Evidence map›Paper›PMID 32114185›Full record

ArticleContemporary clinical trials2020

Augmenting usual care SSRIs with cognitive behavioral therapy for insomnia to improve depression outcomes in youth: Design of a randomized controlled efficacy-effectiveness trial.

Greg Clarke, Christina R Sheppler, Alison J Firemark, Andreea M Rawlings, John F Dickerson, Michael C Leo

Registry-linked trialOpen access · greenAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02290496 (CBT Insomnia Teens), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 31% 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.

NCT02290496 nacompletednot on this map

CBT Insomnia Teens: Augmenting Usual Care SSRIs to Improve Youth Depression Outcomes

TypeinterventionalSponsorKaiser PermanenteRan2015 to 2018Enrolled165ConditionsInsomnia, DepressionArmsCBT for Insomnia (CBT-I), Sleep Hygiene (SH)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Predictors of Sleep-Problem Trajectories Across Adolescence.Research on child and adolescent psychopathology · 2022
    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 at 1 institution in 1 country.

Greg ClarkeKaiser Permanente Northwest, Center for Health Research, 3800 N Interstate Ave, Portland, OR 97227, USA. Electronic address: Greg.Clarke@kpchr.org.
Christina R ShepplerKaiser Permanente Northwest, Center for Health Research, 3800 N Interstate Ave, Portland, OR 97227, USA. Electronic address: Christina.R.Sheppler@kpchr.org.
Alison J FiremarkKaiser Permanente Northwest, Center for Health Research, 3800 N Interstate Ave, Portland, OR 97227, USA. Electronic address: Alison.J.Firemark@kpchr.org.
Andreea M RawlingsKaiser Permanente Northwest, Center for Health Research, 3800 N Interstate Ave, Portland, OR 97227, USA. Electronic address: Andreea.M.Rawlings@kpchr.org.
John F DickersonKaiser Permanente Northwest, Center for Health Research, 3800 N Interstate Ave, Portland, OR 97227, USA. Electronic address: John.F.Dickerson@kpchr.org.
Michael C LeoKaiser Permanente Northwest, Center for Health Research, 3800 N Interstate Ave, Portland, OR 97227, USA. Electronic address: Michael.C.Leo@kpchr.org.
Kaiser Permanente Center for Health Research · US

Funding

CBT-Insomnia Augmenting Usual Care SSRIs to Improve Youth Depression OutcomesR01MH104647 · NIMH · KAISER FOUNDATION RESEARCH INSTITUTE · PI CLARKE, GREGORY N · 2014 to 2017
$2.7M
NIMH NIH HHS R01 MH104647
6 · The paper itself

Abstract

importanceExtant treatments for youth depression are only modestly effective. Alternative approaches are needed to improve health outcomes. A novel approach to improve depression outcomes is suggested by epidemiological studies finding that insomnia often predates and may contribute to depression risk. We test whether treating insomnia among youth starting a new course of SSRI antidepressants improves depression outcomes. This paper describes our study design.

design2-arm randomized controlled efficacy-effectiveness trial.

settingA large non-profit health maintenance organization.

participants165 adolescents aged 12-19 with research-confirmed depression and insomnia diagnoses, starting a new episode of selective serotonin reuptake inhibitor (SSRI) antidepressant treatment prescribed by their usual care provider.

interventionsTwo sleep interventions, each 6-7 sessions, both overlaying "treatment as usual" (TAU) SSRIs: a sleep hygiene (SH) attention control condition, and cognitive-behavioral therapy for insomnia (CBTI). CONCLUSIONS AND RELEVANCE: If CBT-I improved sleep is shown to improve depression-related outcomes, this may provide an additional, easily tolerated intervention for an important public health target.

trial registrationclinicaltrials.gov, NCT02290496, https://clinicaltrials.gov/ct2/show/NCT02290496.

Indexed as

Cognitive Behavioral TherapyDepressionSelective Serotonin Reuptake InhibitorsSleep Initiation and Maintenance DisordersAdolescentChildFemaleHumansMaleParentsRandomized Controlled Trials as TopicResearch DesignSleep HygieneTrauma Severity IndicesYoung AdultSelective Serotonin Reuptake InhibitorsAdolescentCognitive-behavioral therapyDepressionInsomniaSleep hygieneTrial

Identifiers

PMID32114185
PMCPMC7263975
OpenAlexW3007212152

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.