Evidence map›Paper›PMID 30768413›Full record

Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2019

Changing Conceptions of Death as a Function of Depression Status, Suicidal Ideation, and Media Exposure in Early Childhood.

Laura Hennefield, Diana J Whalen, Grace Wood, Mary C Chavarria, Joan L Luby

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Academy of Child and Adolescent Psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00595283 (Early Intervention in Depression), which is not on this map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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.

NCT00595283 nacompletednot on this map

Early Intervention in Depression: Dyadic Emotion Development Therapy for Preschool Children

TypeinterventionalSponsorWashington University School of MedicineRan2007 to 2010Enrolled38ConditionsDepressionArmsParent Child Interaction Therapy-Emotion Development (PCIT-ED), Developmental Education Parenting Intervention (DEPI)
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Measurement of screen time among young children aged 0-6 years: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Preschool Mood Disorders: A Review of the Literature from 2017 to 2024.Child and adolescent psychiatric clinics of North America · 2025
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Trajectories of Suicidal Thoughts and Behaviors From Preschool Through Late Adolescence.Journal of the American Academy of Child and Adolescent Psychiatry · 2022
    Article
  17. Article
  18. Preschool Depression: a Diagnostic Reality.Current psychiatry reports · 2019
    Review
  19. Review
  20. Future Directions in Suicide and Self-Injury Revisited: Integrating a Developmental Psychopathology Perspective.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Laura HennefieldWashington University School of Medicine, St. Louis, MO. Electronic address: lhennefield@wustl.edu.
Diana J WhalenWashington University School of Medicine, St. Louis, MO.
Grace WoodWashington University School of Medicine, St. Louis, MO.
Mary C ChavarriaWashington University School of Medicine, St. Louis, MO.
Joan L LubyWashington University School of Medicine, St. Louis, MO.

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
The Development of Optimism in Preschool Age Children: Individual Differences and Implications for Resiliency and Mental HealthF32HD093273 · NICHD · WASHINGTON UNIVERSITY · PI HENNEFIELD, LAURA · 2017 to 2020
$173k
NICHD NIH HHS F32 HD093273NIMH NIH HHS K23 MH118426NIMH NIH HHS L30 MH108015NIMH NIH HHS R01 MH098454NIMH NIH HHS T32 MH100019
6 · The paper itself

Abstract

objectiveThis study characterized 3- to 6-year-old children's understanding of death as a function of depression status, suicidal ideation (SI), and media consumption.

methodParticipants were 79 children with depression (3.0-6.11 years old) who completed a comprehensive psychiatric assessment and experimenter-led death interview and a comparison group of 60 healthy children (4.0-7.12 years old). The interview assessed children's understanding of 5 concepts of death: universality, applicability, irreversibility, cessation, and causality. Children's mastery of each concept and overall understanding of death was examined as a function of depression and SI status: depressed with SI (n = 22), depressed without SI (n = 57), and healthy (n = 60). Children's observed emotional reactions to hearing about natural death, accidental death, and suicide were assessed by death-themed stories. Parent reports of children's television and videogames/internet consumption assessed links between media exposure and understanding of death.

resultsChildren with depression and SI scored higher on overall understanding of death than those with depression without SI and healthy children. They also exhibited more sad and anxious affect listening to death-themed stories and were more likely to describe death as caused by violence. Across this sample, older children also were more likely to depict death as violent. More television use was associated with less understanding of death, including the concept of irreversibility.

conclusionChildren with depression and SI have a more advanced understanding of death than their peers, dispelling the myth that these ideations arise in the context of a poor understanding of death. The increase in violence attributions across early childhood could indicate increasing normalization of violence in children's perceptions of death. CLINICAL TRIAL REGISTRATION INFORMATION: A Randomized Controlled Trial of PCIT-ED for Preschool Depression; http://clinicaltrials.gov; NCT00595283.

Indexed as

Attitude to DeathSuicidal IdeationTelevisionChildChild DevelopmentChild, PreschoolDepressionFemaleHumansLinear ModelsMaleRisk Factorsdeath understandingdepressionearly childhoodmediasuicidality

Identifiers

PMID30768413
PMCPMC6401239

What OpenQuestion holds

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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.