Article ; Online: Cognitive-behavioural therapy for depression in people with a somatic disease: meta-analysis of randomised controlled trials.
The British journal of psychiatry : the journal of mental science
2010 Volume 197, Issue 1, Page(s) 11–19
Abstract: Background: Meta-analyses on psychological treatment for depression in individuals with a somatic disease are limited to specific underlying somatic diseases, thereby neglecting the generalisability of the interventions.: Aims: To examine the ... ...
Abstract | Background: Meta-analyses on psychological treatment for depression in individuals with a somatic disease are limited to specific underlying somatic diseases, thereby neglecting the generalisability of the interventions. Aims: To examine the effectiveness of cognitive-behavioural therapy (CBT) for depression in people with a diversity of somatic diseases. Method: Meta-analysis of randomised controlled trials evaluating CBT for depression in people with a somatic disease. Severity of depressive symptoms was pooled using the standardised mean difference (SMD). Results: Twenty-nine papers met inclusion criteria. Cognitive-behavioural therapy was superior to control conditions with larger effects in studies restricted to participants with depressive disorder (SMD = -0.83, 95% CI -1.36 to -0.31, P<0.001) than in studies of participants with depressive symptoms (SMD = -0.16, 95% CI -0.27 to -0.06, P = 0.001). Subgroup analyses showed that CBT was not superior to other psychotherapies. Conclusions: Cognitive-behavioural therapy significantly reduces depressive symptoms in people with a somatic disease, especially in those who meet the criteria for a depressive disorder. |
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MeSH term(s) | Adult ; Aged ; Aged, 80 and over ; Cognitive Therapy ; Depression/etiology ; Depression/therapy ; Depressive Disorder/etiology ; Depressive Disorder/therapy ; Disease/psychology ; Female ; Humans ; Male ; Middle Aged ; Randomized Controlled Trials as Topic ; Sensitivity and Specificity ; Treatment Outcome |
Language | English |
Publishing date | 2010-07 |
Publishing country | England |
Document type | Journal Article ; Meta-Analysis ; Review |
ZDB-ID | 218103-4 |
ISSN | 1472-1465 ; 0007-1250 |
ISSN (online) | 1472-1465 |
ISSN | 0007-1250 |
DOI | 10.1192/bjp.bp.109.064675 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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