Evidence map›Paper›PMID 23592677›Full record

Trial reportObesity (Silver Spring, Md.)2013

Reliable change in depression during behavioral weight loss treatment among women with major depression.

Andrew M Busch, Matthew C Whited, Bradley M Appelhans, Kristin L Schneider, Molly E Waring, Michele A DeBiasse, Jessica L Oleski, Sybil L Crawford, Sherry L Pagoto

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Readiness for behaviour change in non-alcoholic fatty liver disease: implications for multidisciplinary care models.Liver international : official journal of the International Association for the Study of the Liver · 2015
    Article
  10. Article
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

9 authors at 4 institutions in 1 country.

Andrew M BuschAlpert Medical School of Brown University, Department of Psychiatry and Human Behavior, Providence, Rhode Island, USA.
Matthew C Whited
Bradley M Appelhans
Kristin L Schneider
Molly E Waring
Michele A DeBiasse
Jessica L Oleski
Sybil L Crawford
Sherry L Pagoto
University of Massachusetts Chan Medical School · USBoston University · USBrown University · USRush University Medical Center · US

Funding

TRACE-COREU01HL105268 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KIEFE, CATARINA I. · 2010 to 2013
$5.8M
Treating Co-Morbid Obesity and Major Depressive DisorderR01MH078012 · NIMH · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI PAGOTO, SHERRY L. · 2007 to 2011
$2.5M
Integrated Smoking Cessation and Mood Management for Cardiac PatientsK23HL107391 · NHLBI · MIRIAM HOSPITAL · PI BUSCH, ANDREW M · 2011 to 2015
$691k
Depression treatment and risk for cardiovascular diseaseK23HL109620 · NHLBI · EAST CAROLINA UNIVERSITY · PI WHITED, MATTHEW CHARLES · 2012 to 2016
$646k
NHLBI NIH HHS 1U01HL105268NHLBI NIH HHS K23 HL107391NHLBI NIH HHS K23HL107391NHLBI NIH HHS K23 HL109620NHLBI NIH HHS U01 HL105268NIMH NIH HHS R01 MH078012
6 · The paper itself

Abstract

objectiveAlthough behavioral weight loss interventions generally have been shown to improve depressive symptoms, little is known as to whether some people with major depressive disorder experience worsening of depression during a weight loss intervention. DESIGN AND

methodsRates and predictors of change in depression symptoms among 148 obese women with major depressive disorder who participated in a trial comparing depression treatment plus behavioral weight loss treatment (Behavioral Activation; BA) to behavioral weight loss treatment alone (Lifestyle Intervention; LI) were examined. a statistically reliable change in depression was calculated as ≥9 points on the beck depression inventory in this sample.

resultsAt 6 months, 73% of participants in BA and 54% of participants in LI showed reliable improvement in depression symptoms and 1.5% of participants in BA and 1.3% of participants in LI showed reliable worsening in depression symptoms. Rates of reliable change were similar at 12 months. Participants who experienced reliable improvement in depression lost significantly more weight than those who did not in both conditions. In the LI condition, baseline psychiatric variables and change in physical activity during treatment were also related to reliable improvement in depression.

conclusionNo evidence for an iatrogenic effect of behavioral weight loss treatment on depressive symptoms among obese women with major depressive disorder was detected; rather, behavioral weight loss treatment appears to be associated with significant concurrent improvement in depression. Even greater rates of reliable improvement were observed when depression treatment was added to weight loss treatment.

Indexed as

Weight LossAdultAgedBehavior TherapyDepressionEnergy IntakeFemaleFollow-Up StudiesHumansLife StyleLogistic ModelsMiddle AgedMotor ActivityObesityPersonality InventoryTreatment Outcome

Identifiers

PMID23592677
PMCPMC3630462
OpenAlexW2014064301

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.