Pharmacological treatments for social anxiety disorder in adults: a systematic review and network meta-analysis

Taryn Williams, Michael McCaul, Guido Schwarzer, Andrea Cipriani, Dan J Stein, Jonathan Ipser
Acta neuropsychiatrica; Vol.32 Issue:04 ( pp:169-176 ) 03-08-2020 Systematic Reviews Network Meta-Analysis
Objective:
The aim of this paper was to provide a systematic review and update on the pharmacotherapy of social anxiety disorder (SAD), including the efficacy and tolerability of these agents, the ranking of interventions, and the grading of results by quality of evidence.
Methods:
The Common Mental Disorder Controlled Trial Register and two trial registries were searched for randomised controlled trials (RCTs) comparing any pharmacological intervention or placebo in the treatment of SAD. We performed a standard pairwise meta-analysis using a random effects model and carried out a network meta-analysis (NMA) using the statistical package, R. Quality of evidence was also assessed.
Results:
We included 67 RCTs in the review and 21 to 45 interventions in the NMA. Paroxetine was most effective in the reduction of symptom severity as compared to placebo. Superior response to treatment was also observed for …

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Senior Lecturer in Epidemiology and Biostatistics, Division of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa. I have expertise in:

Clinical Epidemiology | Biostatistics | Evidence Synthesis | Guideline Development | Research Methods | Postgraduate Teaching and Learning | Prehospital Care | Student Supervision