Evidence map›Paper›PMID 31102063›Full record

Trial reportJournal of abnormal child psychology2019

Latent Profiles of Cognitive and Interpersonal Risk Factors for Adolescent Depression and Implications for Personalized Treatment.

Meredith Gunlicks-Stoessel, Dikla Eckshtain, Susanne Lee, Kristina Reigstad, Laura Mufson, John Weisz

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of abnormal child psychology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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.

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

7 citing papers in PubMed.

  1. Article
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  5. Article
  6. Article
  7. Prevalence and Interpersonal Correlates of Internet Gaming Disorders among Chinese Adolescents.International journal of environmental research and public health · 2020
    Article
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

6 authors.

Meredith Gunlicks-StoesselDepartment of Psychiatry, University of Minnesota, 2450 Riverside Ave, F256/2B West, Minneapolis, MN, 55454, USA. mgunlick@umn.edu.ORCID 0000-0002-5194-113X
Dikla EckshtainDivision of Child and Adolescent Psychiatry, Massachusetts General Hospital, 185 Cambridge Street, Boston, MA, 02114, USA.
Susanne LeeInstitute for Translational Research in Children's Mental Health, University of Minnesota, 1100 Washington Avenue S, Suite 102, Minneapolis, MN, 55415, USA.
Kristina ReigstadDepartment of Psychiatry, University of Minnesota, 2450 Riverside Ave, F256/2B West, Minneapolis, MN, 55454, USA.
Laura MufsonDivision of Child & Adolescent Psychiatry, Columbia University College of Physicians & Surgeons and New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY, 10032, USA.
John WeiszDepartment of Psychology, Harvard University, 1030 William James Hall, Cambridge, MA, 02138, USA.

Funding

NIMH NIH HHS RFP-NIH-NIMH 98-DS-0008
6 · The paper itself

Abstract

A personalized approach to treatment with patients being matched to the best-fit treatment has been proposed as one possible solution to the currently modest treatment response rates for adolescent depression. Personalized treatment involves identifying and characterizing subgroups likely to respond differently to different treatments. We investigated the feasibility of this approach, by focusing on two key risk factors that are the purported treatment targets of cognitive behavioral therapy (CBT) and interpersonal psychotherapy for depressed adolescents (IPT-A): negative unrealistic cognitions and interpersonal relationship difficulties, respectively. We sought to learn whether subgroups high and low on the two risk factors, respectively, might be identified in a large sample of depressed, treatment-seeking adolescents. Latent class analysis (LCA) was conducted on measures of the two risk factors among 431 adolescents (age 12-17) in the Treatment for Adolescents with Depression Study. LCA identified three classes: (1) adolescents with high levels of problems in both family relationships and cognitions (21.6% of sample), (2) adolescents with moderate levels of problems in both domains (52.4%), and (3) adolescents with low levels of problems in both domains (26.0%). These subgroups did not predict treatment outcome with CBT or CBT + fluoxetine (COMB). The results challenge a current assumption about how treatments could be personalized, and they support a multi-causal model of depression rather than a risk-factor-specific model. Strategies other than risk factor-based personalizing for case assignment to CBT vs. IPT-A are discussed.

Indexed as

Cognitive Behavioral TherapyInterpersonal RelationsOutcome and Process Assessment, Health CareAdolescentAntidepressive Agents, Second-GenerationChildCognitive DysfunctionCombined Modality TherapyFemaleFluoxetineHumansMajor Depressive DisorderMaleRisk FactorsAntidepressive Agents, Second-GenerationFluoxetineAdolescentsCognitionsDepressionFamilyTreatment

Identifiers

What OpenQuestion holds

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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.