Evidence map›Paper›PMID 34583100›Full record

Trial reportJournal of affective disorders2022

Body mass index and atypical balance as predictors of winter depression remission in cognitive-behavioral therapy and light therapy.

Praise Iyiewuare, Kelly J Rohan, Teodor T Postolache

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of affective disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 50% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Review
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

3 authors at 2 institutions in 1 country.

Praise IyiewuareDepartment of Psychological Science, University of Vermont, John Dewey Hall, 2 Colchester Avenue, Burlington, VT 05401, United States. Electronic address: piyiewua@uvm.edu.
Kelly J RohanDepartment of Psychological Science, University of Vermont, John Dewey Hall, 2 Colchester Avenue, Burlington, VT 05401, United States.
Teodor T PostolacheDepartment of Psychiatry, University of Maryland School of Medicine, United States; Rocky Mountain Mental Illness Research Education and Clinical Center for Suicide Prevention, United States.
University of Vermont · USUniversity of Maryland, Baltimore · US

Funding

Cognitive Behavioral Therapy Vs. Light Therapy for Preventing SAD RecurrenceR01MH078982 · NIMH · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI ROHAN, KELLY J. · 2008 to 2013
$1.7M
NIMH NIH HHS R01 MH078982
6 · The paper itself

Abstract

backgroundEfficacious treatments for winter seasonal affective disorder (SAD) include light therapy (LT) and cognitive-behavioral therapy (CBT-SAD); however, baseline characteristics may differentially predict treatment outcomes. This study investigated body mass index (BMI) and atypical balance (the proportion of atypical depression symptoms), as predictors of depression remission.

methodsThe parent study randomized 177 adults diagnosed with Major Depression, Recurrent with Seasonal Pattern to 6-weeks of CBT-SAD (n = 88) or LT (n = 89) and followed participants one and two winters later. At baseline, BMI was measured and atypical balance was derived using the Structured Interview Guide for the Hamilton Rating Scale for Depression-Seasonal Affective Disorder Version (SIGH-SAD) as 8-item atypical subscale score/total SIGH-SAD score × 100. Depression remission was defined using standard SIGH-SAD cutpoints. Hierarchical logistic regressions tested the main effects of treatment modality, BMI, and atypical balance and their interactive effects on depression remission at post-treatment and follow-ups.

resultsThe BMI × treatment and atypical balance × treatment interactions significantly predicted depression remission at second winter follow-up. The probability of remission was higher in CBT-SAD than LT at BMI ≤ 26.1 and atypical balance ≤ 40.3%. This predictive relationship survived when adjusting atypical balance for BMI, but not vice-versa. LIMITATIONS: Participants were predominantly White and older. BMI does not account for muscle mass or fat distribution.

conclusionsBMI and atypical balance prescriptively predicted higher likelihood of depression remission two winters following CBT-SAD but not LT. This work informs clinical decision-making and precision medicine efforts.

Indexed as

Cognitive Behavioral TherapySeasonal Affective DisorderAdultBody Mass IndexHumansPhototherapyTreatment OutcomeBody mass indexDepressionRemissionSeasonal affective disorder

Identifiers

PMID34583100
PMCPMC8609469
OpenAlexW3197588257

What OpenQuestion holds

Textmetadata
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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.