Evidence map›Paper›PMID 37605294›Full record

ArticleJournal of child psychology and psychiatry, and allied disciplines2023

Early indicators of response to transdiagnostic treatment of pediatric anxiety and depression.

Pauline Goger, Michelle Rozenman, Araceli Gonzalez, David A Brent, Giovanna Porta, Frances L Lynch, John F Dickerson, V Robin Weersing

Open access · hybridAbstract read
In one paragraph

Article 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Review
  3. 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

8 authors at 5 institutions in 2 countries.

Pauline GogerSDSU/UC San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA.ORCID 0000-0002-6054-6350
Michelle RozenmanUCLA Division of Child and Adolescent Psychiatry, Department of Psychology, University of Denver, Denver, CO, USA.ORCID 0000-0002-4759-6548
Araceli GonzalezDepartment of Psychology, California State University Long Beach, Long Beach, CA, USA.ORCID 0000-0001-7462-405X
David A BrentUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0002-5756-2157
Giovanna PortaUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Frances L LynchKaiser Permanente Center for Health Research, Portland, OR, USA.ORCID 0000-0002-0547-6812
John F DickersonKaiser Permanente Center for Health Research, Portland, OR, USA.ORCID 0000-0003-1903-3681
V Robin WeersingSDSU/UC San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA.ORCID 0000-0002-7904-4799
Kaiser Permanente Center for Health Research · USSan Diego State University · USUniversity of Pittsburgh · USCalifornia State University, Long Beach · USUniversity of Denver · US

Funding

2/2-Brief CBT for Pediatric Anxiety and Depression in Primary CareR01MH084916 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BRENT, DAVID A. · 2010 to 2014
$1.7M
1/2-Brief CBT for Pediatric Anxiety and Depression in Primary CareR01MH084935 · NIMH · SAN DIEGO STATE UNIVERSITY · PI WEERSING, V ROBIN · 2010 to 2014
$1.5M
NIMH NIH HHS R01 MH084916NIMH NIH HHS R01MH084916NIMH NIH HHS R01 MH084935NIMH NIH HHS R01MH084935
6 · The paper itself

Abstract

backgroundPediatric anxiety and depression are prevalent, impairing, and highly comorbid. Available evidence-based treatments have an average response rate of 60%. One path to increasing response may be to identify likely non-responders midway through treatment to adjust course prior to completing an episode of care. The aims of this study, thus, were to identify predictors of post-intervention response assessing (a) mid-treatment symptom severity, (b) session-by-session treatment process factors, and (c) a model optimizing the combination of these.

methodData were drawn from the treatment arm (N = 95, ages 8-16) of a randomized transdiagnostic intervention trial (M

resultsMid-point symptom measures were significant predictors of treatment response, as were therapist-ratings of youth and parent engagement, therapeutic alliance, and homework completion. Therapist ratings were significant when tested as mean ratings summing across the first eight sessions of treatment (all ps < .004) and at individual session points (all ps <0.05). A combined prediction model included youth-reported anxiety, parent-reported depression, youth engagement at Session 2, and parent engagement at Session 8. This model correctly classified 76.5% of youth as non-responders and 91.3% as responders at post-treatment (Nagelkerke R

conclusionThis study provides initial evidence that response to transdiagnostic intervention for pediatric anxiety and depression may be reliably predicted by mid-point. These data may serve as foundational evidence to develop adaptive treatment strategies to personalize intervention, correct treatment course, and optimize outcomes for youth with anxiety and depression.

Indexed as

Cognitive Behavioral TherapyDepressionAdolescentAnxietyAnxiety DisordersChildComorbidityHumansTreatment OutcomeAnxietydepressiontransdiagnostic treatmentyouth

Identifiers

PMID37605294
PMCPMC10841059
OpenAlexW4386046492

What OpenQuestion holds

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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.