Evidence map›Paper›PMID 35616765›Full record

SynthesisChild psychiatry and human development2023

Family-Based Interventions for Youth Depression: Meta-Analysis of Randomized Clinical Trials.

Dikla Eckshtain, Rachel Horn, John R Weisz

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Child psychiatry and human development, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. The social determinants of mental health and disorder: evidence, prevention and recommendations.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024
    Article
  5. Article
  6. 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.

Dikla EckshtainDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, 02114, Boston, MA, United States. deckshtain@mgh.harvard.edu.ORCID 0000-0003-1556-6077
Rachel HornDepartment of Psychology, Harvard University, 1030 William James Hall, 33 Kirkland Street, 02138, Cambridge, MA, United States.
John R WeiszDepartment of Psychology, Harvard University, 1030 William James Hall, 33 Kirkland Street, 02138, Cambridge, MA, United States.

Funding

Video Guided School Based Treatment of Youth DepressionR01MH068806 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WEISZ, JOHN RICHARD · 2003 to 2006
$1.9M
Behavioral and Affective Skills in Coping: Practice-Adapted Child PsychotherapyR34MH085963 · NIMH · JUDGE BAKER CHILDREN'S CENTER · PI WEISZ, JOHN RICHARD · 2010 to 2012
$638k
Consumer and Clinician Feedback in Youth Mental Health CareR34MH093511 · NIMH · JUDGE BAKER CHILDREN'S CENTER · PI WEISZ, JOHN RICHARD · 2012 to 2013
$582k
6 · The paper itself

Abstract

Youth depression is an impairing pediatric condition for which psychotherapy effects are modest. Can outcomes be improved by treatments that address the family context, as proposed in practice parameters of the American Academy of Child and Adolescent Psychiatry? To find out, we searched five decades of research for randomized controlled trials testing family-based interventions; 11 trials were found for ages 4-18 years. Using robust variance estimation, we obtained estimates of effect size (ES) and tested candidate moderators that might explain variation in ES. Overall pooled ES of the studies was 0.33 at posttreatment, similar to that reported for all youth depression treatments in three prior meta-analyses (i.e., 0.36, 0.30, and 0.29), but higher for adolescents (ages ≥ 13, 0.50) than children (0.04). Taken together, our findings do not show superior outcomes for family-based interventions, and raise questions about how much confidence can be placed in the evidence base to date. The small number of relevant studies in more than five decades, together with the publication bias and risk of bias concerns, highlights the need for more trials testing family-based treatment, and for pre-registered reports, publicly-available preprints, and other mechanisms for improving the dissemination of completed research.

Indexed as

DepressionPsychotherapyAdolescentChildHumansRandomized Controlled Trials as Topicdepressionfamilyinterventionmeta-analysistherapyyouth

Identifiers

What OpenQuestion holds

Textmetadata
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.