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Table 3 Study Characteristics and Findings—Secondary Analyses Testing PS as a Predictor, Moderator, or Mediator of Treatment Response

From: Problem-solving training as an active ingredient of treatment for youth depression: a scoping review and exploratory meta-analysis

Study

Country

N

Participant age range (mean) in years

Diagnostic Status

Recruitment Setting

Overarching intervention(s)

Effect type

Operationalization of problem solving

Outcome

Effect

Becker-Weidman et al. [70]

USA

439 a

12–17 (14.6)

MDD

Clinical

1. Fluox

2. CBT

3. Fluox + CBT

4. Placebo

Pred / Mod

Baseline PPO, NPO, AS, ICS, RPS,

Depression severity

(CDRS-R)

NPO, PPO, AS = Pred**

Kennard et al. [71]

USA

166 b

12–18 (16.0)

MDD (TR)

Clinical

Switch to:

1. Diff SSRI

2. Diff. SSRI + CBT

3. Ven

4. Ven + CBT

Pred

Receipt of PS training as part of CBT vs. no receipt

Treatment response (CDRS-R & CGI-I)

PS training receipt = Pred*

Kaufman et al. [72]

USA

93 a

13–17 (15.1)

MDD & CD

Community

1. CWD-A

2. LST

Med

Δ self-reported PS in specific situations

Depression severity

(BDI-II & HDRS)

No significant effect

Dietz et al. [73]

USA

63 a

13–18 (15.6)

MDD

Clinical

1. CBT

2. SBFT

3. NST

Med

Δ observed interpersonal PS interactions between youth and mothers

MDD remission

(K-SADS & BDI).

Δ in PS interactions associated with outcome in CBT** and SFBT* but test for formal mediation not significant

  1. Note. Δ: Change in; AS: Avoidance Style; BDI: Beck Depression Inventory [74]; CD: Conduct disorder; CDRS-R: Children’s Depression Rating Scale—Revised [75]; CGI-I: Clinical Global Impression Scale—Improvement [76]; CWD-A: Adolescent Coping with Depression Course; Diff: different; Fluox: Fluoxetine; ICS: Impulsivity/Carelessness Style; K-SADS: The Kiddie Schedule for Affective Disorders and Schizophrenia [77]; LST: Lifeskills training; MDD: Major Depressive Disorder; Med: Mediator; Mod: Moderator; NPO: Negative Problem Orientation; NST: Nondirective supportive therapy; PPO: Positive Problem Orientation; Pred: Predictor; RPS: Rational Problem Solving Style; SBFT: Systemic Behaviour Family Therapy; SPSI-R: Social Problem-Solving Inventory Revised [78]; SSRI: Selective serotonin reuptake inhibitors; TR: Treatment-resistant; Ven: Venlafaxine
  2. * p < .05; ** p < .01; *** p < .001
  3. a The total sample size reported is the number of participants randomized to intervention and control conditions
  4. b The total sample size reported here is the number of participants randomized to an SSRI + CBT intervention arm