Evidence map›Paper›PMID 27128785›Full record

ReviewJournal of child and adolescent psychopharmacology2017

Common Factors in Pediatric Psychiatry: A Review of Essential and Adjunctive Mechanisms of Treatment Outcome.

Alessandro S De Nadai, Marc S Karver, Tanya K Murphy, Mark A Cavitt, Jeffrey L Alvaro, Michael Bengtson, Saundra Stock, Andrew C Rakhshani, Eric A Storch

Abstract readReview
In one paragraph

Review in Journal of child and adolescent psychopharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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.

Alessandro S De Nadai1 Department of Pediatrics, Rothman Center for Pediatric Neuropsychiatry, University of South Florida Morsani College of Medicine , Tampa, Florida.
Marc S Karver3 Department of Psychology, University of South Florida , Tampa, Florida.
Tanya K Murphy1 Department of Pediatrics, Rothman Center for Pediatric Neuropsychiatry, University of South Florida Morsani College of Medicine , Tampa, Florida.
Mark A Cavitt2 Department of Psychiatry, University of South Florida , Tampa, Florida.
Jeffrey L Alvaro2 Department of Psychiatry, University of South Florida , Tampa, Florida.
Michael Bengtson5 James A. Haley Veterans' Hospital , Tampa, Florida.
Saundra Stock2 Department of Psychiatry, University of South Florida , Tampa, Florida.
Andrew C Rakhshani3 Department of Psychology, University of South Florida , Tampa, Florida.
Eric A Storch1 Department of Pediatrics, Rothman Center for Pediatric Neuropsychiatry, University of South Florida Morsani College of Medicine , Tampa, Florida.

Funding

Alliance and Mechanisms of Medication Adherence in Pediatric Psychiatric PracticeF31MH094095 · NIMH · UNIVERSITY OF SOUTH FLORIDA · PI DE NADAI, ALESSANDRO STEVENS · 2013 to 2014
$69k
NIMH NIH HHS F31 MH094095
6 · The paper itself

Abstract

objectiveThe purpose of this article is to review the literature on hypothesized behavioral correlates of pharmacotherapy treatment response. A particular focus is placed on what have been referred to as "common factors" across mental health treatments, including medication adherence, therapeutic alliance, motivation for behavior change, and expectancies for positive treatment outcomes. These understudied factors may provide unique explanations for mechanisms of symptom change, patient risk as a result of protocol deviation, and attenuated treatment outcomes.

methodA literature search was conducted to evaluate the relationship between treatment processes in pediatric psychiatry and medication adherence, therapeutic alliance, motivation for behavior change, and expectancies for positive treatment outcomes.

resultsSubstantial variability and room for improvement was identified for each common factor. Behavioral protocols have already been developed to address many aspects of common factors in pediatric psychiatric treatment, but are not yet a part of many practice parameters.

conclusionInterventions to improve common factors can be used immediately in tandem with psychopharmacological interventions to provide increased symptom relief and reduce patient risk. Furthermore, incorporating instruction in common factors interventions can positively affect training of future providers and enhance understanding of the mechanisms of effect of medications. An increased focus on common factors, with a particular emphasis on quantifying the magnitude and mechanisms of their effects on psychopharmacological interventions stand to benefit child patients, their families, treatment providers, training facilities, and pharmaceutical manufacturers.

Indexed as

Medication AdherenceChildChild PsychiatryHumansMental DisordersMotivationProfessional-Patient RelationsPsychotropic DrugsTreatment OutcomePsychotropic Drugsadherencealliancecommon factorsexpectanciesmotivation

Identifiers

PMID27128785
PMCPMC5326981

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.