Critique of Studies of Lithium Salts in the Treatment of Mania
Abstract
The authors review all available studies of lithium therapy of mania (comprising 805 patients) to determine whether lithium's pharmacologic efficacy has been demonstrated in the customary manner. All studies reviewed except for one were found to have serious methodological deficiencies. The authors conclude that the available data demonstrate neither efficacy nor inefficacy, primarily because of inadequate experimental design.
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