Evidence map›Paper›PMID 41059673›Full record

Observational studyChild and adolescent mental health2026

Advancing the measurement of psychotherapy outcomes for youth with irritability using in vivo ecological momentary assessment: an exploratory observational study.

Reut Naim, Urmi Pandya, Shannon Shaughnessy, Ramaris E German, Lauren M Henry, Katharina Kircanski, Melissa A Brotman

Abstract readObservational Study
In one paragraph

Observational study in Child and adolescent mental health, 2026. 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

7 authors.

Reut NaimSchool of Psychological Sciences, Tel-Aviv University, Tel Aviv, Israel.ORCID 0000-0002-0424-5094
Urmi PandyaDepartment of Psychology, University of Washington, Seattle, WA, USA.
Shannon ShaughnessyDepartment of Psychology, University of Miami, Coral Gables, FL, USA.ORCID 0000-0002-9128-9705
Ramaris E GermanEmotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA.
Lauren M HenryEmotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA.ORCID 0000-0003-0286-9319
Katharina KircanskiEmotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA.
Melissa A BrotmanEmotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA.ORCID 0000-0002-9859-4702

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEcological momentary assessment (EMA) can reveal naturalistic within-person changes in symptoms and behaviors, essential for examining psychotherapy's effectiveness. However, no prior study has leveraged EMA to assess real-time, naturalistic changes of clinical symptoms during psychotherapy in youth with clinically impairing irritability. The present study uses EMA to assess changes in both child-reported irritability symptoms and caregiver-reported parental behaviors over the course of treatment, as well as to explore real-time associations between changes in parental behaviors and youth symptoms.

methodHere, in an observational analysis, a total of 39 youth (M

resultsResults from multilevel modeling showed that both youth and parents reported a statistically significant decrease in real-time irritability symptoms over the course of treatment (βs ≤ -.27, ps ≤ .02). Parents reported a statistically significant increase in adaptive parental behaviors as taught during the PMT portion of treatment (βs ≥ |.22|, ps < .04). Furthermore, statistically significant associations were found between increased levels of adaptive parental behaviors and decreased levels of youth irritability symptoms.

conclusionThis study supports the utility of EMA in measuring psychotherapy symptom progress, outcomes, and change in therapy-targeted behavior. Results suggest that parental behavior could play a substantively important role in the treatment of youth with irritability.

Indexed as

Cognitive Behavioral TherapyEcological Momentary AssessmentImplosive TherapyIrritable MoodAdolescentChildFemaleHumansMaleParentsTreatment Outcomecognitive behavioral therapyEcological momentary assessmentirritabilityparent behavior managementparent management trainingyouth

Identifiers

PMID41059673
PMCPMC12832213

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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.