Group, telephone, guided CBT treatment effective for depression

Group, telephone, guided CBT treatment effective for depression

PanARMENIAN.Net - 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.

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, Medical Xpress reports.

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).

"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.

Two authors disclosed financial ties to the pharmaceutical industry; one author holds a pending patent.

 Top stories
The House of Representatives overwhelmingly voted Tuesday, October 29 to officially recognize the Armenian Genocide.
French actor of Armenian descent Charles Gérard died September 19 at the age of 96, Figaro reports.
Archaeological relics related to the Kingdom of Urartu (860 BC – 590 BC) has recently been found in Anaqizli mount.
Work will be performed in Alexandria, Virginia and Azerbaijan, and is expected to be completed in September 2020.
Partner news