Evidence map›Paper›PMID 27138077›Full record

SynthesisJournal of psychiatric practice2016

Comorbid Anxiety and Depressive Symptoms in Children and Adolescents: A Systematic Review and Analysis.

Tabatha H Melton, Paul E Croarkin, Jeffrey R Strawn, Shawn M McClintock

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Journal of psychiatric practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 91 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 6 pooled it
8.2field-weighted citation impact, top 3% 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

91 citing papers in PubMed, 6 syntheses or guidelines pooled it, 194 citations in OpenAlex.

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  10. Anxious depression as a clinically relevant subtype of pediatric major depressive disorder.Journal of neural transmission (Vienna, Austria : 1996) · 2019
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  19. Association between COVID-19 diagnosis and severe mental health symptoms in adolescents in southern Brazil.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2026
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31 more citing papers are in PubMed but not listed here.

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

4 authors at 3 institutions in 1 country.

Tabatha H MeltonMELTON: Therapy Dallas, Dallas, TXCROARKIN: Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MNSTRAWN: Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati, Cincinnati, OHMCCLINTOCK: Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, and Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX.
Paul E Croarkin
Jeffrey R Strawn
Shawn M McClintock
Duke University · USMayo Clinic in Florida · USUniversity of Cincinnati · US

Funding

Neurofunctional Predictors of Treatment Response in Adolescents with GADK23MH106037 · NIMH · UNIVERSITY OF CINCINNATI · PI STRAWN, JEFFREY ROBERT · 2014 to 2017
$745k
Glutamate Probes in Adolescent DepressionK23MH100266 · NIMH · MAYO CLINIC ROCHESTER · PI CROARKIN, PAUL E · 2014 to 2017
$685k
Translational Research Evaluating Neurocognitive Memory Processes (TREC-MP)K23MH087739 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI MCCLINTOCK, SHAWN M · 2010 to 2014
$641k
NIMH NIH HHS K23 MH087739NIMH NIH HHS K23 MH100266NIMH NIH HHS K23 MH106037
6 · The paper itself

Abstract

backgroundA large and extensive body of research has examined comorbid anxiety and depression in adults. Children and adolescents also frequently present with comorbid anxiety and depression; however, research and treatment require unique environmental and neurodevelopmental considerations in children. As a result, our understanding of comorbid anxiety and depression in children and adolescents is limited.

objectiveThe goal of this systematic review was to examine the current literature focused on comorbid anxiety and depression in children and adolescents. The review included theoretical conceptualizations as well as diagnostic, neurobiological, prevention, and treatment considerations. In addition, a proposed algorithm for the treatment of comorbid anxiety and depression in children/adolescents is provided.

methodsThis systematic literature review included 3 discrete searches in Ovid SP Medline, PsycInfo, and PubMed.

resultsThe review included and synthesized 115 articles published between 1987 and 2015. The available evidence suggests that anxiety and depression are common in clinical populations of children and adolescents, and that comorbidity is likely underestimated in children and adolescents. Children and adolescents with comorbid anxiety and depression have unique presentations, greater symptom severity, and treatment resistance compared with those who have either disease in isolation. A dimensional approach may be necessary for the future development of diagnostic strategies and treatments for this population. Nascent neuroimaging work suggests that anxiety and depression each represents a distinct neurobiological phenotype.

conclusionsThe literature that is currently available suggests that comorbid anxiety and depression is a common presentation in children and adolescents. This diagnostic picture underscores the importance of comprehensive dimensional assessments and multimodal evidence-based approaches given the high disease severity. Future research on the neurobiology and the treatment of these common clinical conditions is warranted.

Indexed as

ComorbidityAdolescentAlgorithmsAnxiety DisordersChildDepressive DisorderHumansSeverity of Illness Index

Identifiers

PMID27138077
PMCPMC6267783
OpenAlexW2319437186

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.