ReviewJournal of child psychology and psychiatry, and allied disciplines2023
Research Review: The internalizing paradox - youth anxiety and depression symptoms, psychotherapy outcomes, and implications for research and practice.
Review in Journal of child psychology and psychiatry, and allied disciplines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- Self-administered single-session interventions for mental health in young people: A systematic review and meta-analysis.Journal of child psychology and psychiatry, and allied disciplines · 2026Pooled it
- Children's Internalizing Symptoms and Well-Being: The Role of Parental Anxiety and Health-Related Quality of Life.Pediatric reports · 2026Article
- Longitudinal Evidence for Age- and Sex-Invariant Dimensions of Internalizing Symptoms from Childhood through Adolescence: Self-Worth, Social Anxiety, and Withdrawal.Research on child and adolescent psychopathology · 2026Article
- Analyzing transdiagnostic internalizing symptoms in a global sample of trauma-exposed children using pooled individual participant data: a latent transition analysis.Journal of child psychology and psychiatry, and allied disciplines · 2026Article
- Young people's attitudes towards online self-help single-session interventions: findings from a co-produced qualitative study.BMC psychology · 2025Article
- Participants' evaluation of an internet-based group compassion-focused therapy program for young people in Sweden.Frontiers in psychology · 2025Article
- Exploring emerging psychopathological characteristics and challenges of novel depression subtypes: insights from the literature.Frontiers in psychiatry · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundYouth anxiety and depression have long been combined within the empirically derived internalizing syndrome. The two conditions show substantial comorbidity, symptom co-occurrence, and overlap in treatment procedures, but paradoxically diverge in psychotherapy outcomes: strong, positive effects for anxiety and weak effects for depression.
methodsDrawing on recent research, we examine candidate explanations for this paradox to help identify strategies for addressing it by improving outcomes for youth depression.
resultsCandidate explanations include that youth depression, compared with youth anxiety, has more varied comorbidities and more heterogeneous symptom combinations, has greater uncertainty regarding mediators and mechanisms of change, is treated with more complex and potentially confusing protocols, and has characteristics that may impede client engagement. Candidate strategies for shrinking the psychotherapy effectiveness gap include personalizing through transdiagnostic modular treatment, simplifying therapy by focusing on empirically supported principles of change, developing effective strategies for engaging family members as intervention allies, using shared decision-making to inform clinical decisions and boost client engagement, capitalizing on youth-friendly technological advances, and shortening and digitizing treatments to enhance their accessibility and appeal.
conclusionsRecent advances suggest explanations for the internalizing paradox, which in turn suggest strategies for shrinking the youth anxiety-depression psychotherapy outcome gap; these form an agenda for a promising new era of research.
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Identifiers
What OpenQuestion holds
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.