Evidence map›Paper›PMID 41030161›Full record

ArticlePsychological medicine2025

Do complex psychometric analyses really matter? Comparing multiple approaches using individual participant data from antidepressant trials.

David Byrne, Frank Doyle, Susan Brannick, Robert M Carney, Pim Cuijpers, Alexandra L Dima, Kenneth E Freedland, Suzanne Guerin, David Hevey, Bishember Kathuria and 2 more

Abstract readComparative Study
In one paragraph

Article in Psychological medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

David ByrneSchool of Population Health, Dublin, Ireland.ORCID 0000-0002-0587-4677
Frank DoyleSchool of Population Health, RCSI University of Medicine and Health Sciences, Dublin, Ireland.ORCID 0000-0002-3785-7433
Susan BrannickAware, Dublin, Ireland.
Robert M CarneyDepartment of Psychiatry, Washington University School of Medicine, St Louis, USA.
Pim CuijpersDepartment of Clinical, Neuro and Developmental Psychology, https://ror.org/008xxew50Vrije Universiteit Amsterdam. Amsterdam, the Netherlands.ORCID 0000-0001-5497-2743
Alexandra L DimaAvedis Donabedian Research Institute, Autonomous University of Barcelona, Barcelona, Spain.
Kenneth E FreedlandDepartment of Psychiatry, Washington University School of Medicine, St Louis, USA.ORCID 0000-0002-3118-9913
Suzanne GuerinSchool of Psychology, https://ror.org/05m7pjf47University College Dublin. Dublin, Ireland.ORCID 0000-0002-6744-7590
David HeveySchool of Psychology, Trinity College Dublin. Dublin, Ireland.
Bishember KathuriaMedical Affairs, Novartis Ireland Ltd., Dublin, Ireland.
Emma WallaceDepartment of General Practice, https://ror.org/03265fv13University College Cork, Cork, Ireland.
Fiona BolandSchool of Population Health, RCSI University of Medicine and Health Sciences, Dublin, Ireland.ORCID 0000-0003-3228-0046

Funding

Irish Research Council COALESCE/2021/68
6 · The paper itself

Abstract

backgroundPsychometric methods are used to remove underperforming items and reduce error in existing measures, albeit different approaches can produce different results. This study aimed to determine the implications of applying different psychometric methods for clinical trial outcomes.

methodsIndividual participant data from 15 antidepressant treatment trials from Vivli.org were analyzed. Baseline (pretreatment) and 8-week (range 4-12 weeks) outcome data from the Montgomery-Asberg Depression Rating Scale were subjected to best-practice factor analysis (FA), item response theory (IRT), and network analysis (NA) approaches. Trial outcomes for the original summative scores and psychometric-model scores were assessed using multilevel models. Percentage differences in Cohen's

resultsEach method produced unidimensional models, but the modified scales varied from 7 to 10 items. Treatment effects ( DISCUSSION: IRT and NA yielded negligible differences in effect outcomes relative to original trials. FA increased effect sizes and may be the most effective method for identifying the items on which placebo and treatment group outcomes differ.

Indexed as

Antidepressive AgentsMajor Depressive DisorderOutcome Assessment, Health CarePsychometricsAdultFactor Analysis, StatisticalFemaleHumansMaleMiddle AgedPsychiatric Status Rating ScalesAntidepressive Agentsantidepressant agentdepressive disorderpsychiatric status rating scalespsychometricsrandomized controlled trails

Identifiers

PMID41030161
PMCPMC12527524

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.