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Article: Effectiveness of group cognitive behavioral therapy for depression in adults: a systematic review and meta-analysis of delivery by different healthcare professionals
Title | Effectiveness of group cognitive behavioral therapy for depression in adults: a systematic review and meta-analysis of delivery by different healthcare professionals |
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Authors | |
Keywords | cognitive behavioral therapy Depression meta-analysis meta-regression |
Issue Date | 19-Feb-2024 |
Publisher | Taylor and Francis Group |
Citation | Cognitive Behaviour Therapy, 2024, v. 53, n. 3, p. 302-323 How to Cite? |
Abstract | This study addresses the gap in understanding the varied effectiveness of group cognitive behavioral therapy (gCBT) delivered by different professionals. This study aims to address this gap by conducting a systematic review of randomized controlled trials (RCTs) that evaluate gCBT and compare it to inactive controls in adults with a clinical diagnosis of depression. A total of 33 RCTs were included for analysis. In the overall analysis, ‘profession of gCBT deliverer’ was not a significant moderator in the meta-regression model (p = 0.57). For people without comorbidity, the overall effect size estimate was −0.69 (95% CI, −1.01. to −0.37, p = 0.03). Among gCBT deliverers, psychologists and nurses/psychiatric nurses demonstrated significant effectiveness, with psychologists showing a large effect size of −0.78 (95% CI, −1.25 to −0.30, p < 0.01) and nurses/psychiatric nurses showing a medium effect size of −0.45 (95% CI, −0.85 to −0.05, p = 0.03). The certainty of evidence for both professionals was moderate. These results have significant implications for the delivery of mental healthcare, as nurses/psychiatric nurses may be more accessible and cost-effective than psychologists in some settings. However, further research is necessary to determine the effectiveness of gCBT delivered by a broader range of healthcare professionals for patients with depression and other comorbidities. |
Persistent Identifier | http://hdl.handle.net/10722/344963 |
ISSN | 2023 Impact Factor: 4.3 2023 SCImago Journal Rankings: 1.767 |
DC Field | Value | Language |
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dc.contributor.author | Wong, Cecil Pak Shun | - |
dc.contributor.author | Yeung, Jacky Tsz Kit | - |
dc.contributor.author | Fong, Daniel Yee Tak | - |
dc.contributor.author | Smith, Robert David | - |
dc.contributor.author | Ngan, Angela Hoi Yan | - |
dc.contributor.author | Lam, Yanny Yin Ling | - |
dc.contributor.author | Chan, Kitty Siu Shan | - |
dc.contributor.author | Leung, Hilary Hau Yee | - |
dc.contributor.author | Wang, Man Ping | - |
dc.contributor.author | Wong, Janet Yuen Ha | - |
dc.date.accessioned | 2024-08-14T08:56:32Z | - |
dc.date.available | 2024-08-14T08:56:32Z | - |
dc.date.issued | 2024-02-19 | - |
dc.identifier.citation | Cognitive Behaviour Therapy, 2024, v. 53, n. 3, p. 302-323 | - |
dc.identifier.issn | 1650-6073 | - |
dc.identifier.uri | http://hdl.handle.net/10722/344963 | - |
dc.description.abstract | This study addresses the gap in understanding the varied effectiveness of group cognitive behavioral therapy (gCBT) delivered by different professionals. This study aims to address this gap by conducting a systematic review of randomized controlled trials (RCTs) that evaluate gCBT and compare it to inactive controls in adults with a clinical diagnosis of depression. A total of 33 RCTs were included for analysis. In the overall analysis, ‘profession of gCBT deliverer’ was not a significant moderator in the meta-regression model (p = 0.57). For people without comorbidity, the overall effect size estimate was −0.69 (95% CI, −1.01. to −0.37, p = 0.03). Among gCBT deliverers, psychologists and nurses/psychiatric nurses demonstrated significant effectiveness, with psychologists showing a large effect size of −0.78 (95% CI, −1.25 to −0.30, p < 0.01) and nurses/psychiatric nurses showing a medium effect size of −0.45 (95% CI, −0.85 to −0.05, p = 0.03). The certainty of evidence for both professionals was moderate. These results have significant implications for the delivery of mental healthcare, as nurses/psychiatric nurses may be more accessible and cost-effective than psychologists in some settings. However, further research is necessary to determine the effectiveness of gCBT delivered by a broader range of healthcare professionals for patients with depression and other comorbidities. | - |
dc.language | eng | - |
dc.publisher | Taylor and Francis Group | - |
dc.relation.ispartof | Cognitive Behaviour Therapy | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | cognitive behavioral therapy | - |
dc.subject | Depression | - |
dc.subject | meta-analysis | - |
dc.subject | meta-regression | - |
dc.title | Effectiveness of group cognitive behavioral therapy for depression in adults: a systematic review and meta-analysis of delivery by different healthcare professionals | - |
dc.type | Article | - |
dc.identifier.doi | 10.1080/16506073.2024.2313741 | - |
dc.identifier.scopus | eid_2-s2.0-85186173475 | - |
dc.identifier.volume | 53 | - |
dc.identifier.issue | 3 | - |
dc.identifier.spage | 302 | - |
dc.identifier.epage | 323 | - |
dc.identifier.eissn | 1651-2316 | - |
dc.identifier.issnl | 1650-6073 | - |