Evidence map›Paper›PMID 28045285›Full record

Trial reportJournal of consulting and clinical psychology2017

A pragmatic randomized clinical trial of behavioral activation for depressed pregnant women.

Sona Dimidjian, Sherryl H Goodman, Nancy E Sherwood, Gregory E Simon, Evette Ludman, Robert Gallop, Stacy Shaw Welch, Jennifer M Boggs, Christina A Metcalf, Sam Hubley and 2 more

Open access · hybridAbstract readRandomized Controlled TrialPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 9 pooled it
7.9field-weighted citation impact, top 2% 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

56 citing papers in PubMed, 9 syntheses or guidelines pooled it, 138 citations in OpenAlex.

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  8. Behavioural activation therapy for depression in adults.The Cochrane database of systematic reviews · 2020
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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

12 authors at 8 institutions in 1 country.

Sona DimidjianDepartment of Psychology and Neuroscience.
Sherryl H GoodmanDepartment of Psychology, Emory University.
Nancy E SherwoodHealthPartners Institute for Education and Research.
Gregory E SimonGroup Health Research Institute, Group Health Cooperative.
Evette LudmanGroup Health Research Institute, Group Health Cooperative.
Robert GallopDepartment of Mathematics, Applied Statistics Program, West Chester University.
Stacy Shaw WelchEvidence-Based Treatment Centers of Seattle.
Jennifer M BoggsKaiser Permanente Colorado Institute for Health Research.
Christina A MetcalfDepartment of Psychology and Neuroscience.
Sam HubleyDepartment of Family Medicine, University of Colorado School of Medicine.
J David PowersKaiser Permanente Colorado Institute for Health Research.
Arne BeckKaiser Permanente Colorado Institute for Health Research.
Kaiser Permanente · USGroup Health Cooperative · USUniversity of Colorado Boulder · USEmory University · USHealthPartners · USUniversity of Colorado Denver · USWashington Center · USWest Chester University · US

Funding

SSRI's and SuicidalityU19MH092201 · NIMH · KAISER FOUNDATION RESEARCH INSTITUTE · PI SIMON, GREGORY E. · 2010 to 2018
$19.5M
NIMH NIH HHS U19 MH092201
6 · The paper itself

Abstract

objectiveDepression among pregnant women is a prevalent public health problem associated with poor maternal and offspring development. Behavioral activation (BA) is a scalable intervention aligned with pregnant women's preference for nonpharmacological depression care. This is the first test of the effectiveness of BA for depression among pregnant women, which aimed to evaluate the effectiveness of BA as compared with treatment as usual (TAU).

methodPregnant women (mean age = 28.75 years; SD = 5.67) with depression symptoms were randomly assigned to BA (n = 86) or TAU (n = 77). Exclusion criteria included known bipolar or psychotic disorder or immediate self-harm risk. Follow-up assessment occurred 5 and 10 weeks postrandomization and 3 months postpartum using self-report measures of primary and secondary outcomes and putative targets.

resultsCompared with TAU, BA was associated with significantly lower depressive symptoms (d = 0.34, p = .04) and higher remission (56.3% vs. 30.3%, p = .003). BA also demonstrated significant advantage on anxiety and perceived stress. Participants attended most BA sessions and reported high satisfaction. Participants in BA reported significantly higher levels of activation (d = 0.69, p < .0002) and environmental reward (d = 0.54, p < .003) than those who received TAU, and early change in both of these putative targets significantly mediated subsequent depression outcomes.

conclusionsBA is effective for pregnant women, offering significant depression, anxiety, and stress benefits, with mediation analyses supporting the importance of putative targets of activation and environmental reward. (PsycINFO Database Record

Indexed as

AdultAnxietyBehavior TherapyDepressionFemaleHumansPregnancyPregnancy ComplicationsStress, PsychologicalYoung Adult

Identifiers

PMID28045285
PMCPMC5699449
OpenAlexW2567004092

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.