Evidence map›Paper›PMID 33952358›Full record

ArticlePsychological medicine2023

Predicting prognosis for adults with depression using individual symptom data: a comparison of modelling approaches.

J E J Buckman, Z D Cohen, C O'Driscoll, E I Fried, R Saunders, G Ambler, R J DeRubeis, S Gilbody, S D Hollon, T Kendrick and 8 more

Abstract read
In one paragraph

Article in Psychological medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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.

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

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

  1. Pooled it
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  11. Predicting the outcome of psychotherapy for chronic depression by person-specific symptom networks.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024
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  20. The promise of machine learning in predicting treatment outcomes in psychiatry.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2021
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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

18 authors.

J E J BuckmanResearch Department of Clinical, Educational & Health Psychology, Centre for Outcomes Research and Effectiveness (CORE), University College London, 1-19 Torrington Place, London, UK.ORCID 0000-0002-2281-0907
Z D CohenDepartment of Psychiatry, University of California, Los Angeles, Los Angeles, CA, USA.
C O'DriscollResearch Department of Clinical, Educational & Health Psychology, Centre for Outcomes Research and Effectiveness (CORE), University College London, 1-19 Torrington Place, London, UK.
E I FriedDepartment of Clinical Psychology, Leiden University, Leiden, The Netherlands.
R SaundersResearch Department of Clinical, Educational & Health Psychology, Centre for Outcomes Research and Effectiveness (CORE), University College London, 1-19 Torrington Place, London, UK.
G AmblerStatistical Science, University College London, 1-19 Torrington Place, London, UK.
R J DeRubeisDepartment of Psychology, School of Arts and Sciences, 425 S. University Avenue, Philadelphia PA, USA.
S GilbodyDepartment of Health Sciences, University of York, Seebohm Rowntree Building, Heslington, York, UK.
S D HollonDepartment of Psychology, Vanderbilt University, Nashville, TN, USA.
T KendrickPrimary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Aldermoor Health Centre, Southampton, UK.
E WatkinsDepartment of Psychology, University of Exeter, Sir Henry Wellcome Building for Mood Disorders Research, Perry Road, Exeter, UK.
T C EleySocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
A J PeelSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
C RaynerSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
D KesslerCentre for Academic Primary Care, Population Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, Bristol, UK.
N WilesCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Oakfield House, Bristol, UK.
G LewisDivision of Psychiatry, University College London, Maple House, London, UK.
S PillingResearch Department of Clinical, Educational & Health Psychology, Centre for Outcomes Research and Effectiveness (CORE), University College London, 1-19 Torrington Place, London, UK.

Funding

Department of HealthMedical Research Council G0200243Medical Research Council MC_UU_00004/06Medical Research Council MC_UU_00004/09
6 · The paper itself

Abstract

backgroundThis study aimed to develop, validate and compare the performance of models predicting post-treatment outcomes for depressed adults based on pre-treatment data.

methodsIndividual patient data from all six eligible randomised controlled trials were used to develop (

resultsModels 1-7 all outperformed the null model and model 8. Model performance was very similar across models 1-6, meaning that differential weights applied to the baseline sum scores had little impact.

conclusionsAny of the modelling techniques (models 1-7) could be used to inform prognostic predictions for depressed adults with differences in the proportions of patients reaching remission based on the predicted severity of depressive symptoms post-treatment. However, the majority of variance in prognosis remained unexplained. It may be necessary to include a broader range of biopsychosocial variables to better adjudicate between competing models, and to derive models with greater clinical utility for treatment-seeking adults with depression.

Indexed as

AnxietyDepressionAdultHumansPrognosisPsychiatric Status Rating ScalesTreatment OutcomeDepressive symptomsmajor depressionnetwork analysisprediction modellingprognosis

Identifiers

PMID33952358
PMCPMC9899563

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.