Evidence map›Paper›PMID 11677710›Full record

SynthesisThe British journal of general practice : the journal of the Royal College of General Practitioners2001

The clinical and cost-effectiveness of self-help treatments for anxiety and depressive disorders in primary care: a systematic review.

P Bower, D Richards, K Lovell

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in The British journal of general practice : the journal of the Royal College of General Practitioners, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05351645 (Digital Narrative Bibliotherapy as a Scalable Intervention for Suicidal Thoughts), which is not on this map. Cited by 36 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05351645 nacompletednot on this mapstarted 2020, after this paper: background citation

Digital Narrative Bibliotherapy as a Scalable Intervention for Suicidal Thoughts: A Randomized Controlled Trial (Testing Whether Selected Blog Posts Can Improve Well-being)

TypeinterventionalSponsorHarvard UniversityRan2020 to 2021Enrolled864ConditionsSuicidal IdeationArmsTreatment
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Brief interventions for depression in primary care: a systematic review.Canadian family physician Medecin de famille canadien · 2009
    Pooled it
  5. Pooled it
  6. Self-help books for depression: how can practitioners and patients make the right choice?The British journal of general practice : the journal of the Royal College of General Practitioners · 2005
    Pooled it
  7. Paraprofessionals for anxiety and depressive disorders.The Cochrane database of systematic reviews · 2005
    Pooled it
  8. Primary care mental health workers: models of working and evidence of effectiveness.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002
    Pooled it
  9. Trial
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  15. Treatment of anxiety disorders in primary care practice: a randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005
    Trial
  16. PHASE: a randomised, controlled trial of supervised self-help cognitive behavioural therapy in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2003
    Trial
  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

P BowerNational Primary Care Research and Development Centre, Williamson Building, University of Manchester, M13 9PL. peter.bower@man.ac.uk
D Richards
K Lovell

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anxiety and depression are prevalent in primary care; however, current treatments differ in their availability, cost-effectiveness, and acceptability to patients. Self-help treatments (such as manual-based bibliotherapy) may be an appropriate intervention for some patients. The aim of this research was to determine the clinical and cost-effectiveness of self-help treatments for anxiety and depression in primary care by conducting a systematic review of randomised and non-randomised trials of self-help interventions for patients with anxiety and depression in primary care, from electronic database searches, correspondence with authors, and limited handsearching. Eight studies were identified, examining written interventions based mostly on behavioural principles. Although the majority of trials reported some significant advantages in outcome associated with self-help treatments, the number of included studies was limited and a number of methodological limitations were identified. There were no data concerning long-term clinical benefits or cost-effectiveness. In conclusion, self-help treatments may have the potential to improve the overall cost-effectiveness of mental health service provision. However, the available evidence is limited in quantity and quality and more rigorous trials are required to provide more reliable estimates of the clinical and cost-effectiveness of these treatments.

Indexed as

Anxiety DisordersCost-Benefit AnalysisDepressive DisorderFamily PracticeHumansSelf CareTreatment Outcome

Identifiers

PMID11677710
PMCPMC1314132

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.