Meta AnalysisID 7749

锂对人类认知的影响:一项系统评价

CRD42023407053

How does lithium impact cognitive functions in human? How does it compare within healthy subjects and different clinical populations?

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Record Fields

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Meta Analysis Id
7749
Evidence Id
16307
Core Evidence Id
16307
Source Meta Analysis Id
7746
Herb2 Meta Analysis Id
HBMA007746
Crd Id
CRD42023407053
Title
The effects of lithium on cognition in humans: a systematic review
Review Question
How does lithium impact cognitive functions in human? How does it compare within healthy subjects and different clinical populations?
Study Type Included
This review will only include quantitative primary research, and with no limitations on the types of study designs that are eligible for inclusion.
Condition Being Studied
This systematic review is focusing on the cognitive outcomes of different cohorts taking lithium.
Participant
Inclusion: Healthy subjects not taking lithium, healthy volunteers taking lithium, patients with mild cognitive impairment including amnestic mild cognitive impairment (aMCI) or established dementias, and patients with affective disorders including bipolar disorder, major depressive disorders, and schizoaffective disorders. Patients with other neuropsychiatry conditions will be considered if sufficient. Exclusion: Children/adolescents (under 18 years of age).
Animal
Human Disease Modelled
Intervention
We will include all interventions using lithium salts in the form of regulated medication or commercial supplement (e.g., lithium carbonate, lithium citrate, lithium orotate). Doses including low-dose lithium (serum lithium level < 0.6 mmol/L) and therapeutic doses (serum lithium level ≧ 0.6 mmol/L) according to NICE prescribing guidelines.
Comparator Control
Any data with lithium treatment will be considered including between-subjects comparison (i.e. groups taking lithium compared to not taking lithium, groups taking lithium in different doses, clinical populations taking lithium compared to healthy control group, and lithium monotherapy compared to polytherapy if data is sufficient) and within-subjects (before treatment compared to after treatment). Where possible we will examine effect modifiers e.g., taking lithium with concomitant drugs affecting cognition compared to without, and different treatment durations.
Main Outcome
Measures of cognitive function such as attention, memory, planning, and language. Measures of effect If appropriate, the magnitude of an effect will be measured by odds ratio for binary/dichotomous outcomes, Cohen's d for continuous outcomes, and SMD for both binary and continuous outcomes.
Outcome Measure
Additional Outcome
Potential effect modifiers for cognitive function, such as different population, lithium dose, treatment duration, and concomitant drugs used. Measures of effect If appropriate, the magnitude of an effect will be measured by odds ratio for binary/dichotomous outcomes, Cohen's d for continuous outcomes, and SMD for both binary and continuous outcomes.
Study Method
Intervention, Narrative synthesis, Systematic review
Keyword
Cognition; Healthy Volunteers; Humans; Lithium
Contact
Talitha Najmillah Sabtiari [email protected]
Organisational Affiliation
Funding Source
This independent research is supported by the NIHR Maudsley Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King’s College London. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care.
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
England
Review Stage
Review Ongoing
First Submission Date
2023-03-10
Registration Date
2023-03-10
Anticipated Start Date
2023-03-01
Anticipated Completion Date
2023-08-01
Title Cn
锂对人类认知的影响:一项系统评价
Title En
The effects of lithium on cognition in humans: a systematic review
Bilingual Status
complete