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Publication Name World Journal of Clinical Cases
Manuscript ID 114691
Country China
Received
2025-09-26 10:45
Peer-Review Started
2025-09-26 10:45
First Decision by Editorial Office Director
2025-11-04 09:34
Return for Revision
2025-11-04 09:34
Revised
2025-11-18 02:03
Publication Fee Transferred
2025-11-22 22:31
Second Decision by Editor
2026-01-08 02:36
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-01-08 08:21
Articles in Press
2026-01-08 08:21
Edit the Manuscript by Language Editor
2026-01-11 13:55
Typeset the Manuscript
2026-01-19 01:00
Publish the Manuscript Online
2026-01-22 07:08
ISSN 2307-8960 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Psychiatry
Manuscript Type Randomized Controlled Trial
Article Title Early intervention in anxiety disorder with clinical high-risk factors for bipolar disorder: A randomized controlled trial
Manuscript Source Unsolicited Manuscript
All Author List Hong Wang, Shi-Liang Wang, Chen-Jie Ge, Li-Lei Lei, Lei Zeng and Min-Cai Qian
ORCID
Author(s) ORCID Number
Li-Lei Lei http://orcid.org/0009-0004-7093-6629
Min-Cai Qian http://orcid.org/0009-0001-8972-5619
Funding Agency and Grant Number
Funding Agency Grant Number
Huzhou Science and Technology Programmer 2020GZ42
Corresponding Author Min-Cai Qian, Chief Physician, MD, Department of Psychosomatic Medicine, Huzhou Third Municipal Hospital Affiliated Hospital of Wenzhou Medical University, No. 2088 East Campsis Road, Wuxing District, Huzhou 313000, Zhejiang Province, China. 1311956613@qq.com
Key Words Anxiety disorder; Clinical high-risk factor; Bipolar disorder; Early intervention; Lithium
Core Tip This randomized controlled trial investigated early intervention in 66 antidepressant-naive adults with anxiety disorders who also presented clinical high-risk factors for bipolar disorder. The combination of sertraline and lithium demonstrated a significantly faster reduction in anxiety symptoms within the first four weeks compared to sertraline monotherapy, with comparable safety profiles. These preliminary findings suggest that early adjunctive mood stabilization may accelerate response and potentially mitigate the risk of manic switch in this clinically complex and high-risk population, warranting further investigation in larger trials.
Publish Date 2026-01-22 07:08
Citation

Wang H, Wang SL, Ge CJ, Lei LL, Zeng L, Qian MC. Early intervention in anxiety disorder with clinical high-risk factors for bipolar disorder: A randomized controlled trial. World J Clin Cases 2026; 14(3): 114691

URL https://www.wjgnet.com/2307-8960/full/v14/i3/114691.htm
DOI https://dx.doi.org/10.12998/wjcc.v14.i3.114691
Full Article (PDF) WJCC-14-114691-with-cover.pdf
CONSORT 2010 Statement 114691-CONSORT-2010-statement.pdf
Manuscript File 114691_Auto_Edited_070551.docx
Answering Reviewers 114691-answering-reviewers.pdf
Audio Core Tip 114691-audio.mp3
Biostatistics Review Certificate 114691-biostatistics-statement.pdf
Clinical Trial Registration Statement 114691-clinical-trial-registration-statement.pdf
Conflict-of-Interest Disclosure Form 114691-conflict-of-interest-statement.pdf
Copyright License Agreement 114691-copyright-assignment.pdf
Signed Informed Consent Form(s) or Document(s) 114691-informed-consent-statement.pdf
Institutional Review Board Approval Form or Document 114691-institutional-review-board-statement.pdf
Non-Native Speakers of English Editing Certificate 114691-non-native-speakers.pdf
Supplementary Material 114691-supplementary-material.pdf
Peer-review Report 114691-peer-reviews.pdf
Scientific Misconduct Check 114691-scientific-misconduct-check.png
Scientific Editor Work List 114691-scientific-editor-work-list.pdf
CrossCheck Report 114691-crosscheck-report.pdf