The clinical effectiveness of sertraline in primary care and the role of depression severity and duration (PANDA): a…

This trial found sertraline helped anxiety before it helped low mood - how many weeks should I wait before we judge whether it is working for me?

gold standard91/100

Top of the evidence hierarchy, independently funded. how we score evidence

FDA approvedsertraline (Zoloft)zoloft

In 653 UK primary-care patients, sertraline did not clearly reduce depressive symptoms at 6 weeks compared with placebo, but it did reduce anxiety symptoms and people on it were more likely to say their mental health had improved.

Worth asking

This trial found sertraline helped anxiety before it helped low mood - how many weeks should I wait before we judge whether it is working for me?

What it is FDA approved for

Read off the label. Trial duration and approval year are shown only where they were recorded — never inferred.

  • Major depressive disorder
  • Obsessive-compulsive disorder (adults and pediatric patients 6-17 years)
  • Panic disorder
  • Posttraumatic stress disorder
  • Social anxiety disorder
  • Premenstrual dysphoric disorder

Source

The clinical effectiveness of sertraline in primary care and the role of depression severity and duration (PANDA): a pragmatic, double-blind, placebo-controlled randomised trial — Lewis G, et al. (2019)

Top-tier peer-reviewed journal

Read the source: https://doi.org/10.1016/S2215-0366(19)30366-9

DOI: 10.1016/S2215-0366(19)30366-9

How this was scored

Study design
Randomised controlled trial
Funding
Independently funded
Published in
Top-tier peer-reviewed journal
Sample size
653
Preregistered
Yes
Conflicts disclosed
Yes
Independent of proponent
Yes
Retracted
No

Read the full scoring rubric, including what it can't tell you.

Published August 19, 2026.

Questions

How strong is the evidence behind this?

Resolv rates this source "gold standard". Top of the evidence hierarchy, independently funded. It scores 91 out of 100 on our published rubric. The score is calculated from recorded facts about the source — study design, funding, publication venue, sample size, preregistration — not typed in by an editor.

What is the source for this?

The clinical effectiveness of sertraline in primary care and the role of depression severity and duration (PANDA): a pragmatic, double-blind, placebo-controlled randomised trial — Lewis G, et al. (2019). Published in: Top-tier peer-reviewed journal. DOI: 10.1016/S2215-0366(19)30366-9. The full source is linked on this page so you can read it yourself.

Who paid for this research, and does that matter?

Study design: Randomised controlled trial. Funding: Independently funded. The researchers were independent of whoever benefits from the result. Industry sponsorship is one of the most reliably measured biases in medicine, which is why funding carries real weight in the score rather than sitting in a footnote.

Is sertraline (Zoloft), zoloft FDA approved?

Yes — FDA approved for Major depressive disorder, Obsessive-compulsive disorder (adults and pediatric patients 6-17 years), Panic disorder, Posttraumatic stress disorder, Social anxiety disorder, Premenstrual dysphoric disorder. Approval is for a specific indication, not for everything the drug is prescribed for.

Is this medical advice?

This is information to bring to your prescriber, not medical advice and not a reason to change anything on your own. Nothing here is an instruction to stop or reduce a medication. If you are in crisis, call or text 988.

This is information to bring to your prescriber, not medical advice and not a reason to change anything on your own. Nothing here is an instruction to stop or reduce a medication. If you are in crisis, call or text 988.