| Title | Cognitive-behavioural therapy for depression in people with a somatic disease: meta-analysis of randomised controlled trials. |
|---|---|
| Published in | British Journal of Psychiatry, Vol. 197, p.11-19. ISSN 0007-1250. |
| Author | Beltman, M.W.; Oude Voshaar, R.C.; Speckens, A.E.M. |
| Date | 2010 |
| Type | article |
| Abstract | BACKGROUND: Meta-analyses on psychological treatment for depression in individuals with a somatic disease are limited to specific underlying somatic diseases, thereby neglecting the generalisability of the interventions. AIMS: To examine the effectiveness of cognitive-behavioural therapy (CBT) for depression in people with a diversity of somatic diseases. METHOD: Meta-analysis of randomised controlled trials evaluating CBT for depression in people with a somatic disease. Severity of depressive symptoms was pooled using the standardised mean difference (SMD). RESULTS: Twenty-nine papers met inclusion criteria. Cognitive-behavioural therapy was superior to control conditions with larger effects in studies restricted to participants with depressive disorder (SMD = -0.83, 95% CI -1.36 to -0.31, P<0.001) than in studies of participants with depressive symptoms (SMD = -0.16, 95% CI -0.27 to -0.06, P = 0.001). Subgroup analyses showed that CBT was not superior to other psychotherapies. CONCLUSIONS: Cognitive-behavioural therapy significantly reduces depressive symptoms in people with a somatic disease, especially in those who meet the criteria for a depressive disorder. |
| Publication | http://repository.ubn.ru.nl/handle/2066/89181 |
| OpenURL | Search this publication in (your) library |
| Persistent Identifier | urn:nbn:nl:ui:22-2066/89181 |
| Metadata | XML |
| Repository | Radboud University Nijmegen |
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