Component studies of psychological treatments of adult depression: A systematic review and meta-analysis
Objectives: A recent report from the US Institute of Medicine indicated that identifying core elements of psychosocial interventions is a key step in successfully bringing evidence-based psychosocial interventions into clinical practice. Component studies have the best design to examine these core e...
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| Published in: | Psychotherapy research Vol. 29; no. 1; pp. 15 - 29 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
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England
Routledge
02.01.2019
Taylor & Francis Ltd |
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| ISSN: | 1050-3307, 1468-4381, 1468-4381 |
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| Abstract | Objectives: A recent report from the US Institute of Medicine indicated that identifying core elements of psychosocial interventions is a key step in successfully bringing evidence-based psychosocial interventions into clinical practice. Component studies have the best design to examine these core elements. Earlier reviews resulted in heterogeneous sets of studies and probably missed many studies. Methods: We conducted a comprehensive search of component studies on psychotherapies for adult depression and included 16 studies with 22 comparisons. Results: Fifteen components were examined of which four were examined in more than one comparison. The pooled difference between the full treatments and treatments with one component removed was g = 0.21 (95% CI: 0.03∼0.39). One study had sufficient statistical power to detect a small effect size and found that adding emotion regulation skills increased the effects of CBT. None of the other studies had enough power to detect an effect size smaller than g = 0.55. Only one study had low risk of bias. Conclusions: The currently available component studies do not have the statistical power nor the quality to draw any meaningful conclusion about key ingredients of psychotherapies for adult depression. |
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| AbstractList | (ProQuest: ... denotes non-USASCII text omitted)Objectives: A recent report from the US Institute of Medicine indicated that identifying core elements of psychosocial interventions is a key step in successfully bringing evidence-based psychosocial interventions into clinical practice. Component studies have the best design to examine these core elements. Earlier reviews resulted in heterogeneous sets of studies and probably missed many studies. Methods: We conducted a comprehensive search of component studies on psychotherapies for adult depression and included 16 studies with 22 comparisons. Results: Fifteen components were examined of which four were examined in more than one comparison. The pooled difference between the full treatments and treatments with one component removed was g = 0.21 (95% CI: 0.03∼0.39). One study had sufficient statistical power to detect a small effect size and found that adding emotion regulation skills increased the effects of CBT. None of the other studies had enough power to detect an effect size smaller than g = 0.55. Only one study had low risk of bias. Conclusions: The currently available component studies do not have the statistical power nor the quality to draw any meaningful conclusion about key ingredients of psychotherapies for adult depression. Objectives: A recent report from the US Institute of Medicine indicated that identifying core elements of psychosocial interventions is a key step in successfully bringing evidence-based psychosocial interventions into clinical practice. Component studies have the best design to examine these core elements. Earlier reviews resulted in heterogeneous sets of studies and probably missed many studies. Methods: We conducted a comprehensive search of component studies on psychotherapies for adult depression and included 16 studies with 22 comparisons. Results: Fifteen components were examined of which four were examined in more than one comparison. The pooled difference between the full treatments and treatments with one component removed was g = 0.21 (95% CI: 0.03∼0.39). One study had sufficient statistical power to detect a small effect size and found that adding emotion regulation skills increased the effects of CBT. None of the other studies had enough power to detect an effect size smaller than g = 0.55. Only one study had low risk of bias. Conclusions: The currently available component studies do not have the statistical power nor the quality to draw any meaningful conclusion about key ingredients of psychotherapies for adult depression. A recent report from the US Institute of Medicine indicated that identifying core elements of psychosocial interventions is a key step in successfully bringing evidence-based psychosocial interventions into clinical practice. Component studies have the best design to examine these core elements. Earlier reviews resulted in heterogeneous sets of studies and probably missed many studies. We conducted a comprehensive search of component studies on psychotherapies for adult depression and included 16 studies with 22 comparisons. Fifteen components were examined of