Evidence map›Paper›PMID 34295161›Full record

Trial reportNeuropsychiatric disease and treatment2021

Clinically Significant Changes in the 17- and 6-Item Hamilton Rating Scales for Depression: A STAR*D Report.

Augustus John Rush, Charles South, Shailesh Jain, Raafae Agha, Mingxu Zhang, Shristi Shrestha, Zershana Khan, Mudasar Hassan, Madhukar H Trivedi

Registry-linked trialOpen access · goldAbstract readCase ReportsClinical Trial
In one paragraph

Trial report in Neuropsychiatric disease and treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07195292 (Reduction of Depression Through Dual Mental Health Treatment), which is not on this map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
7.0field-weighted citation impact, top 2% 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.

NCT07195292 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Reduction of Depression Through Dual Mental Health Treatment: Digital-Based Cognitive Behavioral Therapy (CBT) and National Board for Health and Wellness Coaching (NBHWC) Mental Health Coaches for People With Disabilities (ReDu)

TypeinterventionalSponsorToivoa IncRan2026 to 2027Enrolled200ConditionsHearing Disability, Depression, Mobility DisabilityArmsSham Digital Program - General health education and interactive quizzes unrelated to depression or CBT., Toivoa-002 - A digital Cognitive Behavioral Therapy program combined with NBHWC-certified coaching.
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
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  8. Efficacy and safety of zuranolone co-initiated with an antidepressant in adults with major depressive disorder: results from the phase 3 CORAL study.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Trial
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  14. Change ofFrontiers in psychology · 2026
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  19. Observational
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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

9 authors at 3 institutions in 2 countries.

Augustus John RushDepartment of Psychiatry, Texas Tech University Health Science Center, Midland, TX, USA.
Charles SouthDepartment of Statistical Science, Southern Methodist University, Dallas, TX, USA.
Shailesh JainDepartment of Psychiatry, Texas Tech University Health Science Center, Midland, TX, USA.
Raafae AghaDepartment of Psychiatry, Texas Tech University Health Science Center, Midland, TX, USA.
Mingxu ZhangDepartment of Psychiatry, Texas Tech University Health Science Center, Midland, TX, USA.
Shristi ShresthaDepartment of Psychiatry, Texas Tech University Health Science Center, Midland, TX, USA.
Zershana KhanDepartment of Psychiatry, Texas Tech University Health Science Center, Midland, TX, USA.
Mudasar HassanDepartment of Psychiatry, Texas Tech University Health Science Center, Midland, TX, USA.
Madhukar H TrivediDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA.ORCID 0000-0002-2983-1110
Texas Tech University · USSouthern Methodist University · USThe University of Texas Southwestern Medical Center · US

Funding

TREATMENT RESISTANT DEPRESSION-278990003N01MH090003 · NIMH · UNIVERSITY OF TEXAS SW MED CTR/DALLAS · 1999 to 2003
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NIMH NIH HHS N01 MH090003
6 · The paper itself

Abstract

objectiveTo develop clinically meaningful improvement thresholds in both the 17-item and the 6-item Hamilton Rating Scale for Depression (HRSD) total scores in depressed outpatients.

methodsThe post-hoc analysis included all adult outpatients with non-psychotic major depressive disorder in the STAR*D trial who entered and exited the first treatment step (up to 14 weeks of citalopram) with a complete set of study measures at baseline and exit and at least one post-baseline measure. Within-patient change and linear regression anchor-based analyses were conducted to define meaningful and substantial changes in the HRSD

resultsLinear regression analyses identified a meaningful change threshold for the HRSD

conclusionA 4-6 point change in the HRSD

Indexed as

depression ratingsmeaningful changepatient-reported outcomes

Identifiers

PMID34295161
PMCPMC8290193
OpenAlexW3181376257

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.