Evidence map›Paper›PMID 29921144›Full record

Trial reportThe American journal of psychiatry2018

A Randomized Controlled Trial of Parent-Child Psychotherapy Targeting Emotion Development for Early Childhood Depression.

Joan L Luby, Deanna M Barch, Diana Whalen, Rebecca Tillman, Kenneth E Freedland

2 registry-linked trialsOpen access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in The American journal of psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 78 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 2 pooled it
18.4field-weighted citation impact, top 1% 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.

NCT02076425 nacompletednot on this map

A Randomized Controlled Trial of PCIT-ED for Preschool Depression

TypeinterventionalSponsorWashington University School of MedicineRan2014 to 2018Enrolled229ConditionsDepressive Disorder, MajorArmsPCIT-ED
NCT04399629 nacompletednot on this mapstarted 2019, after this paper: background citation

Preschool Based Prevention Targeting Emotion Development in Young Children Facing Adversity

TypeinterventionalSponsorWashington University School of MedicineRan2019 to 2021Enrolled62ConditionsChildhood Mental DisorderArmsPCIT-ED, Parenting Wisely
3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 2 syntheses or guidelines pooled it, 141 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Hippocampal volume and depression among young children.Psychiatry research. Neuroimaging · 2019
    Trial
  18. Trial
  19. Technology-Enhanced BPT for Early-Onset Behavior Disorders: Improved Outcomes for Children With Co-Occurring Internalizing Symptoms.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Trial
  20. Article

18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Joan L LubyFrom the Department of Psychiatry, the Department of Radiology, and the Department of Psychological and Brain Sciences, Washington University in St. Louis.
Deanna M BarchFrom the Department of Psychiatry, the Department of Radiology, and the Department of Psychological and Brain Sciences, Washington University in St. Louis.
Diana WhalenFrom the Department of Psychiatry, the Department of Radiology, and the Department of Psychological and Brain Sciences, Washington University in St. Louis.
Rebecca TillmanFrom the Department of Psychiatry, the Department of Radiology, and the Department of Psychological and Brain Sciences, Washington University in St. Louis.
Kenneth E FreedlandFrom the Department of Psychiatry, the Department of Radiology, and the Department of Psychological and Brain Sciences, Washington University in St. Louis.
Hologic (Germany) · DE

Funding

Developmental Neuroscience and Child PsychopathologyT32MH100019 · NIMH · WASHINGTON UNIVERSITY · PI Deanna Barch, JOAN L. LUBY · 2013 to 2026
$4.8M
A RANDOMIZED CONTROLLED TRIAL OF PCIT-ED FOR PRESCHOOL DEPRESSIONR01MH098454 · NIMH · WASHINGTON UNIVERSITY · PI BARCH, DEANNA, LUBY, JOAN L. · 2013 to 2017
$4.6M
Influence of Physical Activity on Daily Positive Affect & Affective Neural Activity in PreschoolersK23MH118426 · NIMH · WASHINGTON UNIVERSITY · PI WHALEN, DIANA J · 2018 to 2022
$879k
NIMH NIH HHS K23 MH118426NIMH NIH HHS L30 MH108015NIMH NIH HHS R01 MH098454NIMH NIH HHS T32 MH100019
6 · The paper itself

Abstract

objectiveClinical depression in children as young as age 3 has been validated, and prevalence rates are similar to the school-age disorder. Homotypic continuity between early and later childhood depression has been observed, with alterations in brain function and structure similar to those reported in depressed adults. These findings highlight the importance of identifying and treating depression as early as developmentally possible, given the relative treatment resistance and small effect sizes for treatments later in life. The authors conducted a randomized controlled trial of a dyadic parent-child psycho-therapy for early childhood depression that focuses on enhancing the child's emotional competence and emotion regulation.

methodA modified version of the empirically tested parent-child interaction therapy with a novel "emotion development" module (PCIT-ED) was compared with a waiting list condition in a randomized controlled trial in 229 parent-child dyads with children 3-6.11 years of age. Both study arms lasted 18 weeks.

resultsChildren in the PCIT-ED group had lower rates of depression (primary outcome), lower depression severity, and lower impairment compared with those in the waiting list condition (Cohen's d values, >1.0). Measures of child emotional functioning and parenting stress and depression were significantly improved in the PCIT-ED group.

conclusionsThe findings from this randomized controlled trial of a parent-child psychotherapy for early childhood depression suggest that earlier identification and intervention in this chronic and relapsing disorder represents a key new pathway for more effective treatment. Manualized PCIT-ED, administered by master's-level clinicians, is feasible for delivery in community health settings.

Indexed as

Child DevelopmentEmotionsParent-Child RelationsChildChild, PreschoolDepressionEmotion-Focused TherapyFemaleHumansMalePsychotherapySingle-Blind MethodDepression TreatmentEarly ChildhoodPsychotherapy

Identifiers

PMID29921144
PMCPMC6309340
OpenAlexW2808736293

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.