Evidence map›Paper›PMID 24343281›Full record

Trial reportJournal of pediatric gastroenterology and nutrition2014

Predictors of depression in youth with Crohn disease.

Jeffrey G Clark, Arvind I Srinath, Ada O Youk, Margaret A Kirshner, F Nicole McCarthy, David J Keljo, Athos Bousvaros, David R DeMaso, Eva M Szigethy

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of pediatric gastroenterology and nutrition, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
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  19. Inflammatory Bowel Disease in Childhood and Adolescence.Deutsches Arzteblatt international · 2017
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Jeffrey G Clark*Cleveland Clinic, Lerner College of Medicine, Case Western Reserve University, Cleveland, OH †Division of Pediatric Gastroenterology, Children's Hospital of Pittsburgh ‡Graduate School of Public Health §Division of Rheumatology and Clinical Immunology, University of Pittsburgh ||Medical Coping Clinic, Children's Hospital of Pittsburgh, Pittsburgh, PA ¶Department of Gastroenterology #Department of Psychiatry, Boston Children's Hospital, Boston, MA **Department of Psychiatry, Children's Hospital of Pittsburgh, Pittsburgh, PA.
Arvind I Srinath
Ada O Youk
Margaret A Kirshner
F Nicole McCarthy
David J Keljo
Athos Bousvaros
David R DeMaso
Eva M Szigethy
Children's Hospital of Pittsburgh · USUniversity of Pittsburgh · USBoston Children's Hospital · USBoston Children's Museum · USCleveland Clinic Lerner College of Medicine · US

Funding

UNIVERSITY OF PITTSBURGH CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE: BPCAUL1RR024153 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2006 to 2011
$73.9M
University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Reducing Depressive Symptoms in Physically Ill YouthR01MH077770 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DEMASO, DAVID R, SZIGETHY, EVA M · 2008 to 2012
$3.2M
Recruitment of Undergraduates to Mental Health ResearchR25MH054318 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HAAS, GRETCHEN L · 1994 to 2013
$2.8M
Understanding/ Treating Neuropsychiatric Symptoms of Pediatric Physical IllnessDP2OD001210 · OD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SZIGETHY, EVA M · 2007 to 2009
$2.4M
Institutional Research Training in Pediatric GastroenterologyT32DK071492 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HUSAIN, SOHAIL Z · 2006 to 2015
$1.1M
NCATS NIH HHS UL1 TR000005NCATS NIH HHS UL1TR000005NCRR NIH HHS UL1 RR024153NIDDK NIH HHS T32 DK071492NIH HHS 1DP2OD001210NIH HHS DP2 OD001210NIMH NIH HHS R01 MH077770NIMH NIH HHS R01MH077770NIMH NIH HHS R25 MH054318NIMH NIH HHS R25MH054318
6 · The paper itself

Abstract

objectiveThe aim of the study was to determine whether infliximab use and other potential predictors are associated with decreased prevalence and severity of depression in pediatric patients with Crohn disease (CD).

methodsA total of 550 (n = 550) youth ages 9 to 17 years with biopsy-confirmed CD were consecutively recruited as part of a multicenter randomized controlled trial. Out of the 550, 499 patients met study criteria and were included in the analysis. At recruitment, each subject and a parent completed the Children's Depression Inventory (CDI). A child or parent CDI score ≥  12 was used to denote clinically significant depressive symptoms (CSDS). Child and parent CDI scores were summed to form total CDI (CDIT). Infliximab use, demographic information, steroid use, laboratory values, and Pediatric Crohn's Disease Activity Index (PCDAI) were collected as the potential predictors of depression. Univariate regression models were constructed to determine the relations among predictors, CSDS, and CDIT. Stepwise multivariate regression models were constructed to predict the relation between infliximab use and depression while controlling for other predictors of depression.

resultsInfliximab use was not associated with a decreased proportion of CSDS and CDIT after adjusting for multiple comparisons. CSDS and CDIT were positively associated with PCDAI, erythrocyte sedimentation rate, and steroid dose (P < 0.01) and negatively associated with socioeconomic status (SES) (P < 0.001). In multivariate models, PCDAI and SES were the strongest predictors of depression.

conclusionsDisease activity and SES are significant predictors of depression in youth with Crohn disease.

Indexed as

AdolescentAntibodies, MonoclonalBlood SedimentationChildCrohn DiseaseDepressionFemaleHumansInfliximabMalePrednisoneSeverity of Illness IndexTumor Necrosis Factor-alphaAntibodies, MonoclonalInfliximabPrednisoneTumor Necrosis Factor-alpha

Identifiers

PMID24343281
PMCPMC4096803
OpenAlexW1982634643

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.