Evidence map›Paper›PMID 32224489›Full record

Trial reportJournal of medical Internet research2020

Affect-Focused Psychodynamic Internet-Based Therapy for Adolescent Depression: Randomized Controlled Trial.

Karin Lindqvist, Jakob Mechler, Per Carlbring, Peter Lilliengren, Fredrik Falkenström, Gerhard Andersson, Robert Johansson, Julian Edbrooke-Childs, Hanne-Sofie J Dahl, Katja Lindert Bergsten and 6 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06133582 (Mood Awareness Psychotherapy Support - A Randomised Feasibility Trial of an Internet-Based Psychodynamic Treatment for University Students With Low Mood), which is not on this map. Cited by 34 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 4 pooled it
6.8field-weighted citation impact, top 3% 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.

NCT06133582 nacompletednot on this mapstarted 2023, after this paper: background citation

Mood Awareness Psychotherapy Support - A Randomised Feasibility Trial of an Internet-Based Psychodynamic Treatment for University Students With Low Mood

TypeinterventionalSponsorUniversity College, LondonRan2023 to 2024Enrolled45ConditionsDepression, AnxietyArmsInternet Based Psychodynamic Psychotherapy
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 4 syntheses or guidelines pooled it, 88 citations in OpenAlex.

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  15. Phone-Based Text Therapy for Youth Mental Health: Rapid Review.Interactive journal of medical research · 2023
    Review
  16. [The German S3 guideline for depressive disorders in childhood and adolescence: new developments].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023
    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

16 authors at 6 institutions in 3 countries.

Karin LindqvistDepartment of Psychology, Stockholm University, Stockholm, Sweden.ORCID 0000-0001-6325-4380
Jakob MechlerDepartment of Psychology, Stockholm University, Stockholm, Sweden.ORCID 0000-0002-1296-3432
Per CarlbringDepartment of Psychology, Stockholm University, Stockholm, Sweden.ORCID 0000-0002-2172-8813
Peter LilliengrenErsta Sköndal Bräcke University College, Stockholm, Sweden.ORCID 0000-0003-1978-5322
Fredrik FalkenströmDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.ORCID 0000-0002-2486-6859
Gerhard AnderssonDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.ORCID 0000-0003-4753-6745
Robert JohanssonDepartment of Psychology, Stockholm University, Stockholm, Sweden.ORCID 0000-0001-5547-3866
Julian Edbrooke-ChildsEvidence Based Practice Unit, Anna Freud National Centre for Children and Families, London, United Kingdom.ORCID 0000-0003-0401-4058
Hanne-Sofie J DahlVestfold Hospital Trust, Oslo, Norway.ORCID 0000-0002-5407-7172
Katja Lindert BergstenDepartment of Psychology, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-2552-337X
Nick MidgleyDepartment of Clinical, Educational and Health Psychology, University College London, London, United Kingdom.ORCID 0000-0002-6263-5058
Rolf SandellDepartment of Psychology, Lund University, Lund, Sweden.ORCID 0000-0003-3327-2048
Agneta ThorénThe Erica Foundation, Stockholm, Sweden.ORCID 0000-0002-0305-7366
Naira TopoocoDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.ORCID 0000-0001-5972-3041
Randi UlbergDivision of Mental Health and Addiction, University of Oslo, Oslo, Norway.ORCID 0000-0001-8872-8706
Björn PhilipsDepartment of Psychology, Stockholm University, Stockholm, Sweden.ORCID 0000-0003-4313-1011
Stockholm University · SELinköping University · SEAnna Freud Centre · GBUniversity of Oslo · NOLund University · SEUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdolescent depression is one of the largest health issues in the world and there is a pressing need for effective and accessible treatments.

objectiveThis trial examines whether affect-focused internet-based psychodynamic therapy (IPDT) with therapist support is more effective than an internet-based supportive control condition on reducing depression in adolescents.

methodsThe trial included 76 adolescents (61/76, 80% female; mean age 16.6 years), self-referred via an open access website and fulfilling criteria for major depressive disorder. Adolescents were randomized to 8 weeks of IPDT (38/76, 50%) or supportive control (38/76, 50%). The primary outcome was self-reported depressive symptoms, measured with the Quick Inventory of Depressive Symptomatology for Adolescents (QIDS-A17-SR). Secondary outcomes were anxiety severity, emotion regulation, self-compassion, and an additional depression measure. Assessments were made at baseline, postassessment, and at 6 months follow-up, in addition to weekly assessments of the primary outcome measure as well as emotion regulation during treatment.

resultsIPDT was significantly more effective than the control condition in reducing depression (d=0.82, P=.01), the result of which was corroborated by the second depression measure (d=0.80, P<.001). IPDT was also significantly more effective in reducing anxiety (d=0.78, P<.001) and increasing emotion regulation (d=0.97, P<.001) and self-compassion (d=0.65, P=.003). Significantly more patients in the IPDT group compared to the control group met criteria for response (56% vs 21%, respectively) and remission (35% vs 8%, respectively). Results on depression and anxiety symptoms were stable at 6 months follow-up. On average, participants completed 5.8 (SD 2.4) of the 8 modules.

conclusionsIPDT may be an effective intervention to reduce adolescent depression. Further research is needed, including comparisons with other treatments.

trial registrationInternational Standard Randomised Controlled Trial Number (ISRCTN) 16206254; http://www.isrctn.com/ISRCTN16206254.

Indexed as

AdolescentDepressionFemaleHumansInternetMalePsychoanalysisSelf ReportTreatment Outcomeadolescentsdepressive disorderinternet-based treatmentmobile phonepsychodynamictreatment outcome

Identifiers

PMID32224489
PMCPMC7154938
OpenAlexW3013097636

What OpenQuestion holds

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LicenceCC BY
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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.