Evidence map›Paper›PMID 34293928›Full record

ArticleAmerican journal of psychotherapy2021

Telehealth Social Rhythm Therapy to Reduce Mood Symptoms and Suicide Risk Among Adolescents and Young Adults With Bipolar Disorder.

Anjali Sankar, Priyanka Panchal, Danielle A Goldman, Lejla Colic, Luca M Villa, Jihoon A Kim, Eli R Lebowitz, Erin Carrubba, Bernadette Lecza, Wendy K Silverman and 2 more

Open access · greenAbstract read
In one paragraph

Article in American journal of psychotherapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
2.4field-weighted citation impact, top 11% 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.

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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Online Social Networking as a Social Zeitgeber.Current psychiatry reports · 2025
    Review
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  9. Article
  10. 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

12 authors at 1 institution in 1 country.

Anjali SankarDepartment of Psychiatry (Sankar, Panchal, Goldman, Colic, Villa, Kim, Carrubba, Lecza, Silverman, Blumberg), Interdepartmental Neuroscience Program (Goldman), and Child Study Center (Lebowitz, Silverman, Blumberg), Yale School of Medicine, New Haven, Connecticut; Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh (Swartz).
Priyanka PanchalDepartment of Psychiatry (Sankar, Panchal, Goldman, Colic, Villa, Kim, Carrubba, Lecza, Silverman, Blumberg), Interdepartmental Neuroscience Program (Goldman), and Child Study Center (Lebowitz, Silverman, Blumberg), Yale School of Medicine, New Haven, Connecticut; Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh (Swartz).
Danielle A GoldmanDepartment of Psychiatry (Sankar, Panchal, Goldman, Colic, Villa, Kim, Carrubba, Lecza, Silverman, Blumberg), Interdepartmental Neuroscience Program (Goldman), and Child Study Center (Lebowitz, Silverman, Blumberg), Yale School of Medicine, New Haven, Connecticut; Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh (Swartz).
Lejla ColicDepartment of Psychiatry (Sankar, Panchal, Goldman, Colic, Villa, Kim, Carrubba, Lecza, Silverman, Blumberg), Interdepartmental Neuroscience Program (Goldman), and Child Study Center (Lebowitz, Silverman, Blumberg), Yale School of Medicine, New Haven, Connecticut; Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh (Swartz).
Luca M VillaDepartment of Psychiatry (Sankar, Panchal, Goldman, Colic, Villa, Kim, Carrubba, Lecza, Silverman, Blumberg), Interdepartmental Neuroscience Program (Goldman), and Child Study Center (Lebowitz, Silverman, Blumberg), Yale School of Medicine, New Haven, Connecticut; Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh (Swartz).
Jihoon A KimDepartment of Psychiatry (Sankar, Panchal, Goldman, Colic, Villa, Kim, Carrubba, Lecza, Silverman, Blumberg), Interdepartmental Neuroscience Program (Goldman), and Child Study Center (Lebowitz, Silverman, Blumberg), Yale School of Medicine, New Haven, Connecticut; Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh (Swartz).
Eli R LebowitzDepartment of Psychiatry (Sankar, Panchal, Goldman, Colic, Villa, Kim, Carrubba, Lecza, Silverman, Blumberg), Interdepartmental Neuroscience Program (Goldman), and Child Study Center (Lebowitz, Silverman, Blumberg), Yale School of Medicine, New Haven, Connecticut; Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh (Swartz).
Erin CarrubbaDepartment of Psychiatry (Sankar, Panchal, Goldman, Colic, Villa, Kim, Carrubba, Lecza, Silverman, Blumberg), Interdepartmental Neuroscience Program (Goldman), and Child Study Center (Lebowitz, Silverman, Blumberg), Yale School of Medicine, New Haven, Connecticut; Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh (Swartz).
Bernadette LeczaDepartment of Psychiatry (Sankar, Panchal, Goldman, Colic, Villa, Kim, Carrubba, Lecza, Silverman, Blumberg), Interdepartmental Neuroscience Program (Goldman), and Child Study Center (Lebowitz, Silverman, Blumberg), Yale School of Medicine, New Haven, Connecticut; Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh (Swartz).
Wendy K SilvermanDepartment of Psychiatry (Sankar, Panchal, Goldman, Colic, Villa, Kim, Carrubba, Lecza, Silverman, Blumberg), Interdepartmental Neuroscience Program (Goldman), and Child Study Center (Lebowitz, Silverman, Blumberg), Yale School of Medicine, New Haven, Connecticut; Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh (Swartz).
Holly A SwartzDepartment of Psychiatry (Sankar, Panchal, Goldman, Colic, Villa, Kim, Carrubba, Lecza, Silverman, Blumberg), Interdepartmental Neuroscience Program (Goldman), and Child Study Center (Lebowitz, Silverman, Blumberg), Yale School of Medicine, New Haven, Connecticut; Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh (Swartz).
Hilary P BlumbergDepartment of Psychiatry (Sankar, Panchal, Goldman, Colic, Villa, Kim, Carrubba, Lecza, Silverman, Blumberg), Interdepartmental Neuroscience Program (Goldman), and Child Study Center (Lebowitz, Silverman, Blumberg), Yale School of Medicine, New Haven, Connecticut; Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh (Swartz).
Goldman Sachs (United States) · US

