Effectiveness of â€ëœselfcompassionã¢â‚¬â„¢ Related Therapies a Systematic Review and Metaanalysis

Review

. January-Feb 2015;13(one):56-68.

doi: 10.1370/afm.1719.

Effectiveness of psychological treatments for depressive disorders in primary care: systematic review and meta-assay

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  • PMID: 25583894
  • PMCID: PMC4291267
  • DOI: 10.1370/afm.1719

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Review

Effectiveness of psychological treatments for depressive disorders in primary care: systematic review and meta-analysis

Klaus Linde  et al. Ann Fam Med. Jan-Feb 2015 .

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Abstract

Purpose: We performed a systematic review of the currently available evidence on whether psychological treatments are constructive for treating depressed primary care patients in comparing with usual care or placebo, taking the type of therapy and its delivery mode into account.

Methods: Randomized controlled trials comparing a psychological treatment with a usual care or a placebo control in developed, depressed, primary care patients were identified by searches in MEDLINE, Embase, Cochrane Fundamental Register of Controlled Trials (CENTRAL), and PsycINFO up to December 2013. At least ii reviewers extracted data from included studies and assessed the risk of bias. Random effects meta-analyses were performed using posttreatment depression scores equally outcome.

Results: A total of 30 studies with v,159 patients met the inclusion criteria. Compared with control, the consequence (standardized mean deviation) at completion of handling was -0.30 (95% CI, -0.48 to -0.13) for contiguous cerebral behavioral therapy (CBT), -0.fourteen (-0.40 to 0.12) for face-to-face trouble-solving therapy, -0.24 (-0.47 to -0.02) for face-to-confront interpersonal psychotherapy, -0.28 (-0.44 to -0.12) for other face-to-face psychological interventions, -0.43 (-0.62 to -0.24) for remote therapist-led CBT, -0.56 (-1.57 to 0.45) for remote therapist-led problem-solving therapy, -0.40 (-0.69 to -0.xi) for guided self-help CBT, and -0.27 (-0.44 to -0.x) for no or minimal contact CBT.

Conclusions: There is evidence that psychological treatments are effective in depressed primary care patients. For CBT approaches, substantial prove suggests that interventions that are less resource intensive might have effects similar to more than intense treatments.

Keywords: cognitive therapy; depression; depressive disorders; primary wellness care; psychotherapy; review, systematic; therapeutics.

Figures

Figure 1
Figure 1

Standardized hateful differences for posttreatment depression scores of psychological treatments compared with command (usual care or placebo). CBT = cerebral behavioral therapy; SD = standard difference; SMD = standard mean difference; IV = inverse variance. aStudies included patients with major depression. bStudies included patients with mixed/unclear depression. cStudies included patients small-scale depression/dysthymia.

Figure 2
Effigy 2

Funnel plot plotting written report precision against size of the handling effect. SE = standard error; SMD = standardized mean deviation

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Source: https://pubmed.ncbi.nlm.nih.gov/25583894/

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