Evidence map›Paper›PMID 27819485›Full record

Trial reportJournal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 532019

Pilot Randomized Controlled Trial of Omega-3 and Individual-Family Psychoeducational Psychotherapy for Children and Adolescents With Depression.

Mary A Fristad, Anthony T Vesco, Andrea S Young, K Zachary Healy, Elias S Nader, William Gardner, Adina M Seidenfeld, Hannah L Wolfson, L Eugene Arnold

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
4.9field-weighted citation impact, top 5% 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

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 57 citations in OpenAlex.

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  20. Psychological Treatments for Depression in Adolescents: More Than Three Decades Later.International journal of environmental research and public health · 2021
    Review
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 at 1 institution in 1 country.

Mary A Fristada Department of Psychiatry and Behavioral Health , The Ohio State University Wexner Medical Center.
Anthony T Vescoa Department of Psychiatry and Behavioral Health , The Ohio State University Wexner Medical Center.
Andrea S Younga Department of Psychiatry and Behavioral Health , The Ohio State University Wexner Medical Center.ORCID 0000-0002-8486-0643
K Zachary Healya Department of Psychiatry and Behavioral Health , The Ohio State University Wexner Medical Center.
Elias S Nadera Department of Psychiatry and Behavioral Health , The Ohio State University Wexner Medical Center.
William Gardnera Department of Psychiatry and Behavioral Health , The Ohio State University Wexner Medical Center.
Adina M Seidenfelda Department of Psychiatry and Behavioral Health , The Ohio State University Wexner Medical Center.
Hannah L Wolfsona Department of Psychiatry and Behavioral Health , The Ohio State University Wexner Medical Center.
L Eugene Arnolda Department of Psychiatry and Behavioral Health , The Ohio State University Wexner Medical Center.
The Ohio State University Wexner Medical Center · US

Funding

University of Iowa Clinical and Translational Science Program (TL1)UL1RR025755 · NCRR · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2008 to 2011
$26.3M
Omega-3 Fatty Acids & Psychoeducational Psychotherapy for Childhood DepressionR34MH085875 · NIMH · OHIO STATE UNIVERSITY · PI ARNOLD, L EUGENE, FRISTAD, MARY A · 2011 to 2013
$689k
Omega-3 Fatty Acids & Psychoeducational Psychotherapy for Child Bipolar NOSR34MH090148 · NIMH · OHIO STATE UNIVERSITY · PI ARNOLD, L EUGENE, FRISTAD, MARY A · 2011 to 2013
$689k
NCRR NIH HHS UL1 RR025755NIMH NIH HHS R34 MH085875NIMH NIH HHS R34 MH090148
6 · The paper itself

Abstract

The goal of this study is to evaluate feasibility and estimate effect sizes of omega-3 fatty acids (Ω3), individual-family psychoeducational psychotherapy (PEP), their combination, and moderating effects of maternal depression and psychosocial stressors in youth with depression. In a pilot 2 × 2 randomized controlled trial, 72 youth (ages 7-14; 57% Caucasian, 57% male) with major depression, dysthymia, or depression not otherwise specified were randomized to 12 weeks of Ω3, PEP+placebo, Ω3+PEP, or placebo. Ω3 versus placebo was double-masked. Evaluators masked to condition assessed depressive severity at baseline (randomization) and at 2, 4, 6, 9, and 12 weeks using the Children's Depression Rating Scale-Revised. Side effects were either absent or mild. PEP was administered with 74% fidelity. Remission was 77%, Ω3+PEP; 61%, PEP+placebo; 44%, Ω3; 56%, placebo. Intent-to-treat analyses found small to medium effects of combined treatment (d = .29) and Ω3 monotherapy (d = .42), but negligible effect for PEP+placebo (d < .10), all compared to placebo alone. Relative to placebo, youth with fewer social stressors responded better to Ω3 (p = .04), PEP (p = .028), and their combination (p = .035), and those with maternal depression responded better to PEP (p = .020) than did those without maternal depression. Remission rates were favorable compared to other studies of psychotherapy and comparable to an existing randomized controlled trial of Ω3; results warrant further evaluation in a larger sample. Ω3 was well tolerated. Active treatments show significantly more placebo-controlled depression improvement in the context of maternal depression and fewer stressors, suggesting that they may benefit depression with a more endogenous than environmental origin.

Indexed as

AdolescentChildDepressionFatty Acids, Omega-3FemaleHumansMalePilot ProjectsPsychotherapyTreatment OutcomeFatty Acids, Omega-3

Identifiers

PMID27819485
PMCPMC6066443
OpenAlexW2553256141

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.