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NCT02076425

A Randomized Controlled Trial of PCIT-ED for Preschool Depression

Completed NA Results posted Last updated 2 December 2019
What this trial tests

NA trial testing PCIT-ED in Depressive Disorder, Major in 229 participants. Completed in 10 May 2018.

Timeline
13 January 2014
Primary endpoint
31 March 2018
10 May 2018

Quick facts

Lead sponsorWashington University School of Medicine
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment229
Start date13 January 2014
Primary completion31 March 2018
Estimated completion10 May 2018
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Washington University School of Medicine

Who can join

Adults 36 Months to 83 Months, any sex, with Depressive Disorder, Major. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Kiddie Schedule for Affective Disorders and Schizophrenia - Early Childhood (KSADS-EC) MDD Core Symptom Score Primary · completion of therapy (average of 20 weeks)

The Kiddie Schedule for Affective Disorders and Schizophrenia - Early Childhood (K-SADS-EC) is a semi-structured clinical interview for DSM-5 disorders adapted for use in children aged 3-6. The MDD core symptom score was the number of core MDD symptoms endorsed on the K-SADS-EC. These 9 symptoms were (1) depressed mood, (2) anhedonia, (3) insomnia/hypersomnia, (4) fatigue, (5) decreased concentration, (6) weight/appetite change, (7) psychomotor agitation/retardation, (8) worthlessness/guilt, (9) suicidal thoughts/behaviors. The range of possible values is 0-9, with 9 being the worst outcome.

GroupValue95% CI
PCIT-ED1.74± 1.69
Wait List4.15± 2.04
Preschool Feelings Checklist-Scale Version (PFC-Scale) Score Secondary · completion of therapy (average of 20 weeks)

The Preschool Feelings Checklist - Scale Version (PFC-Scale), was adapted from the PFC, which is a validated screening checklist used to capture young children at high risk for MDD. The PFC-Scale is a 23-item Likert scale with possible values of 0, 1, 2, 3, or 4 for each item. The total score is a sum of the 23 items, so the range of possible values is 0-92, with 92 being the most severe score possible.

GroupValue95% CI
PCIT-ED20.13± 9.68
Wait List33.24± 11.12
Children's Global Assessment Scale (CGAS) Score Secondary · completion of therapy (average of 20 weeks)

The Children's Global Assessment Scale (CGAS) is a standardized instrument that measures children's global level of impairment completed by the clinician-rater. The possible range of values is 0-100, with 0 indicating the most severe global impairment.

GroupValue95% CI
PCIT-ED76.83± 16.61
Wait List55.75± 17.14

Sponsor's own description

Parent Child Interaction Therapy Emotion Development (PCIT-ED) will be conducted with a sample of preschoolers who exhibit symptoms of depression compared to a wait list (WL) control after which participants will receive the active treatment. PCIT-ED is an expansion of PCIT, a well-known, widely used and proven effective treatment for preschool disruptive disorders. To address early disturbances of mood and affect, a novel ED module was added based on empirical data in emotion development. The ED module targets parent emotion learning skills with the goal of training the parent to serve as a more effective emotion teacher and coach to the child. The goal of the ED module is to enhance the child's capacity for emotion recognition and regulation or "emotional competence." In order to test the efficacy of PCIT-ED, to estimate accurate effect sizes and to investigate mediators and moderators of treatment response participants will complete comprehensive pre-, interval, and post-assessments. Preschoolers over 3 will be offered the option of enrolling in an add-on electroencephalography and magnetic resonance imagery study, to investigate neural changes associated with PCIT-ED. Compared to those randomized to the WL, preschoolers who undergo PCIT-ED will show significantly increased rates of remission, greater reductions in MDD symptoms, and decreases in impairment; and will show significantly greater increases in emotional competence measured by the ability to accurately identify emotions in themselves and others and the ability to effectively regulate intense emotions. Compared to those on the WL, parents who undergo PCIT-ED will show significantly greater increases in emotion skill learning and reductions in MDD symptoms and parenting stress.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Neural Correlates of Reward Processing in Depressed and Healthy Preschool-Age Children.
    Belden AC, Irvin K, Hajcak G, Kappenman ES, et al · · 2016 · cited 84× · PMID 27871643 · DOI 10.1016/j.jaac.2016.09.503
  2. Hippocampal volume and depression among young children.
    Barch DM, Tillman R, Kelly D, Whalen D, et al · · 2019 · cited 57× · PMID 31071541 · DOI 10.1016/j.pscychresns.2019.04.012
  3. Clinical and Psychosocial Characteristics of Young Children With Suicidal Ideation, Behaviors, and Nonsuicidal Self-Injurious Behaviors.
    Luby JL, Whalen D, Tillman R, Barch DM. · · 2019 · cited 52× · PMID 30577927 · DOI 10.1016/j.jaac.2018.06.031
  4. The Differential Contribution of the Components of Parent-Child Interaction Therapy Emotion Development for Treatment of Preschool Depression.
    Luby JL, Gilbert K, Whalen D, Tillman R, et al · · 2020 · cited 40× · PMID 31376501 · DOI 10.1016/j.jaac.2019.07.937
  5. Neural Indicators of Anhedonia: Predictors and Mechanisms of Treatment Change in a Randomized Clinical Trial in Early Childhood Depression.
    Barch DM, Whalen D, Gilbert K, Kelly D, et al · · 2019 · cited 29× · PMID 30583852 · DOI 10.1016/j.biopsych.2018.11.021
  6. Preschool-Onset Major Depressive Disorder is Characterized by Electrocortical Deficits in Processing Pleasant Emotional Pictures.
    Whalen DJ, Gilbert KE, Kelly D, Hajcak G, et al · · 2020 · cited 24× · PMID 31515716 · DOI 10.1007/s10802-019-00585-8
  7. Callous-Unemotional Traits as an Intervention Target and Moderator of Parent-Child Interaction Therapy-Emotion Development Treatment for Preschool Depression and Conduct Problems.
    Donohue MR, Hoyniak CP, Tillman R, Barch DM, et al · · 2021 · cited 17× · PMID 33865929 · DOI 10.1016/j.jaac.2021.03.018
  8. Changes in self-reported and observed parenting following a randomized control trial of parent-child interaction therapy for the treatment of preschool depression.
    Whalen DJ, Gilbert KE, Luby JL. · · 2021 · cited 15× · PMID 32469454 · DOI 10.1111/jcpp.13263

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Other trials of PCIT-ED

Trials testing the same drug.

Other recruiting trials for Depressive Disorder, Major

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Other Washington University School of Medicine trials

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