{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T09:27:34Z","timestamp":1792315654554,"version":"4.4.0"},"reference-count":103,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T00:00:00Z","timestamp":1683849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Psychiatr Scand"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The augmentation of serotonin reuptake inhibitors (SRIs) can be achieved by add\u2010on therapy with different pharmacological agents in obsessive\u2013compulsive disorder (OCD) for a better clinical outcome. This network meta\u2010analysis (NMA) was conducted to evaluate and compare the effects of available augmentation agents for SRIs in OCD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>The data was extracted from 59 relevant clinical trials after a literature search on MEDLINE\/PubMed, Scopus, Cochrane databases and clinical trial registries. PRISMA guidelines were followed in data extraction, analysis and reporting. Random effects Bayesian NMA was done to pool the effects across the interventions for the change in Yale\u2010Brown Obsessive\u2013Compulsive Scale (YBOCS) scoring from baseline to the end of the study. Network graph was built, consistency model was run, node splitting analysis was performed, treatments were ranked as per SUCRA score and meta\u2010regression was done for refractoriness to SRIs and duration of augmentation therapy as the predictor variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The drugs showing significant reduction in YBOCS scoring were pregabalin (MD:\u22128.1;95% CrI: \u221216, \u22120.43), memantine (MD:\u22126.2;95% CrI: \u22129.9, \u22122.3), lamotrigine (MD:\u22126;95% CrI: \u221212, \u22120.47), ondansetron (MD:\u22125.7;95% CrI: \u221211, \u22120.67), granisetron (MD:\u22125.6;95% CrI: \u221211, \u22120.44), aripiprazole (MD:\u22125.4;95% CrI:\u22129.1, \u22121.6), risperidone (MD:\u22123.3;95% CrI: \u22126.4, \u22120.20) and topiramate (MD:\u22125.3;95% CrI: \u22129.6, \u22120.97). The node\u2010split analysis showed that direct and indirect pooled effect sizes for all comparisons were comparable. Meta\u2010regression showed a statistically non\u2010significant association between YBOCS score reduction with the duration of augmentation therapy, but significant with SRI\u2010refractory status. Finally, the results were sorted based on certainty of evidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Memantine was found to be most effective augmentation agent for SRIs in OCD, followed by lamotrigine, ondansetron and granisetron with moderate certainty of evidence. The augmentation agents showed better symptom reduction in patients with SRI\u2010refractory OCD in comparison to non\u2010refractory OCD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:styled-content style=\"fixed-case\">PROSPERO<\/jats:styled-content>\n                      registration\n                    <\/jats:title>\n                    <jats:p>CRD42022360110.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acps.13568","type":"journal-article","created":{"date-parts":[[2023,5,13]],"date-time":"2023-05-13T02:34:37Z","timestamp":1683945277000},"page":"19-31","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Pharmacological augmentation of serotonin reuptake inhibitors in patients with obsessive\u2013compulsive disorder: A network 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