Evidence map›Paper›PMID 35688097›Full record

ReviewClinical psychology review2022

Stage models for major depression: Cognitive behavior therapy, mechanistic treatment targets, and the prevention of stage transition.

Michael W Otto, Jeffrey L Birk, Hayley E Fitzgerald, Gregory V Chauvin, Alexandra K Gold, Jenna R Carl

Open access · greenAbstract readReview
In one paragraph

Review in Clinical psychology review, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
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

6 authors at 3 institutions in 1 country.

Michael W OttoDepartment of Psychological and Brain Sciences, Boston University, Boston, MA, USA. Electronic address: mwotto@bu.edu.
Jeffrey L BirkCenter for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.
Hayley E FitzgeraldDepartment of Psychological and Brain Sciences, Boston University, Boston, MA, USA.
Gregory V ChauvinDepartment of Psychological and Brain Sciences, Boston University, Boston, MA, USA.
Alexandra K GoldDepartment of Psychological and Brain Sciences, Boston University, Boston, MA, USA.
Jenna R CarlBig Health Inc., San Francisco, CA, USA.
Boston University · USColumbia University Irving Medical Center · USHinge Health · US

Funding

Columbia University Science of Behavior Change Resource and Coordinating Center renewal -Ontology Administrative SupplementU24AG052175 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI EDMONDSON, DONALD · 2015 to 2024
$14.5M
Impaired Risk Avoidance in Bipolar Disorder and Substance Use DisordersF31MH116557 · NIMH · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI GOLD, ALEXANDRA KATE · 2018 to 2021
$100k
NIA NIH HHS U24 AG052175NIMH NIH HHS F31 MH116557
6 · The paper itself

Abstract

Stage models encourage a longitudinal perspective on the care of those with major depression: supporting vigilance to the risk for stage progression and the selection of interventions to address that risk. A central goal for this article is to evaluate the role of cognitive-behavior therapy (CBT) in addressing stage progression in the treatment of major depression. We summarize the evidence supporting depression-focused CBT for: (1) preventing depression onset, (2) treating syndromal depression, (3) treating residual symptoms, (4) preventing relapse, and (5) addressing pharmacologic treatment resistance. In addition, consistent with the goal of aiding prevention and intervention development by refining mechanistic treatment targets, we evaluate the role of two specific risk-factors for stage progression: insomnia and rumination. These risk factors have a feed-forward relationship with stress, both being amplified by stress and amplifying the negative consequences of stress. Moreover, each of these risk factors predict depression stage transmissions across multiple stages, and both are modifiable with treatment. Accordingly, insomnia and rumination appear to serve as excellent mechanistic targets for the prevention of depression stage progression. These findings are discussed in relation to current limitations and future research directions for targeting these risk factors and furthering the effective treatment of depression.

Indexed as

Cognitive Behavioral TherapyMajor Depressive DisorderSleep Initiation and Maintenance DisordersDepressionHumansTreatment OutcomeDepressionInsomniaMechanistic targetRelapseRuminationSleepStage model

Identifiers

PMID35688097
PMCPMC9257701
OpenAlexW4281386961

What OpenQuestion holds

Textmetadata
LicenceTDM
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.