Evidence map›Paper›PMID 26903255›Full record

Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2016

Prevention of Depression in At-Risk Adolescents: Predictors and Moderators of Acute Effects.

V Robin Weersing, Wael Shamseddeen, Judy Garber, Steven D Hollon, Gregory N Clarke, William R Beardslee, Tracy R Gladstone, Frances L Lynch, Giovanna Porta, Satish Iyengar and 1 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Academy of Child and Adolescent Psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00073671 (Prevention of Depression in At-Risk Adolescents), which is not on this map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT00073671 nacompletednot on this map

Prevention of Depression in At-Risk Adolescents

TypeinterventionalSponsorVanderbilt UniversityRan2003 to 2009Enrolled316ConditionsDepressionArmsCognitive-behavioral prevention program, Usual care
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
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  6. Indicated Prevention for Depression at the Transition to High School: Outcomes for Depression and Anxiety.Prevention science : the official journal of the Society for Prevention Research · 2019
    Trial
  7. Evaluating Effect Moderators in Cognitive Versus Behavioral Based CBT-Modules and Sequences Towards Preventing Adolescent Depression.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Trial
  8. Article
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  11. Transdiagnostic prevention in youth mental health, Part II: interventions.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
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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

11 authors.

V Robin WeersingJoint Doctoral Program in Clinical Psychology, San Diego State University and University of California, San Diego. Electronic address: robin.weersing@mail.sdsu.edu.
Wael ShamseddeenUniversity of Michigan, Ann Arbor.
Judy GarberVanderbilt University, Nashville, TN.
Steven D HollonVanderbilt University, Nashville, TN.
Gregory N ClarkeCenter for Health Research, Kaiser Permanente Northwest, Portland, OR.
William R BeardsleeBoston Children's Hospital, Boston.
Tracy R GladstoneWellesley Centers for Women, Wellesley College, Wellesley, MA.
Frances L LynchCenter for Health Research, Kaiser Permanente Northwest, Portland, OR.
Giovanna PortaWestern Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh.
Satish IyengarUniversity of Pittsburgh.
David A BrentWestern Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh; University of Pittsburgh School of Medicine.

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Research Project: Sensory and Multisensory Contributions to AutismU54HD083211 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DYKENS, ELISABETH MAY · 2015 to 2019
$7.1M
Prevention of Depression in At-Risk AdolescentsR01MH064503 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BRENT, DAVID A. · 2003 to 2012
$3.9M
Prevention of Depression (POD)R01MH064541 · NIMH · KAISER FOUNDATION RESEARCH INSTITUTE · PI CLARKE, GREGORY N · 2003 to 2012
$3.6M
Prevention of Depression in At-Risk-AdolescentsR01MH064735 · NIMH · VANDERBILT UNIVERSITY · PI GARBER, JUDY · 2003 to 2012
$3.2M
Prevention of Depression in At-Risk AdolescentsR01MH064717 · NIMH · JUDGE BAKER CHILDREN'S CENTER · PI BEARDSLEE, WILLIAM R., GLADSTONE, TRACY G · 2003 to 2012
$2.8M
NCATS NIH HHS 2 UL1 TR000445-06NCATS NIH HHS UL1 TR000445NCRR NIH HHS UL1 RR024975NCRR NIH HHS UL1RR024975-01NICHD NIH HHS U54 HD083211NIMH NIH HHS R01 MH064503NIMH NIH HHS R01 MH064541NIMH NIH HHS R01 MH064717NIMH NIH HHS R01 MH064735NIMH NIH HHS R01MH064735NIMH NIH HHS R01MH64503NIMH NIH HHS R01MH64541NIMH NIH HHS R01MH64717
6 · The paper itself

Abstract

objectiveTo assess predictors and moderators of a cognitive-behavioral prevention (CBP) program for adolescent offspring of parents with depression.

methodThis 4-site randomized trial evaluated CBP compared to usual community care (UC) in 310 adolescents with familial (parental depression) and individual (youth history of depression or current subsyndromal symptoms) risk for depression. As previously reported by Garber and colleagues, a significant prevention effect favored CBP through 9 months; however, outcomes of CBP and UC did not significantly differ when parents were depressed at baseline. The current study expanded on these analyses and examined a range of demographic, clinical, and contextual characteristics of families as predictors and moderators and used recursive partitioning to construct a classification tree to organize clinical response subgroups.

resultsDepression onset was predicted by lower functioning (hazard ratio [HR] = 0.95, 95% CI = 0.92-0.98) and higher hopelessness (HR = 1.06, 95% CI = 1.01-1.11) in adolescents. The superior effect of CBP was diminished when parents were currently depressed at baseline (HR = 6.38, 95% CI = 2.38-17.1) or had a history of hypomania (HR = 67.5, 95% CI = 10.9-417.1), or when adolescents reported higher depressive symptoms (HR = 1.04, 95% CI = 1.00-1.08), higher anxiety (HR = 1.05, 95% CI = 1.01-1.08), higher hopelessness (HR = 1.10, 95% CI = 1.01-1.20), or lower functioning (HR = 0.94, 95% CI = 0.89-1.00) at baseline. Onset rates varied significantly by clinical response cluster (0%-57%).

conclusionDepression in adolescents can be prevented, but programs may produce superior effects when timed at moments of relative wellness in high-risk families. Future programs may be enhanced by targeting modifiable negative clinical indicators of response. CLINICAL TRIAL REGISTRATION INFORMATION: Prevention of Depression in At-Risk Adolescents; http://clinicaltrials.gov/; NCT00073671.

Indexed as

AdolescentCausalityChild of Impaired ParentsCognitive Behavioral TherapyDepressionDepressive DisorderFamilyFemaleHumansMaleParentsRisk Factorsadolescentscognitive-behavioral therapydepressionprevention

Identifiers

PMID26903255
PMCPMC4783159

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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.