Evidence map›Paper›PMID 32664000›Full record

ArticleJournal of affective disorders2020

Depressive symptom severity mediates the association between avoidant problem-solving style and suicidal ideation.

Roberto López, Leslie A Brick, Annamarie B Defayette, Emma D Whitmyre, Jennifer Wolff, Elisabeth Frazier, Anthony Spirito, Christianne Esposito-Smythers

Abstract read
In one paragraph

Article in Journal of affective disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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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

5 citing papers in PubMed.

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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

8 authors.

Roberto LópezGeorge Mason University, Department of Psychology. Electronic address: rlopez_jr@post.harvard.edu.
Leslie A BrickAlpert Medical School of Brown University, Department of Psychiatry and Human Behavior.
Annamarie B DefayetteGeorge Mason University, Department of Psychology.
Emma D WhitmyreGeorge Mason University, Department of Psychology.
Jennifer WolffAlpert Medical School of Brown University, Department of Psychiatry and Human Behavior.
Elisabeth FrazierAlpert Medical School of Brown University, Department of Psychiatry and Human Behavior.
Anthony SpiritoAlpert Medical School of Brown University, Department of Psychiatry and Human Behavior.
Christianne Esposito-SmythersGeorge Mason University, Department of Psychology.

Funding

Adolescents with Major Depression and AUD: Community-Based Integrated TreatmentR01AA020705 · NIAAA · BROWN UNIVERSITY · PI SPIRITO, ANTHONY · 2012 to 2016
$3.3M
NIAAA NIH HHS R01 AA020705
6 · The paper itself

Abstract

backgroundThe contemporaneous association between avoidant style, a maladaptive social problem-solving strategy, and adolescent suicidal ideation has been well established. However, the mechanisms underlying this association are not well understood. Using cross-lagged panel modeling, the present study examined whether depressive symptom severity mediates the relation between avoidant style and severity of suicidal ideation. The specificity of depressive symptom severity as a mediator was also evaluated by simultaneously testing whether avoidant style mediates the association between depressive symptom and suicidal ideation severity.

methodsThe sample included 110 adolescents enrolled in a randomized controlled clinical effectiveness trial. Avoidant style as well as depressive symptom and suicidal ideation severity were assessed via self-report with the Social Problem-Solving Inventory-Revised, Children's Depression Scale-2, and Suicidal Ideation Questionnaire-Junior, respectively, at baseline, 3-and 6-months.

resultsAfter accounting for participant age, sex, and treatment condition, path analyses supported the specificity of 3-month depressive symptom severity as a mediator of the association between baseline levels of avoidant style and 6-month suicidal ideation severity. LIMITATIONS: Results may not be generalizable to non-clinical samples. Causality cannot be inferred from study results. Data were exclusively collected via self-report.

conclusionsFindings suggest that avoidant style is indirectly related to suicidal ideation through depressive symptom severity. Thus, treatment targeted at improving social problem-solving skills, particularly avoidant style, may help reduce depressive symptoms and lower suicide risk.

Indexed as

DepressionSuicidal IdeationAdolescentChildHumansProblem SolvingSelf ReportAdolescenceDepressionSocial problem-solvingSuicidal ideation

Identifiers

PMID32664000
PMCPMC7401318

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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.