Evidence map›Paper›PMID 26091197›Full record

Trial reportJournal of child and adolescent psychopharmacology2015

Tics Moderate Sertraline, but Not Cognitive-Behavior Therapy Response in Pediatric Obsessive-Compulsive Disorder Patients Who Do Not Respond to Cognitive-Behavior Therapy.

Gudmundur Skarphedinsson, Scott Compton, Per Hove Thomsen, Bernhard Weidle, Kitty Dahl, Judith Becker Nissen, Nor Christian Torp, Katja Hybel, Karin Holmgren Melin, Robert Valderhaug and 2 more

Open access · hybridAbstract readComparative StudyMulticenter StudyRandomized 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
4.5field-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

6 citing papers in PubMed, 30 citations in OpenAlex.

  1. The volatile oil ofFrontiers in pharmacology · 2025
    Article
  2. Review
  3. Article
  4. Anxiety Symptoms Differ in Youth With and Without Tic Disorders.Child psychiatry and human development · 2021
    Article
  5. Review
  6. 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

12 authors at 7 institutions in 5 countries.

Gudmundur Skarphedinsson1 Center for Child and Adolescent Mental Health , Eastern and Southern Norway, Oslo, Norway .
Scott Compton2 Duke University Medical Center Department of Psychiatry , Durham, North Carolina.
Per Hove Thomsen3 Aarhus University Hospital , Centre for Child and Adolescent Psychiatry, Risskov, Denmark .
Bernhard Weidle4 Norwegian University of Science and Technology , Faculty of Medicine, Regional Center for Child and Youth Mental Health and Child Welfare, Trondheim, Norway .
Kitty Dahl1 Center for Child and Adolescent Mental Health , Eastern and Southern Norway, Oslo, Norway .
Judith Becker Nissen3 Aarhus University Hospital , Centre for Child and Adolescent Psychiatry, Risskov, Denmark .
Nor Christian Torp1 Center for Child and Adolescent Mental Health , Eastern and Southern Norway, Oslo, Norway .
Katja Hybel3 Aarhus University Hospital , Centre for Child and Adolescent Psychiatry, Risskov, Denmark .
Karin Holmgren Melin6 OCD-Clinic, Queen Silvia Children's Hospital, Sahlgrenska University Hospital , Gothenburg, Sweden .
Robert Valderhaug4 Norwegian University of Science and Technology , Faculty of Medicine, Regional Center for Child and Youth Mental Health and Child Welfare, Trondheim, Norway .
Tore Wentzel-Larsen1 Center for Child and Adolescent Mental Health , Eastern and Southern Norway, Oslo, Norway .
Tord Ivarsson3 Aarhus University Hospital , Centre for Child and Adolescent Psychiatry, Risskov, Denmark .
Aarhus University Hospital · DKChild, Adolescent and Family Mental Health · CANorwegian University of Science and Technology · NODuke University · USNorwegian Centre for Violence and Traumatic Stress Studies · NOSahlgrenska University Hospital · SEVestre Viken Hospital Trust · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of this study was to investigate whether the presence of tic disorder is negatively associated with sertraline (SRT) outcomes, but not with continued cognitive-behavioral therapy (CBT), in a sample of youth who were unresponsive to an initial full course of CBT.

methodsIn the Nordic Long-Term OCD Study, children and adolescents with OCD who were rated as nonresponders to 14 weeks of open-label CBT were randomized to continued CBT (n=28) or SRT treatment (n=22) for an additional 16 weeks of treatment. We investigated whether the presence or absence of comorbid tic disorder moderated treatment outcomes on the Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS).

resultsTwelve out of 50 (24.0%) participants were diagnosed with comorbid tic disorder, with 7 receiving continued CBT and 5 receiving SRT, respectively. In patients without tic disorder, results showed no significant between-group differences on average CY-BOCS scores. However, in patients with comorbid tic disorder, those who received SRT had significantly lower average CY-BOCS scores than those who received continued CBT.

conclusionsChildren and adolescents with OCD and comorbid tic disorder, who are nonresponders to an initial 14 week course of CBT, may benefit more from a serotonin reuptake inhibitor (SRI) than from continued CBT.

Indexed as

AdolescentChildCognitive Behavioral TherapyHumansObsessive-Compulsive DisorderPsychiatric Status Rating ScalesSelective Serotonin Reuptake InhibitorsSertralineTic DisordersTreatment OutcomeSelective Serotonin Reuptake InhibitorsSertraline

Identifiers

PMID26091197
PMCPMC4491151
OpenAlexW2407099732

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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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.