Evidence map›Paper›PMID 30768414›Full record

Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2019

Trajectories of Symptom Change in the Treatment for Adolescents With Depression Study.

Kelli Scott, Cara C Lewis, C Nathan Marti

Registry-linked trialAbstract readMulticenter StudyRandomized 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 NCT00006286 (Treatment for Adolescents With Depression Study), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 7% 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.

NCT00006286 phase3completednot on this map

Treatment for Adolescents With Depression Study (TADS)

TypeinterventionalSponsorNational Institute of Mental Health (NIMH)Ran1998 to 2004Enrolled432ConditionsMajor Depressive Disorder, DepressionArmsFluoxetine, Psychotherapy
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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  11. Changed sleep according to weighted blanket adherence in a 16-week sleep intervention among children with attention-deficit/hyperactivity disorder.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
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  19. Annual Research Review: Defining and treating pediatric treatment-resistant depression.Journal of child psychology and psychiatry, and allied disciplines · 2020
    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

3 authors at 3 institutions in 1 country.

Kelli ScottIndiana University, Bloomington, IN; Brown University School of Public Health, Providence, RI.
Cara C LewisIndiana University, Bloomington, IN; Kaiser Permanente Washington Health Research Institute, Seattle, WA; University of Washington School of Medicine, Seattle. Electronic address: cara.c.lewis@kp.org.
C Nathan MartiAbacist Analytics, Austin, TX; University of Texas, Austin.
Brown University · USKaiser Permanente Washington Health Research Institute · USThe University of Texas at Austin · US

Funding

ALCOHOL INTERVENTION/TREATMENT OUTCOME RESEARCH TRAININGT32AA007459 · NIAAA · BROWN UNIVERSITY · PI ROBERT MIRANDA, PETER M. MONTI · 1986 to 2026
$13.3M
Telehealth Treatments for Depression with Low-Income Homebound SeniorsR01MD009675 · NIMHD · UNIVERSITY OF TEXAS AT AUSTIN · PI CHOI, NAMKEE G · 2015 to 2025
$5.3M
Training in Clinical Translational Science: Maximizing the Public Health ImpactT32MH103213 · NIMH · TRUSTEES OF INDIANA UNIVERSITY · PI WILLIAM P HETRICK · 2015 to 2026
$3.4M
Standardized versus Tailored Implementation of Measurement Based Care for DepressionR01MH103310 · NIMH · TRUSTEES OF INDIANA UNIVERSITY · PI LEWIS, CARA CHARISSA · 2014 to 2017
$2.0M
Advancing Implementation Science through Measure Development and EvaluationR01MH106510 · NIMH · TRUSTEES OF INDIANA UNIVERSITY · PI LEWIS, CARA CHARISSA · 2015 to 2017
$1.3M
Identifying the Mechanisms of Change in Measurement Based Care for DepressionF31MH111134 · NIMH · TRUSTEES OF INDIANA UNIVERSITY · PI SCOTT, KELLI · 2016 to 2016
$40k
NIAAA NIH HHS T32 AA007459NIMHD NIH HHS R01 MD009675NIMH NIH HHS F31 MH111134NIMH NIH HHS R01 MH103310NIMH NIH HHS R01 MH106510NIMH NIH HHS T32 MH103213
6 · The paper itself

Abstract

objectiveDepression is the most prominent mental health disorder among youth and has a profound impact with respect to morbidity and mortality if not addressed. The Treatment for Adolescent Depression Study (TADS) is one of the largest randomized controlled trials that compared the effectiveness of four treatments: cognitive-behavioral therapy (CBT); fluoxetine (FLX); combined cognitive-behavioral and fluoxetine treatment (COMB); and placebo (PBO). However, meaningful heterogeneous treatment courses are masked by these group mean comparisons of treatment impact. The present study sought to characterize the acute phase symptom trajectories of the depressed teens enrolled in TADS and to explore predictors of these trajectories, including TADS treatment condition.

methodThe TADS sample of 439 adolescent participants diagnosed with major depressive disorder was subjected to growth mixture modeling (GMM) to evaluate subgroups of adolescents with unique trajectories of depression symptom change.

resultsGrowth mixture modeling revealed three unique classes of adolescents: (1) a high-severity class with early significant improvement; (2) a high-severity class with limited symptom change; and (3) a moderate severity class with late significant improvement. Baseline predictors of class membership included treatment condition, sex, age, stage of change, depression severity, number of comorbid disorders, hopelessness, melancholia, suicidality, and cognitive distortions.

conclusionResults of this study may have implications for the selection of which treatment to use for which depressed adolescent. CLINICAL TRIAL REGISTRATION INFORMATION: Treatment for Adolescents With Depression Study (TADS); https://clinicaltrials.gov/; NCT00006286.

Indexed as

AdolescentCognitive Behavioral TherapyCombined Modality TherapyDiagnostic and Statistical Manual of Mental DisordersFemaleFluoxetineHumansMajor Depressive DisorderMaleQuality of LifeRemission InductionSelective Serotonin Reuptake InhibitorsSeverity of Illness IndexUnited StatesFluoxetineSelective Serotonin Reuptake Inhibitorscognitive-behavioral therapydepressiontreatment

Identifiers

PMID30768414
PMCPMC6557284
OpenAlexW2909723421

What OpenQuestion holds

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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.