which four were examined in more than one comparison. The pooled difference between the full treatments and treatments with one component removed was g = 0.21 (95% CI: 0.03∼0.39). One study had sufficient statistical power to detect a small effect size and found that adding emotion regulation skills increased the effects of CBT. None of the other studies had enough power to detect an effect size smaller than g = 0.55. Only one study had low risk of bias. The currently available component studies do not have the statistical power nor the quality to draw any meaningful conclusion about key ingredients of psychotherapies for adult depression. A recent report from the US Institute of Medicine indicated that identifying core elements of psychosocial interventions is a key step in successfully bringing evidence-based psychosocial interventions into clinical practice. Component studies have the best design to examine these core elements. Earlier reviews resulted in heterogeneous sets of studies and probably missed many studies.OBJECTIVESA recent report from the US Institute of Medicine indicated that identifying core elements of psychosocial interventions is a key step in successfully bringing evidence-based psychosocial interventions into clinical practice. Component studies have the best design to examine these core elements. Earlier reviews resulted in heterogeneous sets of studies and probably missed many studies.We conducted a comprehensive search of component studies on psychotherapies for adult depression and included 16 studies with 22 comparisons.METHODSWe conducted a comprehensive search of component studies on psychotherapies for adult depression and included 16 studies with 22 comparisons.Fifteen components were examined of which four were examined in more than one comparison. The pooled difference between the full treatments and treatments with one component removed was g = 0.21 (95% CI: 0.03∼0.39). One study had sufficient statistical power to detect a small effect size and found that adding emotion regulation skills increased the effects of CBT. None of the other studies had enough power to detect an effect size smaller than g = 0.55. Only one study had low risk of bias.RESULTSFifteen components were examined of which four were examined in more than one comparison. The pooled difference between the full treatments and treatments with one component removed was g = 0.21 (95% CI: 0.03∼0.39). One study had sufficient statistical power to detect a small effect size and found that adding emotion regulation skills increased the effects of CBT. None of the other studies had enough power to detect an effect size smaller than g = 0.55. Only one study had low risk of bias.The currently available component studies do not have the statistical power nor the quality to draw any meaningful conclusion about key ingredients of psychotherapies for adult depression.CONCLUSIONSThe currently available component studies do not have the statistical power nor the quality to draw any meaningful conclusion about key ingredients of psychotherapies for adult depression. |
| Author | Hollon, Steven D. Cristea, Ioana A. Karyotaki, Eirini Reijnders, Mirjam Cuijpers, Pim |
| Author_xml | – sequence: 1 givenname: Pim orcidid: 0000-0001-5497-2743 surname: Cuijpers fullname: Cuijpers, Pim email: p.cuijpers@vu.nl organization: Amsterdam Public Health Research Institute – sequence: 2 givenname: Ioana A. surname: Cristea fullname: Cristea, Ioana A. organization: Department of Clinical Psychology and Psychotherapy, Babes-Bolyai University – sequence: 3 givenname: Eirini surname: Karyotaki fullname: Karyotaki, Eirini organization: Amsterdam Public Health Research Institute – sequence: 4 givenname: Mirjam orcidid: 0000-0002-4272-2576 surname: Reijnders fullname: Reijnders, Mirjam organization: Amsterdam Public Health Research Institute – sequence: 5 givenname: Steven D. surname: Hollon fullname: Hollon, Steven D. organization: Department of Psychology, Vanderbilt University |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29115185$$D View this record in MEDLINE/PubMed |
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| Keywords | meta-analysis depression additive study component study dismantling study specific and nonspecific mechanisms |
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| SubjectTerms | additive Studie additive study Adults Clinical medicine Cognitive behavioral therapy component study depression depressione depressão dismantling study Dismantling-Studie Emotional regulation Emotions estudo aditivo estudo de componentes estudo de desmantelamento Intervention Komponentenstudie mecanismos específicos e não específicos meccanismi specifici e non specifici Medicine Mental depression meta-analisi Meta-Analyse Meta-analysis meta-análise Power Psychosocial factors Psychosocial intervention Psychotherapy specific and nonspecific mechanisms spezifische und unspezifische Mechanismen Statistical power studi di smantellamento Systematic review Treatment methods 後設分析 憂鬱 成份研究 拆解研究 添加研究 特定和非特定機制 |
| Title | Component studies of psychological treatments of adult depression: A systematic review and meta-analysis |
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| Volume | 29 |
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