Evidence map›Paper›PMID 32171328›Full record

Trial reportBMC psychology2020

A randomized controlled trial of a six-session cognitive behavioral treatment of emotional disorders in adolescents 14-17 years old in child and adolescent mental health services (CAMHS).

Veronica Lorentzen, Kenneth Fagermo, Bjørn Helge Handegård, Ingunn Skre, Simon-Peter Neumer

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02150265 (Effectiveness of Cognitive Behavioral Short-term Treatment for Adolescents With Emotional Symptom Problems in Community Clinics in Norway. A Randomized Controlled Study), which is not on this 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
–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.

NCT02150265 nacompletednot on this map

Effectiveness of Cognitive Behavioral Short-term Treatment for Adolescents With Emotional Symptom Problems in Community Clinics in Norway. A Randomized Controlled Study

TypeinterventionalSponsorUniversity of TromsoRan2013 to 2018Enrolled163ConditionsGeneralized Anxiety Disorder, Social Phobia, Agoraphobia, DepressionArmsSMART manual cognitive behavioral therapy
3 · Its place in the literature

Who cites it

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

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  5. Review
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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

5 authors.

Veronica LorentzenDepartment of Psychology, Faculty of Health Sciences, UIT The Arctic University of Norway, 9037, Tromsø, Norway. veronica.lorentzen@uit.no.ORCID http://orcid.org/0000-0001-6165-6730
Kenneth FagermoDepartment of Child and Adolescent Psychiatry, Divisions of Child and Adolescent Health, University Hospital of North Norway, P.O. Box 19, 9038, Tromsø, Norway.
Bjørn Helge HandegårdRegional Centre for Child and Youth Mental Health and Child Welfare, UIT The Arctic University of Norway, 9037, Tromsø, Norway.
Ingunn SkreDepartment of Psychology, Faculty of Health Sciences, UIT The Arctic University of Norway, 9037, Tromsø, Norway.
Simon-Peter NeumerRegional Centre for Child and Youth Mental Health and Child Welfare, UIT The Arctic University of Norway, 9037, Tromsø, Norway.

Funding

Helse Nord RHF 8563 PFP 112-13
6 · The paper itself

Abstract

backgroundThis study aims to investigate effectiveness of a 6-week, transdiagnostic cognitive behavioral therapy (CBT) for anxiety and depression in adolescents, the Structured Material for Therapy (SMART), in naturalistic settings of child and adolescent mental health outpatient services (CAMHS).

methodsA randomized controlled trial with waiting list control (WLC) was performed at three community CAMHS in Norway. Referred adolescents (N = 163, age = 15.72, 90.3% girls) scoring 6 or more on the emotional disorders subscale of the Strengths and Difficulties Questionnaire (SDQ) were randomly assigned to SMART or to WLC.

resultsIn the treatment group (CBT), 32.9% improved in the main outcome measure (SDQ), compared to 11.6% in the WLC. Clinically significant and reliable change was experienced by 17.7% in the CBT condition, compared to 5.8% in the WLC. No patients deteriorated. Statistically significant treatment effects were achieved for internalization symptoms, anxiety symptoms and general functioning.

conclusionsThese promising findings indicate that SMART may be considered as a first step in a stepped care model for anxiety and/or depression treatment in CAMHS. The recovery rates imply that further investigations into the effectiveness of brief treatments should be made. Furthermore, there is a need for more comprehensive second-stage treatments for some of these patients.

trial registrationClinicalTrials.gov Identifier: NCT02150265. First registered May 292,014.

Indexed as

Cognitive Behavioral TherapyAdolescentAnxietyDepressionFemaleHumansMajor Depressive DisorderMaleMental Health ServicesNorwayTreatment OutcomeWaiting ListsAdolescenceCognitive behavioural therapyEffectivenessEmotional disordersTransdiagnosticTreatment

Identifiers

PMID32171328
PMCPMC7073009

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.