Evidence map›Paper›PMID 26761270›Full record

Trial reportJournal of acquired immune deficiency syndromes (1999)2016

Effective Treatment of Depressive Disorders in Medical Clinics for Adolescents and Young Adults Living With HIV: A Controlled Trial.

Larry K Brown, Betsy D Kennard, Graham J Emslie, Taryn L Mayes, Laura B Whiteley, James Bethel, Jiahong Xu, Sarah Thornton, Mary R Tanney, Linda A Hawkins and 5 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of acquired immune deficiency syndromes (1999), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02939131 (IMPAACT 2002), which is not on this map. Cited by 26 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 6 pooled it
1.7field-weighted citation impact, top 16% 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.

NCT02939131 nacompletednot on this mapstarted 2017, after this paper: background citation

IMPAACT 2002: Combined Cognitive Behavioral Therapy and a Medication Management Algorithm for Treatment of Depression Among Youth Living With HIV in the United States

TypeinterventionalSponsorInternational Maternal Pediatric Adolescent AIDS Clinical Trials GroupRan2017 to 2020Enrolled156ConditionsHIV, DepressionArmsHealth and Wellness Combined Cognitive Behavioral Therapy and a Medication Management Algorithm, Enhanced Standard of Care
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 6 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
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  6. Antidepressants for depression in adults with HIV infection.The Cochrane database of systematic reviews · 2018
    Pooled it
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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

15 authors at 7 institutions in 1 country.

Larry K Brown*Department of Psychiatry, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, RI;†Department of Psychiatry, University of Texas Southwestern Medical Center at Dallas, Dallas, TX;‡Westat, Rockville, MD;§The Children's Hospital of Philadelphia, Philadelphia, PA;‖Children's Diagnostic & Treatment Center, Fort Lauderdale, FL;¶NIDA Center for Clinical Trials Network, Bethesda, MD; and#Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD.
Betsy D Kennard
Graham J Emslie
Taryn L Mayes
Laura B Whiteley
James Bethel
Jiahong Xu
Sarah Thornton
Mary R Tanney
Linda A Hawkins
Patricia A Garvie
Geetha A Subramaniam
Carol J Worrell
Laura W Stoff
Adolescent Trials Network for HIVAIDS Interventions
Brown University · USThe University of Texas Southwestern Medical Center · USWestat (United States) · USChildren's Hospital of Philadelphia · USAIDS Clinical Trials Group · USChildren's Diagnostic & Treatment Center · USEunice Kennedy Shriver National Institute of Child Health and Human Development · US

Funding

Adol. Medicine Trials Network for HIV/AIDS InterventionsU01HD040474 · NICHD · WESTAT, INC. · PI HARRIS, DONALD ROBERT · 2001 to 2016
$114.4M
LEADERSHIP GROUP FOR ADOLESCENT MEDICINE TRIALS NETWORKU01HD040533 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WILSON, CRAIG M · 2001 to 2016
$76.4M
Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI CURT G BECKWITH · 1998 to 2026
$51.7M
NIAID NIH HHS P30 AI 042853NIAID NIH HHS P30 AI042853NICHD NIH HHS U01 HD 040474NICHD NIH HHS U01 HD040474NICHD NIH HHS U01 HD 040533NICHD NIH HHS U01 HD040533
6 · The paper itself

Abstract

objectivePreliminary test of a manualized, measurement-guided treatment for depression for adolescents and young adults in care at 4 sites of the Adolescent Trials Network for HIV/AIDS Interventions.

designThe US sites were randomly assigned to either a 24-week, combination cognitive behavioral therapy and medication management algorithm (COMB) tailored for youth living with HIV (YLWH) or to treatment as usual (TAU).

methodsYouth at TAU sites had access to therapists and medication management as needed. COMB-site clinicians were trained in the manualized intervention and participated in supervision calls to monitor intervention fidelity.

resultsOver the course of the study with 44 participants, those in COMB, compared with those in TAU, reported fewer depressive symptoms, P < 0.01 (as measured by the Quick Inventory for Depression symptoms) and were more likely to be in remission, P < 0.001 (65% vs. 10% at week 24, end of treatment, and 71% vs. 7% at week 48, final follow-up). A greater proportion of COMB participants received psychotherapy (95% vs. 45%, P < 0.001) and attended more sessions (12.6 vs. 5, P < 0.001) than those in TAU. Viral load decreased in both groups and was associated (P < 0.05) with reduction in depressive symptoms.

conclusionsA 24-week manualized, measurement-guided psychotherapy and medication management algorithm tailored for YLWH was more effective in achieving and sustaining remission from depression than TAU at HIV care clinic sites. Given observed treatment efficacy, this structured combination treatment could be disseminated to medical clinics to successfully treat YLWH, who are at particular risk for depression.

Indexed as

AdolescentAdultAmbulatory Care FacilitiesAntidepressive AgentsCognitive Behavioral TherapyCombined Modality TherapyDepressive DisorderDrug MonitoringFemaleHIV InfectionsHumansMalePsychiatric Status Rating ScalesYoung AdultAntidepressive Agents

Identifiers

PMID26761270
PMCPMC4712723
OpenAlexW2239676231

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.