Selective Serotonin Reuptake Inhibitor (SSRI) updated on 07-01-2025

Learning disorders

R analysis
id Study   Lib. in paper Exposition period    Study type  Control type 
 
Tags OR 95%CI x1/n1 x0/n0 no cases no exposed ROB Ref.
S17049
R71330
Suarez (Controls unexposed, discontinuers), 2022 Specific learning disorders - ≥ 1 ICD-9 Dx 315.0x, 315.1, 315.2 - At ≥ 2 years of age 2nd and/or 3rd trimester retrospective cohort (claims database) unexposed, sick Adjustment: Yes Monotherapy: no or not specified Unexposed sick: recent illness/treatment (during or juste before pregnancy or treatment stopped in view of pregnancy) 0.82 [0.62;1.08] 288/115,060   100/38,038 388 115,060
ref
S17050
R71338
Suarez (Controls unexposed, general pop), 2022 Specific learning disorders - ≥ 1 ICD-9 Dx 315.0x, 315.1, 315.2 - At ≥ 2 years of age 2nd and/or 3rd trimester retrospective cohort (claims database) unexposed (general population or NOS) excluded Adjustment: Yes Monotherapy: no or not specified 0.97 [0.83;1.13]
excluded (control group)
288/115,110   5,625/3,000,907 5,913 115,110
ref
S7441
R21976
Brown (Controls unexposed, disease free), 2016 Specific developmental disorders of scholastic skills (Finnish Hospital Discharge Register - F81) (mean: 3.55 years) during pregnancy (anytime or not specified) population based cohort retrospective unexposed, disease free excluded Adjustment: Yes Monotherapy: no or not specified 1.09 [0.69;1.73]
excluded (control group)
58/15,596   62/31,207 120 15,596
ref
S7442
R21980
Brown (Controls unexposed, sick), 2016 Specific developmental disorders of scholastic skills (Finnish Hospital Discharge Register - F81) (mean: 3.55 years) during pregnancy (anytime or not specified) population based cohort retrospective unexposed, sick Adjustment: Yes Monotherapy: no or not specified Unexposed sick: intermediate history of illness/treatment (3-12 months before pregnancy) 1.00 [0.63;1.59] 58/15,596   53/9,537 111 15,596
ref
Total 2 studies 0.86 [0.68;1.10] 499 130,656
x1: number of endpoints among exposed, n1: number of exposed; x0: number of endpoints among non exposed, n0: number of non exposed; C: calculated odds ratio from numbers of events and effectives

Forest plot

StudyTE95% CIn casesn exposedweightROBABCDEF Suarez (Controls unexposed, discontinuers), 2022Suarez, 2022 1 0.82[0.62; 1.08]388115,06074%ROB confusion: seriousROB selection: lowROB classification: moderateROB missing: lowROB mesure: criticalROB reporting: moderate Brown (Controls unexposed, sick), 2016Brown, 2016 2 1.00[0.63; 1.59]11115,59626%ROB confusion: moderateROB selection: lowROB classification: criticalROB missing: lowROB mesure: moderateROB reporting: moderate Total (2 studies) I2 = 0% 0.86[0.68; 1.10]499130,6560.22.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Controls unexposed, discontinuers; 2: Controls unexposed, sick;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 0.86[0.68; 1.10]499130,6560%NASuarez (Controls unexposed, discontinuers), 2022 Brown (Controls unexposed, sick), 2016 2 case control studiescase control studies 0 Type of controls unexposed, sickunexposed, sick 0.86[0.68; 1.10]499130,6560%NASuarez (Controls unexposed, discontinuers), 2022 Brown (Controls unexposed, sick), 2016 2 Tags Adjustment   - Yes  - Yes 0.86[0.68; 1.10]499130,6560%NASuarez (Controls unexposed, discontinuers), 2022 Brown (Controls unexposed, sick), 2016 2 Monotherapy   - no or not specified  - no or not specified 0.86[0.68; 1.10]499130,6560%NASuarez (Controls unexposed, discontinuers), 2022 Brown (Controls unexposed, sick), 2016 2 Unexposed sick   - intermediate history of illness/tre ...  - intermediate history of illness/treatment (3-12 months before pregnancy) 1.00[0.63; 1.59]11115,596 -NABrown (Controls unexposed, sick), 2016 1   - recent illness/treatment (during o ...  - recent illness/treatment (during or juste before pregnancy or treatment stopped in view of pregnancy) 0.82[0.62; 1.08]388115,060 -NASuarez (Controls unexposed, discontinuers), 2022 1 All studiesAll studies 0.86[0.68; 1.10]499130,6560%NASuarez (Controls unexposed, discontinuers), 2022 Brown (Controls unexposed, sick), 2016 20.210.01.0

Publication bias and p-hacking diagnosis

funnel plot

Funnel plot not drawn. Less than 3 points.

Asymetry test p-value = NaN (by Egger's regression)

not enought points

p values plot

Funnel plot not drawn. Less than 3 points.

Sub-groups analysis using all included studies

excluded 7441, 17050

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 0.98[0.85; 1.14]6,033130,7060%NASuarez (Controls unexposed, general pop), 2022 Brown (Controls unexposed, disease free), 2016 2 unexposed, sick controlsunexposed, sick controls 0.86[0.68; 1.10]499130,6560%NASuarez (Controls unexposed, discontinuers), 2022 Brown (Controls unexposed, sick), 2016 20.510.01.0