Evidence map›Paper›PMID 32600400›Full record

ArticleTrials2020

Internet-based psychodynamic versus cognitive behaviour therapy for adolescents with depression: study protocol for a non-inferiority randomized controlled trial (the ERiCA study).

Jakob Mechler, Karin Lindqvist, Per Carlbring, Peter Lilliengren, Fredrik Falkenström, Gerhard Andersson, Naira Topooco, Robert Johansson, Nick Midgley, Julian Edbrooke-Childs and 6 more

Abstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

16 authors.

Jakob MechlerDepartment of Psychology, Stockholm University, Stockholm, Sweden.
Karin LindqvistDepartment of Psychology, Stockholm University, Stockholm, Sweden.
Per CarlbringDepartment of Psychology, Stockholm University, Stockholm, Sweden.
Peter LilliengrenErsta Sköndal Bräcke University College, Stockholm, Sweden.
Fredrik FalkenströmDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Gerhard AnderssonDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Naira TopoocoDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Robert JohanssonDepartment of Psychology, Stockholm University, Stockholm, Sweden.
Nick MidgleyChild Attachment and Psychological Therapies Research Unit (ChAPTRe), Anna Freud Centre, London, UK.
Julian Edbrooke-ChildsDepartment of Clinical, Educational and Health Psychology, University College London, London, UK.
Hanne-Sofie J DahlVestfold Hospital Trust, Tønsberg, Norway.
Rolf SandellDepartment of Psychology, Lund University, Lund, Sweden.
Agneta ThorénThe Erica Foundation, Stockholm, Sweden.
Randi UlbergDivision of Mental Health and Addiction, University of Oslo, Oslo, Norway.
Katja Lindert BergstenDepartment of Psychology, Uppsala University, Uppsala, Sweden.
Björn PhilipsDepartment of Psychology, Stockholm University, Stockholm, Sweden. Bjorn.philips@psychology.su.se.ORCID http://orcid.org/0000-0001-6325-4380

Funding

The Kavli Trust 32/18
6 · The paper itself

Abstract

backgroundAdolescent depression is a common mental health problem and there is an urgent need for effective and accessible treatments. Internet-based interventions solve many obstacles for seeking and receiving treatment, thus increasing access to effective treatments. Internet-based cognitive behavioural therapy (ICBT) for adolescent depression has demonstrated efficacy in previous trials. In order to broaden the range of evidence-based treatments for young people, we evaluated a newly developed affect-focused Internet-based psychodynamic treatment (IPDT) in a previous study with promising results. The purpose of the planned study is to evaluate the efficacy of IPDT for adolescent depression in a non-inferiority trial, comparing it to ICBT.

methodsThe study will employ a parallel randomized non-inferiority design (ratio 1:1; n = 270). Eligible participants are adolescents 15-19 years suffering from depression. The primary hypothesis is that IPDT will be non-inferior to ICBT in reducing depressive symptoms from pre-treatment to end of treatment. Secondary research questions include comparing outcomes of IPDT and ICBT regarding anxiety symptoms, emotion regulation and self-compassion. Additional data will be collected to evaluate cost-effectiveness as well as investigating predictors, moderators and mediators of outcome. In addition, we will examine long-term outcome up to 1 year after end of treatment. Diagnostic interviews with MINI 7.0 will be used to establish primary diagnosis of depression as well as ruling out any exclusion criteria. Both treatments consist of eight modules over 10 weeks, complemented with therapist support through text messages and weekly chat sessions. Primary outcome measure is the Quick Inventory of Depressive Symptomatology in Adolescents Self-Rated (QIDS-A17-SR). Primary outcome will be analysed using data from all participants entering the study using a multilevel growth curve strategy based on the weekly measurements of QIDS-A17-SR. The non-inferiority margin is defined as d = 0.30. DISCUSSION: This trial will demonstrate whether IPDT is non-inferior to ICBT in the treatment of adolescent depression. The study might therefore broaden the range of evidence-based treatment alternatives for young people struggling with depression. Further analyses of data from this trial may increase our knowledge about "what works for whom" and the pathways of change for two distinct types of interventions.

trial registrationISRCTN12552584 , Registered on 13 August 2019.

Indexed as

InternetTherapy, Computer-AssistedAdolescentCognitive Behavioral TherapyCost-Benefit AnalysisDepressive DisorderEquivalence Trials as TopicHumansPsychiatric Status Rating ScalesSwedenTreatment OutcomeAdolescentsCBTDepressionInternet-based treatmentNon-inferiority trialPsychodynamic

Identifiers

PMID32600400
PMCPMC7322832

What OpenQuestion holds

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Registered trials

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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.