Abstract:
OBJECTIVE:It is widely acknowledged that the prevalence of depression in the general population is high, but that it is even higher for patients with medical disorders. Yet, the effectiveness of psychological treatments in these patient populations has not been firmly established. METHODS:We conducted a meta-analysis of randomized controlled studies examining the effects of psychological treatments in patients with 1 of 10 different medical disorders and elevated levels of depression. Extensive searches were performed in PubMed, PsycINFO, Embase, and the Cochrane Central Register of Controlled Trials. RESULTS:We included 23 studies. The overall effect size of the 15 studies that compared psychological treatments with a waitlist or care-as-usual control group was d=1.00 [95% confidence interval (CI), 0.57-1.44] but declined to d=0.42 (95% CI, 0.27-0.58) after removing two outliers with extremely high effects. We tested the type of disorder, inclusion based on diagnostic criteria or symptoms, type of treatment, treatment format, type of control group, and intention-to-treat or completers analyses, but none of these variables were significantly associated with the effect. The four studies that compared one type of psychotherapy to another showed a positive effect of cognitive behavioral therapy and interpersonal therapy compared to supportive therapy (d=0.42; 95% CI, 0.14-0.69). There were not enough studies (n=3) to draw any conclusions about the comparison of psychotherapy to pharmacotherapy. CONCLUSION:We conclude that the effects of psychological treatment of patients with medical disorders are very similar to those found in otherwise healthy patients. Treating this comorbid depression should be one of the priorities in medical care settings.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
van Straten A,Geraedts A,Verdonck-de Leeuw I,Andersson G,Cuijpers Pdoi
10.1016/j.jpsychores.2010.01.019subject
Has Abstractpub_date
2010-07-01 00:00:00pages
23-32issue
1eissn
0022-3999issn
1879-1360pii
S0022-3999(10)00024-3journal_volume
69pub_type
杂志文章,meta分析abstract:OBJECTIVES:To compare the frequency of anxiety/depressive symptoms and use of anxiolytic-hypnotics/antidepressants in smokers with and without COPD and to identify characteristics associated with having unmedicated symptoms. METHODS:Cross-sectional analysis of ambulatory, current/former smokers ≥10 pack years enrolled...
journal_title:Journal of psychosomatic research
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更新日期:2019-03-01 00:00:00
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journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
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更新日期:2013-08-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2018-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-12-01 00:00:00