Evidence map›Paper›PMID 29416337›Full record

ArticleNeuropsychiatric disease and treatment2018

Comparative efficacy and acceptability of bibliotherapy for depression and anxiety disorders in children and adolescents: a meta-analysis of randomized clinical trials.

Shuai Yuan, Xinyu Zhou, Yuqing Zhang, Hanpin Zhang, Juncai Pu, Lining Yang, Lanxiang Liu, Xiaofeng Jiang, Peng Xie

Registry-linked trialAbstract read
In one paragraph

Article in Neuropsychiatric disease and treatment, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05351645 (Digital Narrative Bibliotherapy as a Scalable Intervention for Suicidal Thoughts), which is not on this map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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.

NCT05351645 nacompletednot on this mapstarted 2020, after this paper: background citation

Digital Narrative Bibliotherapy as a Scalable Intervention for Suicidal Thoughts: A Randomized Controlled Trial (Testing Whether Selected Blog Posts Can Improve Well-being)

TypeinterventionalSponsorHarvard UniversityRan2020 to 2021Enrolled864ConditionsSuicidal IdeationArmsTreatment
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Pooled it
  3. Mirrors for Pacific Islander Children: Teaching Resilience Through Culturally Adapted Bibliotherapy.International journal of environmental research and public health · 2025
    Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. Psychotherapeutic treatments for depression in older adults.The Cochrane database of systematic reviews · 2024
    Article
  9. Internet-Delivered Cognitive Behavioral Therapy for Anxiety.Advances in psychiatry and behavioral health · 2024
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Anxiety problems in children and adolescents: a population-based cohort study on incidence and management in Dutch primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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.

Shuai Yuan *Institute of Neuroscience and the Collaborative Innovation Center for Brain Science, Chongqing Medical University.
Xinyu Zhou *Institute of Neuroscience and the Collaborative Innovation Center for Brain Science, Chongqing Medical University.
Yuqing Zhang *Institute of Neuroscience and the Collaborative Innovation Center for Brain Science, Chongqing Medical University.
Hanpin Zhang *Institute of Neuroscience and the Collaborative Innovation Center for Brain Science, Chongqing Medical University.
Juncai PuInstitute of Neuroscience and the Collaborative Innovation Center for Brain Science, Chongqing Medical University.
Lining YangInstitute of Neuroscience and the Collaborative Innovation Center for Brain Science, Chongqing Medical University.
Lanxiang LiuInstitute of Neuroscience and the Collaborative Innovation Center for Brain Science, Chongqing Medical University.
Xiaofeng JiangInstitute of Neuroscience and the Collaborative Innovation Center for Brain Science, Chongqing Medical University.
Peng XieInstitute of Neuroscience and the Collaborative Innovation Center for Brain Science, Chongqing Medical University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDepression and anxiety are the most common mental disorders in children and adolescents. Bibliotherapy is a treatment using written materials for mental health problems. Its main advantages are ease of use, low cost, low staffing demands, and greater privacy. Yet few meta-analyses have focused on the effect of bibliotherapy on depression and anxiety disorders in children and adolescents.

methodsWe included randomized controlled trials comparing bibliotherapy with control conditions for depression and anxiety in children and adolescents (aged ≤18 years). Five electronic databases (PubMed, Embase, Cochrane, Web of Science, and PsycINFO) were searched from inception to January 2017. Efficacy was defined as mean change scores in depression and anxiety symptoms. Acceptability was defined as the proportion of participants who discontinued the treatment. Random effects model was used. An intention-to-treat analysis was conducted.

resultsEight studies with 979 participants were selected. At posttreatment, bibliotherapy was significantly more effective than the control conditions in reducing the symptoms of depression or anxiety (standardized mean difference, -0.52; 95% confidence interval [CI], -0.89 to -0.15). Bibliotherapy did not have statistically significantly more all-cause discontinuations than controls (risk ratios, 1.66; 95% CI, 0.93 to 2.95). We also performed subgroup analyses for efficacy outcomes in different categories (types of disorder, mean age, control conditions, and parental involvement) of studies and found that bibliotherapy has been more effective in depressive adolescents. LIMITATIONS: Limited studies were eligible in this review and hence there was potential publication bias.

conclusionAccording to the findings in this review, bibliotherapy may be more beneficial in treating depression in adolescents, but shows less robust effects for anxiety in children. Further well-defined clinical studies should be performed to confirm these outcomes.

Indexed as

bibliotherapymental disordersmeta-analysispsychotherapyself helpyoung

Identifiers

PMID29416337
PMCPMC5788928

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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.