Evidence map›Paper›PMID 32957944›Full record

ArticleBMC psychiatry2020

Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: a pilot study.

Karen Hansen Kallesøe, Andreas Schröder, Rikard K Wicksell, Tua Preuss, Jens Søndergaard Jensen, Charlotte Ulrikka Rask

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04464447 (Feasibility of Group-based Acceptance and Commitment Therapy for Adolescents), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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.

NCT04464447 nacompletednot on this map

Feasibility of Group-based Acceptance and Commitment Therapy for Adolescents (AHEAD) With Functional Somatic Syndromes: A Pilot Study

TypeinterventionalSponsorUniversity of AarhusRan2013 to 2015Enrolled21ConditionsFunctional DisorderArmsAcceptance and Commitment Therapy
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. 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

6 authors at 3 institutions in 2 countries.

Karen Hansen KallesøeResearch Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Noerrebrogade 44, building 2C, 8000, Aarhus C, Denmark. karkal@rm.dk.ORCID 0000-0002-2413-4586
Andreas SchröderResearch Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Noerrebrogade 44, building 2C, 8000, Aarhus C, Denmark.
Rikard K WicksellDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Tua PreussResearch Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Noerrebrogade 44, building 2C, 8000, Aarhus C, Denmark.
Jens Søndergaard JensenResearch Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Noerrebrogade 44, building 2C, 8000, Aarhus C, Denmark.
Charlotte Ulrikka RaskDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Aarhus University · DKAarhus University Hospital · DKKarolinska Institutet · SE

Funding

TrygFonden 100408
6 · The paper itself

Abstract

backgroundRecurrent and impairing functional somatic syndromes (FSS) are common in adolescents. Despite a high need for care, empirically supported treatments are lacking for youth. The aim of this uncontrolled pilot study was to assess feasibility and treatment potential of a new intervention with group-based Acceptance and Commitment Therapy (ACT) in a generic treatment approach for adolescents with multiple FSS.

methodsTwenty-one patients received 'ACT for Health in Adolescents' (AHEAD) (30 h), specifically developed for adolescents (aged 15-19 years) with moderate to severe FSS. Close relatives attended an information meeting to facilitate support of the patients throughout treatment. Treatment satisfaction was evaluated by means of self-report and relatives' impressions. Self-reported physical health at 3 months follow-up (FU) after end of treatment was the primary outcome whereas secondary outcomes included symptom burden, limitation due to symptoms, illness worry, emotional distress and physical and emotional symptoms. Treatment targets were assessed by measures on illness behaviour, illness perception and psychological inflexibility.

resultsNineteen patients (90.5%) completed the treatment with a high overall attendance rate of 93%. All would recommend the treatment to a friend with similar problems. Close relatives rated it valuable to participate in an information meeting. Patients' physical health improved significantly from assessment to FU with a clinically relevant mean change of 8.9 points (95% CI [5.4; 12.4]; SRM 0.91 [0.26;1.57]). Improvement was also seen on all secondary outcome measures, from assessment to FU. Maladaptive illness behaviours and perceptions as well as psychological inflexibility showed a significant decline from assessment to FU.

conclusionAHEAD was feasible and potentially efficacious and warrants testing in a larger clinical trial.

trial registrationClinical Trials gov NCT04464447 , registration date July 9th, 2020. Retrospectively registered.

Indexed as

Acceptance and Commitment TherapyAdolescentAdultAnxietyFeasibility StudiesHumansPilot ProjectsSyndromeYoung AdultAcceptance and commitment therapy (ACT)AdolescentsFunctional somatic syndromesGroup-therapyPsychotherapy

Identifiers

PMID32957944
PMCPMC7507241
OpenAlexW3087618354

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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.