These tools had poor psychometric properties and issues with multidimensionality. Researchers suggest that scoring parameters individually may help avoid ambiguity of results and occlusion of important data.
However, the certainty of evidence used in this study was low, and the authors argue that the treatment’s efficacy as an add-on therapy—the most common approach—requires further investigation.
Trial durations of one year or longer, as well as more double-masked comparative studies, would be beneficial to determine the proper intervention period and to investigate any cumulative effects of this advanced management option.
Although medication use contributed, the link remained even after accounting for side effects of antidepressant therapy. Also, Black participants had a disproportionately greater association.
Patients living in climates with cooler weather, high humidity and low air quality had OSDI scores 4.4 points higher than those in cities with similar pollution and humidity levels but higher temperatures.