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April 20, 2019 – 11:46 AMT
PanARMENIAN.Net – Cognitive behavioral therapy (CBT) formats in groups, by phone and by themselves are as effective as individual CBT in adults depression, according to a study published online April 17 in JAMA Psychiatry.
Pim Cuijpers, Ph.D., of Vrije Universiteit Amsterdam, and colleagues conducted a network meta-badysis on randomized clinical trials of CBT for depression in adults to examine the delivery format the most efficient. Five treatment formats (individual, group, telephone administered, guided self-help and unguided self-help) were compared and controlled to control conditions (waiting list, usual care). and placebo pill). Data was included for 155 trials with 15,191 participants, Medical Xpress reports.
The researchers observed no statistically significant difference between the effectiveness of individual, group, telephone and guided CBT. These formats were significantly more effective than the waiting list and the usual treatment conditions (standardized mean differences, 0.87 to 1.02 and 0.47 to 0.72, respectively), as well unguided self-help (standardized mean difference, 0.34 to 0.59). Compared with guided self-help, individual and group CBT was significantly better in terms of acceptability (dropout for some reason, relative risks, 1.44 and 1.38, respectively). Compared to the waiting list and usual care, guided self-help was less acceptable (relative risks, 0.63 and 0.72, respectively).
"The application of effective and acceptable CBT in a range of different formats will make CBT easier to implement, disseminate and disseminate in different settings and patient populations," the authors write.
Two authors have revealed financial links with the pharmaceutical industry; an author holds a patent pending.
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