Evidence map›Paper›PMID 34945767›Full record

ArticleJournal of personalized medicine2021

A Patient Stratification Approach to Identifying the Likelihood of Continued Chronic Depression and Relapse Following Treatment for Depression.

Rob Saunders, Zachary D Cohen, Gareth Ambler, Robert J DeRubeis, Nicola Wiles, David Kessler, Simon Gilbody, Steve D Hollon, Tony Kendrick, Ed Watkins and 7 more

Open access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.3field-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.

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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

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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

17 authors at 9 institutions in 3 countries.

Rob SaundersCentre for Outcomes Research and Effectiveness (CORE), Research Department of Clinical, Educational & Health Psychology, University College London, 1-19 Torrington Place, London WC1E 7HB, UK.ORCID 0000-0002-7077-8729
Zachary D CohenDepartment of Psychiatry, University of California, Los Angeles, CA 90095, USA.ORCID 0000-0002-4883-1028
Gareth AmblerStatistical Science, University College London, 1-19 Torrington Place, London WC1E 7HB, UK.
Robert J DeRubeisDepartment of Psychology, School of Arts and Sciences, 425 S. University Avenue, Philadelphia, PA 19104, USA.
Nicola WilesCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Oakfield House, Bristol BS8 2BN, UK.
David KesslerCentre for Academic Primary Care, Population Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, Bristol BS8 2PS, UK.
Simon GilbodyDepartment of Health Sciences, University of York, ARRC Building, Heslington, York YO10 5DD, UK.
Steve D HollonDepartment of Psychology, Vanderbilt University, Nashville, TN 37235, USA.
Tony KendrickPrimary Care Research Centre, Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Aldermoor Health Centre, Southampton SO16 5ST, UK.ORCID 0000-0003-1618-9381
Ed WatkinsDepartment of Psychology, University of Exeter, Sir Henry Wellcome Building for Mood Disorders Research, Perry Road, Exeter EX4 4QG, UK.
David RichardsInstitute of Health Research, University of Exeter College of Medicine and Health, Exeter EX1 2LU, UK.
Sally BrabynDepartment of Health Sciences, University of York, ARRC Building, Heslington, York YO10 5DD, UK.ORCID 0000-0001-5381-003X
Elizabeth LittlewoodDepartment of Health Sciences, University of York, ARRC Building, Heslington, York YO10 5DD, UK.
Debbie SharpCentre for Academic Primary Care, Population Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, Bristol BS8 2PS, UK.
Glyn LewisDivision of Psychiatry, University College London, Maple House, London W1T 7NF, UK.
Steve PillingCentre for Outcomes Research and Effectiveness (CORE), Research Department of Clinical, Educational & Health Psychology, University College London, 1-19 Torrington Place, London WC1E 7HB, UK.
Joshua E J BuckmanCentre for Outcomes Research and Effectiveness (CORE), Research Department of Clinical, Educational & Health Psychology, University College London, 1-19 Torrington Place, London WC1E 7HB, UK.
University College London · GBUniversity of Bristol · GBUniversity of York · GBSt Pancras Hospital · GBUniversity of California, Los Angeles · USUniversity of Exeter · GBUniversity of Southampton · GBVanderbilt University · USWestern Norway University of Applied Sciences · NO

Funding

Higher Education Funding Council for EnglandMedical Research Council G0200243MQ Foundation MQDS16/72NIHR Bristol Biomedical Research CentreUCL Biomedical Research CentreUniversity College LondonUniversity of ExeterUniversity of SouthamptonUniversity of YorkVanderbilt UniversityWellcome Trust 201292/Z/16/Z
6 · The paper itself

Abstract

backgroundSubgrouping methods have the potential to support treatment decision making for patients with depression. Such approaches have not been used to study the continued course of depression or likelihood of relapse following treatment.

methodData from individual participants of seven randomised controlled trials were analysed. Latent profile analysis was used to identify subgroups based on baseline characteristics. Associations between profiles and odds of both continued chronic depression and relapse up to one year post-treatment were explored. Differences in outcomes were investigated within profiles for those treated with antidepressants, psychological therapy, and usual care.

resultsSeven profiles were identified; profiles with higher symptom severity and long durations of both anxiety and depression at baseline were at higher risk of relapse and of chronic depression. Members of profile five (likely long durations of depression and anxiety, moderately-severe symptoms, and past antidepressant use) appeared to have better outcomes with psychological therapies: antidepressants vs. psychological therapies (OR (95% CI) for relapse = 2.92 (1.24-6.87), chronic course = 2.27 (1.27-4.06)) and usual care vs. psychological therapies (relapse = 2.51 (1.16-5.40), chronic course = 1.98 (1.16-3.37)).

conclusionsProfiles at greater risk of poor outcomes could benefit from more intensive treatment and frequent monitoring. Patients in profile five may benefit more from psychological therapies than other treatments.

Indexed as

depressionlatent profile analysispatient stratificationpersonalised medicineprimary care

Identifiers

PMID34945767
PMCPMC8703621
OpenAlexW4200528146

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.