Evidence map›Paper›PMID 22449646›Full record

Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2012

Anhedonia predicts poorer recovery among youth with selective serotonin reuptake inhibitor treatment-resistant depression.

Dana L McMakin, Thomas M Olino, Giovanna Porta, Laura J Dietz, Graham Emslie, Gregory Clarke, Karen Dineen Wagner, Joan R Asarnow, Neal D Ryan, Boris Birmaher and 8 more

3 registry-linked trialsAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Academy of Child and Adolescent Psychiatry, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 228 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
228citing papers in PubMed, 7 pooled it
18.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00018902 phase2 / phase3completednot on this map

Treatment of SSRI-Resistant Depression in Adolescents (TORDIA)

TypeinterventionalSponsorUniversity of PittsburghRan2001 to 2007Enrolled334ConditionsDepressionArmsFluoxetine, Venlafaxine, Cognitive Behavioral Therapy (CBT), Citalopram
NCT05282277 phase4recruitingnot on this mapstarted 2022, after this paper: background citation

Examining the Effects of Estradiol on Neural and Molecular Response to Rewards in Perimenopausal-Onset Anhedonia and Psychosis

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2022 to 2026Enrolled103ConditionsDepression, Psychosis, AnhedoniaArmsTransdermal Estradiol, Micronized Progesterone, Matching Placebo Patch, Raclopride C11
NCT05487885 phase4completednot on this mapstarted 2022, after this paper: background citation

Anhedonia, Development, and Emotions: Phenotyping and Therapeutics (ADEPT) Study

TypeinterventionalSponsorErika ForbesRan2022 to 2025Enrolled123ConditionsDepression, AnhedoniaArmsContinuous theta burst stimulation (cTBS), Positive Affect Training, Ketamine Injectable Solution
3 · Its place in the literature

Who cites it

228 citing papers in PubMed, 7 syntheses or guidelines pooled it, 453 citations in OpenAlex.

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  20. The Adolescent Behavioral Activation Program: Adapting Behavioral Activation as a Treatment for Depression in Adolescence.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2016
    Trial

168 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 8 institutions in 1 country.

Dana L McMakinUniversity of Pittsburgh, Western PsychiatricInstitute and Clinic, 3811 O’Hara Street, Pittsburgh, PA 15213, USA. mcmakind@upmc.edu
Thomas M Olino
Giovanna Porta
Laura J Dietz
Graham Emslie
Gregory Clarke
Karen Dineen Wagner
Joan R Asarnow
Neal D Ryan
Boris Birmaher
Wael Shamseddeen
Taryn Mayes
Betsy Kennard
Anthony Spirito
Martin Keller
Frances L Lynch
John F Dickerson
David A Brent
University of Pittsburgh · USKaiser Permanente · USThe University of Texas Southwestern Medical Center · USJohn Brown University · USRosalind Franklin University of Medicine and Science · USThe University of Texas Medical Branch at Galveston · USUniversity of California, Los Angeles · USUPMC Health System · US

Funding

CLINICAL RESEARCH TRAINING IN CHILD PSYCHIATRYT32MH018951 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI TINA R GOLDSTEIN · 1990 to 2026
$9.7M
Core--Research network developmentP30MH066371 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BRENT, DAVID A. · 2002 to 2006
$8.2M
TREATMENT OF SSRI RESISTANT DEPRESSION IN ADOLESCENTSU01MH061835 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BRENT, DAVID A. · 2000 to 2006
$3.3M
TREATMENT OF SSRI RESISTANT DEPRESSION IN ADOLESCENTSU01MH061869 · NIMH · KAISER FOUNDATION RESEARCH INSTITUTE · PI CLARKE, GREGORY N · 2000 to 2006
$2.8M
TREATMENT OF SSRI RESISTANT DEPRESSION IN ADOLESCENTSU01MH061856 · NIMH · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI WAGNER, KAREN D · 2000 to 2006
$1.9M
TREATMENT OF SSRI RESISTANT DEPRESSION IN ADOLESCENTSU01MH061958 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI EMSLIE, GRAHAM J. · 2000 to 2006
$1.8M
TREATMENT OF SSRI RESISTANT DEPRESSION IN ADOLESCENTSU01MH061864 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ASARNOW, JOAN ROSENBAUM · 2000 to 2006
$1.5M
TREATMENT OF SSRI-RESISTANT DEPRESSION IN ADOLESCENTSU01MH062014 · NIMH · BROWN UNIVERSITY · PI KELLER, MARTIN B · 2000 to 2006
$1.5M
Treatment Development Targeting Positive Affect Function in Adolescent DepressionK23MH092400 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MCMAKIN, DANA L · 2011 to 2015
$720k
Reward-related Brain Functioning as an Endophenotype for DepressionK01MH092603 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI OLINO, THOMAS M · 2011 to 2015
$701k
NIMH NIH HHS K01 MH092603NIMH NIH HHS K23 MH092400NIMH NIH HHS MH61835NIMH NIH HHS MH61856NIMH NIH HHS MH61864NIMH NIH HHS MH61869NIMH NIH HHS MH61958NIMH NIH HHS MH62014NIMH NIH HHS MH66371NIMH NIH HHS P30 MH066371NIMH NIH HHS T32 MH018951NIMH NIH HHS T32MH018951NIMH NIH HHS U01 MH061835NIMH NIH HHS U01 MH061856NIMH NIH HHS U01 MH061864NIMH NIH HHS U01 MH061869NIMH NIH HHS U01 MH061958NIMH NIH HHS U01 MH062014
6 · The paper itself

Abstract

objectiveTo identify symptom dimensions of depression that predict recovery among selective serotonin reuptake inhibitor (SSRI) treatment-resistant adolescents undergoing second-step treatment.

methodThe Treatment of Resistant Depression in Adolescents (TORDIA) trial included 334 SSRI treatment-resistant youth randomized to a medication switch, or a medication switch plus CBT. This study examined five established symptom dimensions (Child Depression Rating Scale-Revised) at baseline as they predicted recovery over 24 weeks of acute and continuation treatment. The two indices of recovery that were evaluated were time to remission and number of depression-free days.

resultsMultivariate analyses examining all five depression symptom dimensions simultaneously indicated that anhedonia was the only dimension to predict a longer time to remission, and also the only dimension to predict fewer depression-free days. In addition, when anhedonia and CDRS-total score were evaluated simultaneously, anhedonia continued to uniquely predict longer time to remission and fewer depression-free days.

conclusionsAnhedonia may represent an important negative prognostic indicator among treatment-resistant depressed adolescents. Further research is needed to elucidate neurobehavioral underpinnings of anhedonia, and to test treatments that target anhedonia in the context of overall treatment of depression.

Indexed as

AdolescentAffectAnhedoniaAntidepressive Agents, Second-GenerationCognitive Behavioral TherapyCombined Modality TherapyCyclohexanolsDepressive Disorder, Treatment-ResistantDouble-Blind MethodDrug ResistanceDrug SubstitutionFemaleHumansLongitudinal StudiesMajor Depressive DisorderMaleAntidepressive Agents, Second-GenerationCyclohexanolsSelective Serotonin Reuptake InhibitorsVenlafaxine Hydrochloride

Identifiers

PMID22449646
PMCPMC3536476
OpenAlexW2065796254

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.