound research in this area, although clinicians can use the existing evidence to select and individualize nonpharmacological treatment options for better management of RCBD. Patient summaries are included to highlight some of the issues concerning the implementation of adjunctive nonpharmacological treatments.

Research fronts and researchers of World Journal of Psychiatry in 2023: A visualization and analysis of mapping knowledge domains

“…Besides, investigations have delved into the clinical characteristics and the connection between posttraumatic stress disorder and trauma-induced depression, along with their potential treatments[ 26 ]. Additionally, studies have provided a comprehensive overview of the growth patterns, trends, and research themes concerning dialysis and depression[ 27 ].…”

Bibliometric and visual analysis of photodynamic therapy for lung cancer from 2010 to 2022

“…In a network, links between nodes represent cooperative or common reference relationships, and different node sizes and colors represent different items and years ( 26 ). VOSviewer was also used in this study to create network visualization maps ( 27 ). The h-index, originally devised by Jorge Hirsch ( 28 ), is defined as the number of papers that have received at least h citations and is used to measure the cumulative impact of a country’s literature output.…”