<\/b><\/p>\n
<\/b><\/p>\n
FRIDAY, April 19, 2019 (HealthDay News) — Group, telephone, and guided self-help cognitive behavioral therapy (CBT) formats are as effective as individual CBT for adult depression, according to research published online April 17 in JAMA Psychiatry<\/i>.<\/p>\n
Pim Cuijpers, Ph.D., from Vrije Universiteit Amsterdam, and colleagues conducted a network meta-analysis on randomized clinical trials of CBT for adult depression to examine the most effective delivery format. Five treatment formats (individual, group, telephone-administered, guided self-help, and unguided self-help formats) were compared to each other and to control conditions (waiting list, care as usual, and pill placebo). Data were included for 155 trials with 15,191 participants.<\/p>\n
The researchers observed no statistically significant difference in the effectiveness of individual, group, telephone, and guided self-help CBT. These formats were significantly more effective than the waiting-list and care-as-usual conditions (standardized mean differences, 0.87 to 1.02 and 0.47 to 0.72, respectively) as well as unguided self-help (standardized mean difference, 0.34 to 0.59). Compared with guided self-help, individual and group CBT were significantly better in terms of acceptability (dropout for any reason; relative risks, 1.44 and 1.38, respectively). Compared with being on a waiting list and care as usual, guided self-help was less acceptable (relative risks, 0.63 and 0.72, respectively).<\/p>\n
“Applying effective and acceptable CBT in a range of different formats will make CBT easier to implement, disseminate, and deliver across different settings and diverse patient populations,” the authors write.<\/p>\n
Two authors disclosed financial ties to the pharmaceutical industry; one author holds a pending patent.<\/p>\n
Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n <\/i><\/p>\n