Evidence map›Paper›PMID 30906874›Full record

ArticleEvidence-based practice in child and adolescent mental health2018

Secondary Outcomes From the Child/Adolescent Anxiety Multimodal Study: Implications for Clinical Practice.

Anne Marie Albano, Jonathan S Comer, Scott N Compton, John Piacentini, Philip C Kendall, Boris Birmaher, John T Walkup, Golda S Ginsburg, Moira A Rynn, James McCracken and 3 more

Open access · greenAbstract read
In one paragraph

Article in Evidence-based practice in child and adolescent mental health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Moderators of Outcome for Youth Anxiety Treatments: Current Findings and Future Directions.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    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

13 authors at 10 institutions in 1 country.

Anne Marie AlbanoDepartment of Psychiatry, Division of Child & Adolescent Psychiatry, Columbia University Medical Center, New York, NY.
Jonathan S ComerDepartments of Psychology and Psychiatry, Center for Children and Families, Florida International University, Miami, FL.
Scott N ComptonDepartment of Psychiatry and Biobehavioral Sciences, Duke University, Durham, North Carolina.
John PiacentiniDepartment of Psychiatry and Biobehavioral Sciences, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA.
Philip C KendallDepartment of Psychology, Temple University, Philadelphia, PA.
Boris BirmaherWestern Psychiatric Institute and Clinic-University of Pittsburgh Medical Center, Pittsburgh, PA.
John T WalkupDepartment of Psychiatry, Weill Cornell Medical College and New York Presbyterian Hospital, New York, NY.
Golda S GinsburgDepartment of Psychiatry, University of Connecticut School of Medicine, Farmington, CT.
Moira A RynnDepartment of Psychiatry and Biobehavioral Sciences, Duke University, Durham, North Carolina.
James McCrackenDepartment of Psychiatry and Biobehavioral Sciences, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA.
Courtney KeetonDepartment of Psychiatry, Johns Hopkins Medical Institutions.
Dara J SakolskyWestern Psychiatric Institute and Clinic-University of Pittsburgh Medical Center, Pittsburgh, PA.
Joel T SherrillDivision of Services and Interventions Research, National Institute of Mental Health, Bethesda, MD.
Duke University · USNeurobehavioral Systems · USUniversity of Pittsburgh Medical Center · USColumbia University Irving Medical Center · USFlorida International University · USJohns Hopkins University · USNational Institute of Mental Health · USPresbyterian Hospital · USTemple University · USUniversity of Connecticut · US

Funding

Child/Adolescent Anxiety Multimodal Treatment StudyU01MH064089 · NIMH · JOHNS HOPKINS UNIVERSITY · PI GINSBURG, GOLDA SUSAN · 2002 to 2007
$3.1M
Child/Adolescent Anxiety Multimodal Treatment StudyU01MH064003 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BIRMAHER, BORIS · 2002 to 2007
$2.7M
Child and Adolescent Anxiety Multisite Study (CAMS)U01MH064107 · NIMH · DUKE UNIVERSITY · PI MARCH, JOHN S · 2002 to 2007
$2.4M
Child/Adolescent Anxiety Multimodal Treatment StudyU01MH063747 · NIMH · TEMPLE UNIV OF THE COMMONWEALTH · PI KENDALL, PHILIP C · 2002 to 2007
$2.2M
Child/Adolescent Anxiety Multimodal Treatment StudyU01MH064088 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI PIACENTINI, JOHN C. · 2002 to 2007
$2.1M
Evaluating the Feasibility of Internet-Delivered Parent-Child Interaction TherapyK23MH090247 · NIMH · FLORIDA INTERNATIONAL UNIVERSITY · PI COMER, JONATHAN S · 2011 to 2015
$808k
6/6-Child/Adolescent Anxiety Multimodal Extended Long-Term Study (CAMELS)R01MH064088 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI PIACENTINI, JOHN C. · 2010 to 2014
$611k
NIMH NIH HHS K23 MH090247NIMH NIH HHS R01 MH064088NIMH NIH HHS U01 MH063747NIMH NIH HHS U01 MH064003NIMH NIH HHS U01 MH064088NIMH NIH HHS U01 MH064089NIMH NIH HHS U01 MH064107
6 · The paper itself

Abstract

backgroundControlled evaluations comparing medication, cognitive-behavioral therapy (CBT), and their combination in the treatment of youth anxiety have predominantly focused on global ratings by independent evaluators. Such ratings are resource-intensive, may be of limited generalizability, and do not directly inform our understanding of treatment responses from the perspective of treated families. We examined outcomes from the perspective of treated youth and parents in the Child/Adolescent Anxiety Multimodal Study (CAMS).

methodsParticipants (N=488; ages 7-17 years) who had a primary diagnosis of separation, social, and/or generalized anxiety disorder were randomly assigned to a treatment condition in the CAMS trial. Linear mixed-effects and ANCOVA models examined parent- and youth-reported anxiety symptoms, impact of anxiety, broader internalizing and externalizing psychopathology, depressive symptoms, and family burden throughout the 12-week acute treatment phase and 6-month follow-up.

resultsAt week 12, combination treatment showed superiority over placebo, sertraline, and CBT with regard to parent-reported youth anxiety symptoms, and sertraline and CBT as monotherapies showed superiority over placebo with regard to parent-reported youth anxiety. Combination therapy and sertraline also showed week 12 superiority over placebo with regard to parent-reported internalizing psychopathology, and superiority over placebo and CBT with regard to parent-reported impact of anxiety, family burden, and youth depressive symptoms. By week 36, parent reports of many youth outcomes were comparable across active conditions. Youth measures tracked parent measures on many outcomes.

conclusionsFindings were drawn on brief, readily available questionnaires that in conjunction with clinician measures can inform patient-centered care and collaborative decision-making.

Indexed as

Anxiety/Anxiety DisordersCBT/Cognitive-Behavioral TherapyChild/AdolescentClinical TrialsPharmacotherapy

Identifiers

PMID30906874
PMCPMC6425733
OpenAlexW2769463836

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.