Evidence map›Paper›PMID 38904429›Full record

Trial reportAmerican journal of epidemiology2025

Cognitive behavioral program for the prevention of depression in at-risk adolescents: isolating the effects of dose.

John F Dickerson, Greg Clarke, V Robin Weersing, Frances L Lynch, Steven D Hollon, David Brent, William Beardslee, Tracy R G Gladstone, Giovanna Porta, Lynn DeBar and 2 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of epidemiology, 2025. 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
–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

3 citing papers in PubMed.

  1. Trial
  2. Article
  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

12 authors.

John F DickersonKaiser Permanente Center for Health Research, Portland, Oregon 97227, USA.ORCID 0000-0003-1903-3681
Greg ClarkeKaiser Permanente Center for Health Research, Portland, Oregon 97227, USA.ORCID 0000-0002-4529-8694
V Robin WeersingJoint Doctoral Program in Clinical Psychology, San Diego State University and University of California, San Diego, California 92120-4913, USA.ORCID 0000-0002-7904-4799
Frances L LynchKaiser Permanente Center for Health Research, Portland, Oregon 97227, USA.ORCID 0000-0002-0547-6812
Steven D HollonDepartment of Psychology, Vanderbilt University, Nashville, Tennessee 37240-7817, USA.ORCID 0000-0001-5005-3862
David BrentWestern Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA.ORCID 0000-0002-5756-2157
William BeardsleeDepartment of Psychiatry, Children's Hospital Boston and Judge Baker Children's Center, Boston, Massachusetts 02115, USA.ORCID 0000-0003-2248-3210
Tracy R G GladstoneWellesley Centers for Women, Wellesley College, Wellesley, Massachusetts 02481-8203, USA.ORCID 0000-0002-2045-6959
Giovanna PortaWestern Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA.
Lynn DeBarKaiser Permanente Center for Health Research, Portland, Oregon 97227, USA.ORCID 0000-0001-9191-9706
Neon BrooksKaiser Permanente Center for Health Research, Portland, Oregon 97227, USA.ORCID 0000-0003-1079-5858
Judy GarberDepartment of Psychology and Human Development, Vanderbilt University, Nashville, Tennessee 37203, USA.ORCID 0000-0003-1603-2181

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Overall: Eunice Kennedy Shriver Intellectual and Developmental Disabilities Research Center at VanderbiltP50HD103537 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Jeffrey L Neul · 2020 to 2026
$10.3M
Prevention of Depression in At-Risk AdolescentsR01MH064503 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BRENT, DAVID A. · 2003 to 2012
$3.9M
Prevention of Depression (POD)R01MH064541 · NIMH · KAISER FOUNDATION RESEARCH INSTITUTE · PI CLARKE, GREGORY N · 2003 to 2012
$3.6M
Prevention of Depression in At-Risk-AdolescentsR01MH064735 · NIMH · VANDERBILT UNIVERSITY · PI GARBER, JUDY · 2003 to 2012
$3.2M
Prevention of Depression in At-Risk AdolescentsR01MH064717 · NIMH · JUDGE BAKER CHILDREN'S CENTER · PI BEARDSLEE, WILLIAM R., GLADSTONE, TRACY G · 2003 to 2012
$2.8M
NCATS NIH HHS 2 UL1 TR000445-06NCATS NIH HHS UL1 TR000445NCRR NIH HHS UL1 RR024975NCRR NIH HHS UL1 RR024975-01NICHD NIH HHS P50 HD103537NIMH NIH HHS R01 MH064503NIMH NIH HHS R01 MH064541NIMH NIH HHS R01 MH064717NIMH NIH HHS R01 MH064735NIMH NIH HHS R01 MH64717
6 · The paper itself

Abstract

The current study estimated effects of intervention dose (attendance) of a cognitive behavioral prevention (CBP) program on depression-free days (DFDs) in adolescent offspring of parents with a history of depression. As part of secondary analyses of a multisite randomized controlled trial, we analyzed the complete intention-to-treat sample of 316 at-risk adolescents ages 13 to 17 years. Youth were randomly assigned to the CBP program plus usual care (n = 159) or to usual care alone (n = 157). The CBP program involved 8 weekly acute sessions and 6 monthly continuation sessions. Results showed that higher CBP program dose predicted more DFDs, with a key threshold of approximately 75% of a full dose in analyses employing instrumental variable methodology to control multiple channels of bias. Specifically, attending at more than 75% of acute phase sessions led to 45.3 more DFDs over the 9-month period after randomization, which accounted for over 12% of the total follow-up days. Instrument sets were informed by study variables and external data, including weather and travel burden. In contrast, conventional analysis methods failed to find a significant dose-outcome relation. Application of the instrumental variable approach, which better controls the influence of confounding, demonstrated that higher CBP program dose resulted in more DFDs. This article is part of a Special Collection on Mental Health.

Indexed as

Cognitive Behavioral TherapyDepressionAdolescentFemaleHumansMaleSecondary Data Analysisdepressiondose-responseinstrumental variablesprevention

Identifiers

PMID38904429
PMCPMC11735958

What OpenQuestion holds

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Registered trials

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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.