Evidence map›Paper›PMID 23088620›Full record

Trial reportJournal of consulting and clinical psychology2012

Comparative effectiveness of medication versus cognitive-behavioral therapy in a randomized controlled trial of low-income young minority women with depression.

Juned Siddique, Joyce Y Chung, C Hendricks Brown, Jeanne Miranda

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 9% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. A Randomized Comparison of Medication and Cognitive Behavioral Therapy for Treating Depression in Low-Income Young Minority Women.Medical science monitor : international medical journal of experimental and clinical research · 2016
    Trial
  5. Trial
  6. Article
  7. Article
  8. Three Flavorings for a Soup to Cure what Ails Mental Health Services.Administration and policy in mental health · 2020
    Article
  9. Observational
  10. Article
  11. Disparities in antidepressant use in pregnancy.Journal of perinatology : official journal of the California Perinatal Association · 2015
    Article
  12. Article
  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Juned SiddiqueNorthwestern University, Chicago, IL, USA. siddique@northwestern.edu
Joyce Y Chung
C Hendricks Brown
Jeanne Miranda
National Institute of Mental Health · USNorthwestern University · USUniversity of California, Los Angeles · USUniversity of Miami · US

Funding

Multidisciplinary Clinical and Translational Science (MCTS) Program (UL1)UL1TR000150 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LLOYD-JONES, DONALD M · 2012 to 2013
$10.1M
STATISTICAL METHODS FOR MENTAL HEALTH PREVENTIVE TRIALSR01MH040859 · NIMH · UNIVERSITY OF SOUTH FLORIDA · PI BROWN, C. HENDRICKS · 1986 to 2014
$7.5M
Antidepressant Treatment and Suicidality: Biostatistical/Methodological SolutionsR01MH080122 · NIMH · UNIVERSITY OF ILLINOIS AT CHICAGO · PI GIBBONS, ROBERT D · 2008 to 2011
$2.7M
Real Time Analysis of Diet and Activity DataK07CA154862 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SIDDIQUE, JUNED · 2011 to 2015
$585k
Comparative Effectiveness of Medication vs. CBT in Depressed Low-Income WomenR03HS018815 · AHRQ · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SIDDIQUE, JUNED · 2010 to 2011
$100k
AHRQ HHS R03 HS018815AHRQ HHS R03-HS018815NCATS NIH HHS UL1 TR000150NCI NIH HHS K07 CA154862NCI NIH HHS K07-CA154862NIMH NIH HHS R01 MH040859NIMH NIH HHS R01-MH040859NIMH NIH HHS R01 MH080122NIMH NIH HHS R01-MH080122
6 · The paper itself

Abstract

objectiveTo examine whether there are latent trajectory classes in response to treatment and whether they moderate the effects of medication versus psychotherapy.

methodData come from a 1-year randomized controlled trial of 267 low-income, young (M = 29 years), minority (44% Black, 50% Latina, 6% White) women with current major depression randomized to antidepressants, cognitive-behavioral therapy (CBT), or referral to community mental health services. Growth mixture modeling was used to determine whether there were differential effects of medication versus CBT. Depression was measured via the Hamilton Depression Rating Scale (Hamilton, 1960).

resultsWe identified 2 latent trajectory classes. The first was characterized by severe depression at baseline. At 6 months, mean depression scores for the medication and CBT groups in this class were 13.9 and 14.9, respectively (difference not significant). At 12 months, mean depression scores were 16.4 and 11.0, respectively (p for difference = .04). The second class was characterized by moderate depression and anxiety at baseline. At 6 months, mean depression scores for the medication and CBT groups were 4.4 and 6.8, respectively (p for difference = .03). At 12 months, the mean depression scores were 7.1 and 7.8, respectively, and the difference was no longer significant.

conclusionsAmong depressed women with moderate baseline depression and anxiety, medication was superior to CBT at 6 months, but the difference was not sustained at 1 year. Among women with severe depression, there was no significant treatment group difference at 6 months, but CBT was superior to medication at 1 year.

Indexed as

Cognitive Behavioral TherapyPovertyAdultAntidepressive AgentsCommunity Mental Health ServicesDepressive DisorderFemaleHumansMinority GroupsTreatment OutcomeAntidepressive Agents

Identifiers

PMID23088620
PMCPMC3563285
OpenAlexW2038187160

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.