Psychological interventions for major depression in primary care: a meta-analytic review of randomized controlled trials

Bortolotti, Biancamaria; Menchetti, Marco; Bellini, F.; Montaguti, M.; Berardi, Domenico

doi:10.1016/j.genhosppsych.2008.04.001

Cited by 115 publications

(87 citation statements)

References 46 publications

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“…The results are in line with those from a meta-analyses which showed that psychotherapy (including, but not limited to CBT) is effective for depression symptoms in primary care (40,41), a meta-analyses which showed that brief psychotherapy (including, but not limited to CBT) is effective for both anxiety and depression symptoms in primary care (42), and a systematic review which showed that CBT is effective for anxiety and depression symptoms in primary care (7). What is unique about this study is that it reviewed through meta-analysis CBT's effectiveness in primary care for anxiety and depression symptoms, across delivery formats and also in specific delivery formats (e.g.…”

Section: Comparison With Existing Literaturesupporting

confidence: 88%

Effectiveness of Cognitive Behavioural Therapy for Anxiety and Depression in Primary Care: a Meta-analysis

Twomey

O’Reilly

Byrne

2015

European Psychiatry

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BackgroundCognitive behavioural therapy (CBT) is increasingly being delivered in primary care, in a variety of delivery formats such as guided self-help CBT, telephone-based CBT, computerized CBT and standard, one-to-one CBT. However, the vast majority of research has focused on CBT in specialized services, and no previous meta-analysis has examined CBT’s effectiveness across delivery formats in primary care.ObjectiveTo determine the effectiveness of multi-modal CBT (i.e. CBT across delivery formats) for symptoms of anxiety and depression, in primary care.MethodsA meta-analysis of CBT-focused RCTs, for symptoms of anxiety or depression, in primary care. The authors searched four databases. To be included, RCTs had to be set in primary care or have primary care participants. Results. Twenty-nine RCTs were included in three separate meta-analyses. Results showed multi-modal CBT was more effective than no primary care treatment (d =0.59), and primary care treatment-as-usual (TAU) (d = 0.48) for anxiety and depression symptoms. Moreover, multimodal CBT in addition to primary care TAU was shown to be more effective than primary care TAU for depression symptoms (no comparisons of this kind were available for anxiety) (d = 0.37).ConclusionsThe results from conducted meta-analyses indicate that multi-modal CBT is effective for anxiety and depression symptoms in primary care. Furthermore, based on CBT’s economic viability, increasing the provision of CBT in primary care seems justified. Future research should examine if varying levels of qualification among primary care CBT practitioners impacts on the effectiveness of CBT in this setting.

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Section: Comparison With Existing Literaturesupporting

confidence: 88%

Effectiveness of Cognitive Behavioural Therapy for Anxiety and Depression in Primary Care: a Meta-analysis

Twomey

O’Reilly

Byrne

2015

European Psychiatry

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“…100 Meta-analytic studies indicate that these medication and cognitive behavioral treatments are equally effective when provided by appropriately trained mental health professionals [101][102][103][104] or primary care staff. 105 Either medication or cognitive behavior therapy can be considered as first line treatment of anxiety or depression.…”

Section: Treatment Of Anxiety and Depressionmentioning

confidence: 99%

“…There is an extensive literature that supports the effectiveness of cognitive behavioral therapies for anxiety and depression, [101][102][103]105 as well as evolving research assessing these treatments in the context of several chronic illnesses. White 130 describes cognitive behavior therapy for a variety of common health problems, such as cancer, chronic pain, diabetes, heart disease, and surgical issues.…”

Section: Psychological Treatmentmentioning

confidence: 99%

Depression and anxiety in inflammatory bowel disease: A review of comorbidity and management

Graff

Walker

Bernstein

2009

Inflammatory Bowel Diseases

508

358

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“…Cognitive behavioral therapy (CBT) has been widely established as an effective intervention for depression 21,22 . The use of CBT in face-to-face or computerized settings, individually or in groups, has been well established 21,22 , and when delivered by community health workers (CHWs) offers great potential to increase access to psychological support in resource-poor settings 23,24 . In this work we drew on a structured CBT approach 25,26 , which has been established as effective 27 .…”

Section: Introductionmentioning

confidence: 99%

Addressing Behavioral Health Disparities for Somali Immigrants Through Group Cognitive Behavioral Therapy Led by Community Health Workers

Pratt

Ahmed

Noor³

et al. 2015

J Immigrant Minority Health

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Addressing behavioral health disparities for Somali immigrants through group cognitive behavioral therapy led by community health workers. Journal of Immigrant and Minority Health, (doi:10.1007/s10903-015-0338-2).There may be differences between this version and the published version. You are advised to consult the publisher's version if you wish to cite from it. ABSTRACTObjectives: To test the feasibility and acceptability of implementing an evidence-based, peerdelivered mental health intervention for Somali women in Minnesota, and to assess the impact of the intervention on the mental health of those who received the training.Methods: In a feasibility study, 11 Somali female community health workers were trained to deliver an 8-session cognitive behavioral therapy intervention. Each of the trainers recruited 5 participants through community outreach, resulting in 55 participants in the intervention. Selfassessed measures of mood were collected from study participants throughout the intervention, and focus groups were conducted.

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Psychological interventions for major depression in primary care: a meta-analytic review of randomized controlled trials

Cited by 115 publications

References 46 publications

Effectiveness of Cognitive Behavioural Therapy for Anxiety and Depression in Primary Care: a Meta-analysis

Effectiveness of Cognitive Behavioural Therapy for Anxiety and Depression in Primary Care: a Meta-analysis

Depression and anxiety in inflammatory bowel disease: A review of comorbidity and management

Addressing Behavioral Health Disparities for Somali Immigrants Through Group Cognitive Behavioral Therapy Led by Community Health Workers

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