Evidence map›Paper›PMID 40795045›Full record

SynthesisJournal of pediatric psychology2025

Systematic review and meta-analysis of psychological interventions for depression symptoms in young people with long-term physical health conditions.

Sarah E D Perzow, Junxiao Hu, Madison Bristol, Elizabeth B Ruzicka, Michelle A Clementi, Elizabeth P Handing, Elizabeth Vargas, Ana M Gutierrez-Colina, Lauren D Gulley, Lauren B Shomaker

Registry-linked trialAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of pediatric psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07569991 (Digitally Enhanced Cognitive-Behavioral Therapy for Adolescents With Depression and Obesity), which is not on this map. Not yet cited in PubMed.

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

NCT07569991 nanot yet recruitingnot on this mapstarted 2027, after this paper: background citation

Digitally Enhanced Cognitive-Behavioral Therapy for Adolescents With Depression and Obesity

TypeinterventionalSponsorColorado State UniversityRan2027 to 2028Enrolled60ConditionsDepression in Adolescence, Obesity & Overweight, Cognitive-behavioral Therapy, Mobile Health Technology (mHealth)ArmsCognitive-behavioral therapy (CBT), Digital app
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Sarah E D PerzowDepartment of Human Development and Family Studies, College of Health and Human Sciences, Colorado State University, Fort Collins, Colorado, United States.ORCID 0000-0002-4931-4882
Junxiao HuDepartment of Pediatrics, University of Colorado Cancer Center, University of Colorado School of Medicine, Aurora, Colorado, United States.
Madison BristolDepartment of Pediatrics, Section of Endocrinology, Section of Nutrition, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, Colorado, United States.
Elizabeth B RuzickaDepartment of Human Development and Family Studies, College of Health and Human Sciences, Colorado State University, Fort Collins, Colorado, United States.
Michelle A ClementiDepartment of Psychiatry, Division of Child and Adolescent Mental Health, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, Colorado, United States.ORCID 0000-0001-5349-353X
Elizabeth P HandingDepartment of Human Development and Family Studies, College of Health and Human Sciences, Colorado State University, Fort Collins, Colorado, United States.
Elizabeth VargasDepartment of Pediatrics, Section of Endocrinology, Section of Nutrition, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, Colorado, United States.
Ana M Gutierrez-ColinaDepartment of Human Development and Family Studies, College of Health and Human Sciences, Colorado State University, Fort Collins, Colorado, United States.
Lauren D GulleyDepartment of Pediatrics, Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, Colorado, United States.
Lauren B ShomakerDepartment of Human Development and Family Studies, College of Health and Human Sciences, Colorado State University, Fort Collins, Colorado, United States.ORCID 0000-0002-6129-8707

Funding

Research Coordination for Outreach, Recruitment, and Retention of Adolescents At-Risk for Type 2 DiabetesR01DK132557 · NIDDK · COLORADO STATE UNIVERSITY · PI LAUREN BERGER SHOMAKER · 2022 to 2026
$4.2M
Depression and Insulin Sensitivity in AdolescentsR01DK111604 · NIDDK · COLORADO STATE UNIVERSITY · PI SHOMAKER, LAUREN BERGER · 2017 to 2021
$2.9M
National Institute of Diabetes, Digestive and Kidney Diseases R01DK111604National Institute of Diabetes, Digestive and Kidney Diseases R01DK132557NIDDK NIH HHS R01 DK111604NIDDK NIH HHS R01 DK132557
6 · The paper itself

Abstract

objectivesDepression is prevalent, impairing, and detrimental to health. The objective of this systematic review and meta-analysis was to assess the efficacy of psychological interventions for decreasing symptoms of depression among young people with long-term physical health conditions.

methodsCENTRAL, MEDLINE, PsycINFO, PubMed, clinicaltrials.gov, and WHO ICTRIP were searched through July 1, 2023. Selection criteria were randomized controlled trials of psychological interventions targeting depression symptoms among people ≤29 years diagnosed with long-term physical health conditions. Risk of bias was assessed using the Cochrane RoB version 2 tool. Outcome data were analyzed using fixed-effects models. Pooled standardized mean difference (SMD) between experimental and control was calculated using an inverse variance approach with a linear model. Heterogeneity was assessed by χ2 test on Cochran's Q statistic and quantified with I2 statistic.

resultsResults included six trials (N = 376) of 11- to 18-year-olds (Mfemale=80%), recruited from pediatric clinics in the United States. Two of six eligible studies had an inclusion criterion related to elevated depression symptoms; the remainder included youth with heterogeneous depression levels. Psychological interventions were more efficacious than controls for reducing depression symptoms and functional disability. Pooled SMD for depression symptoms was -.30 (-.51, -.10), with a significant overall effect (Z = 2.92, p = .004). Pooled SMD for functional disability was -.35 (-.66, -.05), with a significant overall effect (Z = 2.28, p = .02). Moderate study heterogeneity was noted in two study outcomes.

conclusionsPsychological interventions reduce depression symptoms and functional disability among youth with long-term physical health conditions. Research is needed to elucidate participant/trial characteristics contributing to outcomes.

Indexed as

DepressionPsychosocial InterventionAdolescentChildChronic DiseaseHumans

Identifiers

PMID40795045
PMCPMC12392407

What OpenQuestion holds

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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.