May 21, 2026 · Journal of the American Academy of Child and Adolescent Psychiatry · DOI: 10.1016/j.jaac.2026.05.010

An Individual Participant Data Analysis: Optimizing Pharmacological Treatment in Children and Adolescents With Major Depressive Disorder

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This study investigates how individual characteristics affect the efficacy and tolerability of antidepressants in children and adolescents with major depressive disorder (MDD). By analyzing individual participant data from ten randomized controlled trials, the authors found that fluoxetine was particularly effective in specific subgroups, such as children and females, while highlighting the need for precision medicine approaches in pediatric MDD management. The findings suggest that individual factors like age, sex, and symptom severity can influence treatment outcomes, emphasizing the importance of subgroup analyses in clinical trials.

Yajie Xiang, Pim Cuijpers, Wei Li, Qingyan Bao, John R Weisz, Jie Shi, Xiaoyan Du, Hongmei Yang, Jürgen Barth, David Coghill, Stefan Leucht, Philip Hazell, David Cohen, Arun V Ravindran, Kurt D Michael, Teng Teng, Xinyu Zhou, Lin Lu, Peng Xie

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