Evidence map›Paper›PMID 27433887›Full record

Trial reportDepression and anxiety2016

Pathways to anxiety-depression comorbidity: A longitudinal examination of childhood anxiety disorders.

Courtney Benjamin Wolk, Matthew M Carper, Philip C Kendall, Thomas M Olino, Steven C Marcus, Rinad S Beidas

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Depression and anxiety, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 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.

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

15 citing papers in PubMed, 1 synthesis or guideline 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

6 authors.

Courtney Benjamin WolkCenter for Mental Health Policy and Services Research, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. cbenja@upenn.edu.
Matthew M CarperDepartment of Psychology, Temple University, Philadelphia, PA, USA.
Philip C KendallDepartment of Psychology, Temple University, Philadelphia, PA, USA.
Thomas M OlinoDepartment of Psychology, Temple University, Philadelphia, PA, USA.
Steven C MarcusSchool of Social Policy and Practice, University of Pennsylvania, Philadelphia, PA, USA.
Rinad S BeidasCenter for Mental Health Policy and Services Research, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Funding

Child/Adolescent Anxiety Multimodal Treatment StudyU01MH063747 · NIMH · TEMPLE UNIV OF THE COMMONWEALTH · PI KENDALL, PHILIP C · 2002 to 2007
$2.2M
Disseminating evidence-based practice to the schools: CBT for child anxietyR01MH086438 · NIMH · TEMPLE UNIV OF THE COMMONWEALTH · PI KENDALL, PHILIP C · 2011 to 2015
$1.6M
Process as a predictor of Outcomes in CBT for YouthR01MH064484 · NIMH · TEMPLE UNIVERSITY · PI KENDALL, PHILIP C · 2002 to 2004
$1.1M
Policy to Implementation: Evidence-Based Practice in Community Mental HealthK23MH099179 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BEIDAS, RINAD SARY · 2012 to 2016
$887k
Reward-related Brain Functioning as an Endophenotype for DepressionK01MH092603 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI OLINO, THOMAS M · 2011 to 2015
$701k
4/6-Child/Adolescent Anxiety Multimodal Extended Long-Term Study (CAMELS)R01MH063747 · NIMH · TEMPLE UNIV OF THE COMMONWEALTH · PI KENDALL, PHILIP C · 2010 to 2014
$618k
Team Functioning in School Mental Health Teams Implementing CBTF32MH103955 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI WOLK, COURTNEY LYNN BENJAMIN · 2014 to 2016
$173k
Dynamic systems as predictors of response to CBT for child anxiety: An EMA studyF31MH105104 · NIMH · TEMPLE UNIV OF THE COMMONWEALTH · PI CARPER, MATTHEW MCKITTRICK · 2015 to 2017
$66k
Mental Health Outcomes in Young Adults Previously Treated for Child AnxietyF31MH086954 · NIMH · TEMPLE UNIV OF THE COMMONWEALTH · PI WOLK, COURTNEY LYNN BENJAMIN · 2010 to 2011
$38k
NIMH NIH HHS F31 MH086954NIMH NIH HHS F31 MH105104NIMH NIH HHS F32 MH103955NIMH NIH HHS K01 MH092603NIMH NIH HHS K23 MH099179NIMH NIH HHS R01 MH063747NIMH NIH HHS R01 MH064484NIMH NIH HHS R01 MH086438NIMH NIH HHS U01 MH063747
6 · The paper itself

Abstract

backgroundAnxiety disorders are prevalent in youth and associated with later depressive disorders. A recent model posits three distinct anxiety-depression pathways. Pathway 1 represents youth with a diathesis to anxiety that increases risk for depressive disorders; Pathway 2 describes youth with a shared anxiety-depression diathesis; and Pathway 3 consists of youth with a diathesis for depression who develop anxiety as a consequence of depression impairment. This is the first partial test of this model following cognitive-behavioral treatment (CBT) for child anxiety.

methodThe present study included individuals (N = 66; M age = 27.23 years, SD = 3.54) treated with CBT for childhood anxiety disorders 7-19 years (M = 16.24; SD = 3.56) earlier. Information regarding anxiety (i.e., social phobia (SoP), separation anxiety disorder (SAD), generalized anxiety disorder (GAD)) and mood disorders (i.e., major depressive disorder (MDD) and dysthymic disorders) was obtained at pretreatment, posttreatment, and one or more follow-up intervals via interviews and self-reports.

resultsEvidence of pathways from SoP, SAD, and GAD to later depressive disorders was not observed. Treatment responders evidenced reduced GAD and SoP over time, although SoP was observed to have a more chronic and enduring pattern.

conclusionsEvidence for typically observed pathways from childhood anxiety disorders was not observed. Future research should prospectively examine if CBT treatment response disrupts commonly observed pathways.

Indexed as

AdolescentAnxiety DisordersChildCognitive Behavioral TherapyComorbidityDisease ProgressionFemaleHumansLongitudinal StudiesMajor Depressive DisorderMaleRecurrenceRiskTreatment OutcomeYoung Adultanxietycognitive-behavioral therapycomorbiditydepressionevidence-based treatment

Identifiers

PMID27433887
PMCPMC5050087

What OpenQuestion holds

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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.