Evidence map›Paper›PMID 27561137›Full record

Trial reportThe Journal of clinical psychiatry2016

Affect Following First Exercise Session as a Predictor of Treatment Response in Depression.

Anisha M Suterwala, Chad D Rethorst, Thomas J Carmody, Tracy L Greer, Bruce D Grannemann, Manish Jha, Madhukar H Trivedi

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical 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 NCT00076258 (Treatment With Exercise Augmentation for Depression), which is not on this map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 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.

NCT00076258 nacompletednot on this map

Treatment With Exercise Augmentation for Depression (TREAD)

TypeinterventionalSponsorUniversity of Texas Southwestern Medical CenterRan2003 to 2007Enrolled126ConditionsDepressionArmsSSRI + LD, SSRI + PHD
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. 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

7 authors.

Anisha M SuterwalaNo institutional affiliation.
Chad D RethorstUniversity of Texas Southwestern Medical Center, Dallas, Texas, USA.
Thomas J CarmodyUniversity of Texas Southwestern Medical Center, Dallas, Texas, USA.
Tracy L GreerUniversity of Texas Southwestern Medical Center, Dallas, Texas, USA.
Bruce D GrannemannUniversity of Texas Southwestern Medical Center, Dallas, Texas, USA.
Manish JhaUniversity of Texas Southwestern Medical Center, Dallas, Texas, USA.
Madhukar H TrivediComprehensive Center for Depression, UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390-9119. Madhukar.Trivedi@utsouthwestern.edu.

Funding

Treatment with Exercise Augmentation for DepressionR01MH067692 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI TRIVEDI, MADHUKAR H · 2003 to 2006
$2.3M
An Exercise Intervention to Prevent Interferon-Induced Depression in Hepatitis CK01MH097847 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI RETHORST, CHAD D · 2013 to 2016
$595k
NIMH NIH HHS K01 MH097847NIMH NIH HHS R01 MH067692
6 · The paper itself

Abstract

objectiveRemission rates are low with first-step or even second-step antidepressant treatments. Furthermore, despite extensive investments from National Institutes of Health and from industry, novel treatments are not yet available in clinical care for depression. Predictors of treatment response very early in the course of treatment can avoid unnecessarily lengthy trials with ineffective treatments and reduce the trial and error process. This article examines the expression of positive affect immediately following an acute exercise session at the end of the first exercise session as a predictor of treatment response in the National Institute of Mental Health-funded TREAD (Treatment with Exercise Augmentation for Depression) study, which was conducted from April 2003 to August 2007.

methods122 subjects with DSM-IV-diagnosed major depressive disorder were randomized to public health dose (16 kcal/kg/wk) or low dose (4 kcal/kg/wk) of exercise for 12 weeks. Affect following the first exercise session was assessed using the Positive and Negative Affect Scale (PANAS), and depressive symptoms were assessed weekly using the Inventory of Depressive Symptomatology, Clinician Rating (IDS-C) (primary outcome measure).

resultsThe PANAS composite affect score (positive-negative total) predicted change in IDS-C score (P < .05), as well as treatment response (P < .02) and remission (P < .03) for those in the high-dose group but not in the low-dose group.

conclusionsThese findings suggest that the composite positive affect following the first exercise session has clinical utility to predict treatment response to exercise in depression and match the "right patient" with the "right" treatment.

trial registrationClinicalTrials.gov identifier: NCT00076258.

Indexed as

AdultAffective SymptomsExercise TherapyFemaleHumansMajor Depressive DisorderMaleMiddle AgedOutcome Assessment, Health CarePsychiatric Status Rating Scales

Identifiers

PMID27561137
PMCPMC5673095

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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.