Evidence map›Paper›PMID 26230057›Full record

Trial reportInternational journal of geriatric psychiatry2016

The impact of executive function on response to cognitive behavioral therapy in late-life depression.

Madeleine S Goodkind, Dolores Gallagher-Thompson, Larry W Thompson, Shelli R Kesler, Lauren Anker, John Flournoy, Mika P Berman, Jason M Holland, Ruth M O'Hara

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in International journal of geriatric psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.2field-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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Relation Between Executive Function Test Performance and Treatment Outcomes During Brief Psychotherapies for Later-Life Depression.The American journal of geriatric psychiatry. Open science, education, and practice · 2025
    Article
  5. Transdiagnostic Attentional Deficits Are Associated with Depressive and Externalizing Symptoms in Children and Adolescents with Neuropsychiatric Disorders.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. 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 5 institutions in 1 country.

Madeleine S GoodkindNew Mexico VA Healthcare System, Albuquerque, NM, USA.
Dolores Gallagher-ThompsonDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford University, Stanford, CA, USA.
Larry W ThompsonDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford University, Stanford, CA, USA.
Shelli R KeslerDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford University, Stanford, CA, USA.
Lauren AnkerDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford University, Stanford, CA, USA.
John FlournoyDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford University, Stanford, CA, USA.
Mika P BermanDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford University, Stanford, CA, USA.
Jason M HollandDepartment of Psychology, University of Nevada, Las Vegas, NV, USA.
Ruth M O'HaraDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford University, Stanford, CA, USA.
Stanford University · USMental Illness Research, Education and Clinical Centers · USNew Mexico VA Health Care System · USUniversity of Nevada, Las Vegas · USVA Palo Alto Health Care System · US

Funding

Predictors of Positive Outcome in Cognitive Behavior Therapy For Late Life DepresR21MH091625 · NIMH · STANFORD UNIVERSITY · PI GALLAGHER-THOMPSON, DOLORES ELIZABETH · 2010 to 2011
$440k
NIMH NIH HHS R21 MH091625PHS HHS 19532
6 · The paper itself

Abstract

objectiveLate-life depression (LLD) is a common and debilitating condition among older adults. Cognitive behavioral therapy (CBT) has strong empirical support for the treatment of depression in all ages, including in LLD. In teaching patients to identify, monitor, and challenge negative patterns in their thinking, CBT for LLD relies heavily on cognitive processes and, in particular, executive functioning, such as planning, sequencing, organizing, and selectively inhibiting information. It may be that the effectiveness of CBT lies in its ability to train these cognitive areas.

methodsParticipants with LLD completed a comprehensive neuropsychological battery before enrolling in CBT. The current study examined the relationship between neuropsychological function prior to treatment and response to CBT.

resultsWhen using three baseline measures of executive functioning that quantify set shifting, cognitive flexibility, and response inhibition to predict treatment response, only baseline Wisconsin Card Sort Task performance was associated with a significant drop in depression symptoms after CBT. Specifically, worse performance on the Wisconsin Card Sort Task was associated with better treatment response.

conclusionsThese results suggest that CBT, which teaches cognitive techniques for improving psychiatric symptoms, may be especially beneficial in LLD if relative weaknesses in specific areas of executive functioning are present.

Indexed as

AgedCognition DisordersCognitive Behavioral TherapyDepressive DisorderExecutive FunctionFemaleHumansMaleMiddle AgedNeuropsychological TestsPsychiatric Status Rating Scalescognitive behavioral therapyexecutive functionlate-life depressionneuropsychological performancetreatment response

Identifiers

PMID26230057
PMCPMC7063995
OpenAlexW1579645584

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.