Evidence map›Paper›PMID 24828247›Full record

Trial reportJournal of child and adolescent psychopharmacology2015

Concurrent treatment for adolescent and parent depressed mood and suicidality: feasibility, acceptability, and preliminary findings.

Anthony Spirito, Jennifer C Wolff, Lourah M Seaboyer, Jeffrey Hunt, Christianne Esposito-Smythers, Nicole Nugent, Caron Zlotnick, Ivan Miller

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of child and adolescent psychopharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 pooled it
2.5field-weighted citation impact, top 10% 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

15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Systematic Literature Review of Attempted Suicide and Offspring.International journal of environmental research and public health · 2018
    Pooled it
  5. Trial
  6. Family-Based Treatment for Anxiety, Depression, and ADHD for a Parent and Child.International journal of environmental research and public health · 2024
    Article
  7. Review
  8. [The German S3 guideline for depressive disorders in childhood and adolescence: new developments].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023
    Review
  9. Article
  10. Article
  11. Psychological Treatments for Depression in Adolescents: More Than Three Decades Later.International journal of environmental research and public health · 2021
    Review
  12. Article
  13. Article
  14. Article
  15. Evidence Base Update of Psychosocial Treatments for Self-Injurious Thoughts and Behaviors in Youth.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    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

8 authors at 5 institutions in 1 country.

Anthony Spirito1 Warren Alpert Medical School of Brown University , Providence, Rhode Island.
Jennifer C Wolff
Lourah M Seaboyer
Jeffrey Hunt
Christianne Esposito-Smythers
Nicole Nugent
Caron Zlotnick
Ivan Miller
Brown University · USRhode Island Hospital · USBradley Hospital · USButler Hospital · USGeorge Mason University · US

Funding

Concurrent Treatment for Parents and Adolescents Who Attempt SuicideR34MH082211 · NIMH · BROWN UNIVERSITY · PI SPIRITO, ANTHONY · 2009 to 2011
$726k
NIMH NIH HHS R34 MH082211NIMH NIH HHS R34MH82211
6 · The paper itself

Abstract

objectiveThe purpose of this study was to conduct a treatment development study to examine the feasibility, acceptability, and preliminary efficacy of treating depressed, suicidal adolescents and their depressed parent concurrently in a cognitive behavioral therapy (CBT) protocol (Parent-Adolescent-CBT [PA-CBT]).

methodsA randomized, controlled, repeated measures design was used to test the hypothesis that PA-CBT would lead to greater reductions in suicidality and depression compared with Adolescent Only CBT (AO-CBT). Participants included 24 adolescent and parent dyads in which the adolescent met American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, 4th ed. (DSM-IV) criteria for current major depressive episode (MDE) and the parent met DSM-IV criteria for current or past MDE.

resultsThe concurrent protocol was found to be feasible to implement with most depressed adolescents and parents. Adolescent ratings of program satisfaction were somewhat lower in PA-CBT, suggesting that some teens view treatment negatively when they are required to participate with a parent. The concurrent treatment protocol was more effective in reducing depressed mood in the parent-adolescent dyad at the end of maintenance treatment (24 weeks) than treating an adolescent alone for depression; the largest effect was on parental depressed mood. This difference between dyads was no longer significant, however, at the 48 week follow-up. Adolescent and parent suicidal ideation improved equally in both groups during active and maintenance treatment, and remained low at follow-up in both groups.

conclusionsThe PA-CBT protocol is feasible to conduct and acceptable to most but not all adolescents. The strongest effect was on parental depressed mood. A larger study that has sufficient power to test efficacy and moderators of treatment outcome is necessary to better understand which adolescents would benefit most from concurrent treatment with a parent.

Indexed as

AffectAdolescentChildCognitive Behavioral TherapyFeasibility StudiesFemaleFollow-Up StudiesHumansMajor Depressive DisorderMaleParentsPatient Acceptance of Health CareSuicidal IdeationSuicide, AttemptedTreatment Outcome

Identifiers

PMID24828247
PMCPMC4367521
OpenAlexW2327669467

What OpenQuestion holds

Textmetadata
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.