Evidence map›Paper›PMID 40890088›Full record

Trial reportActa psychiatrica Scandinavica2026

Predicting Cognitive Change During Treatment for Inpatient Depression: Secondary Analysis From a Randomized Controlled Trial.

Zoe A Odering, Jennifer Jordan, Cameron J Lacey, Christopher M Frampton, Richard J Porter, Katie M Douglas

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Acta psychiatrica Scandinavica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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.

Zoe A OderingDepartment of Psychological Medicine, University of Otago, Christchurch, New Zealand.ORCID https://orcid.org/0000-0001-6377-5688
Jennifer JordanDepartment of Psychological Medicine, University of Otago, Christchurch, New Zealand.
Cameron J LaceySchool of Psychology, Speech and Hearing, University of Canterbury, Christchurch, New Zealand.
Christopher M FramptonDepartment of Psychological Medicine, University of Otago, Christchurch, New Zealand.
Richard J PorterDepartment of Psychological Medicine, University of Otago, Christchurch, New Zealand.
Katie M DouglasDepartment of Psychological Medicine, University of Otago, Christchurch, New Zealand.ORCID https://orcid.org/0000-0002-5344-2959

Funding

Canterbury Medical Research FoundationHealth Research Council of New Zealand 18/152Sir Charles Hercus Health Research Fellowship
6 · The paper itself

Abstract

introductionIndividuals hospitalized with depression are particularly impacted by cognitive impairment. Identifying variables that predict improvements in cognition across treatment may inform more targeted and effective treatment approaches. We conducted secondary analyses to investigate baseline predictors of objective cognitive change in a severely depressed inpatient sample.

methodsA randomized controlled trial (RCT) comparing 2 weeks of Activation Therapy (AT; Cognitive Activation combined with Behavioural Activation) with treatment-as-usual (TAU) was conducted in inpatients with major depression. Research assessments were conducted at baseline (on admission) and at 14 weeks (12 weeks after treatment-end). A series of analyses of covariance models were conducted to examine associations between change in executive functioning/attention, verbal learning and memory, visuospatial learning and memory, and psychomotor speed, in global cognition, and a range of putative baseline predictor variables (e.g., demographic, mood, cognition, general functioning, childhood trauma) across the whole RCT sample. Treatment arm was included as a fixed factor in all models. Sensitivity analyses were run in the AT group only to examine predictors of cognitive change in those receiving this targeted cognitive treatment.

resultsSixty-eight individuals completed baseline and follow-up cognitive testing assessments in the RCT (AT, n = 32, TAU, n = 36). Significantly poorer domain-specific baseline cognitive functioning was associated with greater cognitive improvement in all four domains. Older age was associated with less cognitive change in verbal learning and memory, visuospatial learning and memory, psychomotor speed, and global cognition. Sensitivity analyses (AT group only) identified these same factors as significant predictors.

conclusionAge and domain-specific baseline cognitive performance were consistently associated with cognitive change in this RCT. Findings suggest that cognition seems to recover better in younger inpatients with poorer baseline cognitive functioning. CLINICAL REGISTRATION: Australian New Zealand Clinical Trials Registry [ANZCTR], ACTRN12617000024347p.

Indexed as

Cognitive Behavioral TherapyCognitive DysfunctionMajor Depressive DisorderAdultExecutive FunctionFemaleHumansInpatientsMaleMiddle Agedbipolar disorderclinical trialcognitioncognitive remediationdepressioninpatient treatmentpredictors

Identifiers

PMID40890088
PMCPMC13050592

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.