Funding

Genetics of Hippocampal Deficits in Bipolar DisorderR01MH070902 · NIMH · YALE UNIVERSITY · PI BLUMBERG, HILARY PATRICIA · 2005 to 2015
$5.1M
Aging and Emotion Regulation Brain Circuitry in Bipolar DisorderR01MH113230 · NIMH · YALE UNIVERSITY · PI BLUMBERG, HILARY PATRICIA · 2017 to 2021
$4.0M
Development of Brain Abnormalities in Bipolar DisorderR01MH069747 · NIMH · YALE UNIVERSITY · PI BLUMBERG, HILARY PATRICIA · 2004 to 2008
$2.0M
Biomarkers of Suicide Risk in Adolescents and Young Adults: Factors that ConRC1MH088366 · NIMH · YALE UNIVERSITY · PI BLUMBERG, HILARY PATRICIA · 2009 to 2010
$998k
Brain Emotion Circuitry-Targeted Self-Monitoring and Regulation Therapy (BE-SMART)UG3MH111929 · NIMH · YALE UNIVERSITY · PI BLUMBERG, HILARY PATRICIA · 2018 to 2019
$943k
Brain Emotion Circuitry-Targeted Self-Monitoring and Regulation Therapy (BE-SMART)R61MH111929 · NIMH · YALE UNIVERSITY · PI BLUMBERG, HILARY PATRICIA · 2017 to 2017
$750k
NIMH NIH HHS R01 MH069747NIMH NIH HHS R01 MH070902NIMH NIH HHS R01 MH113230NIMH NIH HHS R61 MH111929NIMH NIH HHS RC1 MH088366NIMH NIH HHS UG3 MH111929
6 · The paper itself

Abstract

objectiveSocial rhythm irregularities are associated with increased bipolar disorder symptoms and suicide risk. This study was the first to examine the feasibility and acceptability of a 12-week social rhythm therapy (SRT) delivered predominantly via telehealth (three in-person sessions, nine via video teleconferencing) to adolescents and young adults with bipolar disorder. The primary aim was to determine the feasibility and acceptability of SRT delivered predominantly via telehealth. Secondary aims were to explore the intervention's impacts on social rhythm regularity, mood symptoms, and suicide propensity.

methodsThirteen adolescents and young adults with bipolar disorder received a modified SRT called Brain Emotion circuitry-targeted Self-Monitoring And Regulation Therapy for Daily Rhythms (BE-SMART-DR) administered mostly remotely, adjunctive to treatment as usual. Retention rates, client satisfaction, therapeutic alliance, and pre- to postintervention changes in social rhythm regularity, mood symptoms, and suicide propensity were assessed.

resultsBE-SMART-DR was associated with high retention rates (77%), high mean±SD scores on the Client Satisfaction Questionnaire (29.4±2.7), and high participant global scores on the Working Alliance Inventory (231.3±8.1), indicative of strong therapeutic alliance. Secondary outcome measures on social rhythm irregularities, mood symptoms, and suicide propensity decreased from pre- to posttherapy. Increased social rhythm regularity was associated with reduced suicide propensity after analyses were controlled for reductions in mood symptoms.

conclusionsThese preliminary results indicate that SRT delivered largely by telemedicine is feasible and acceptable. The intervention appeared to reduce mood symptoms, and suicide propensity independent of mood symptoms, among adolescents and young adults with bipolar disorder.

Indexed as

Bipolar DisorderSuicide PreventionTelemedicineAdolescentAffectEmotionsHumansYoung AdultAdolescentsBipolar and Related DisordersPsychotherapyTelepsychiatryYoung Adults

Identifiers

PMID34293928
PMCPMC9588254
OpenAlexW3183645116

What OpenQuestion holds

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Registered trials

None linked

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.