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.
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.
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.
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.
Digital Narrative Bibliotherapy as a Scalable Intervention for Suicidal Thoughts: A Randomized Controlled Trial (Testing Whether Selected Blog Posts Can Improve Well-being)
Who cites it
36 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- The effects of self-management interventions on depressive symptoms in adults with chronic physical disease(s) experiencing depressive symptomatology: a systematic review and meta-analysis.BMC psychiatry · 2021Pooled it
- Media-delivered cognitive behavioural therapy and behavioural therapy (self-help) for anxiety disorders in adults.The Cochrane database of systematic reviews · 2013Pooled it
- Influence of initial severity of depression on effectiveness of low intensity interventions: meta-analysis of individual patient data.BMJ (Clinical research ed.) · 2013Pooled it
- Brief interventions for depression in primary care: a systematic review.Canadian family physician Medecin de famille canadien · 2009Pooled it
- Psychotherapy mediated by remote communication technologies: a meta-analytic review.BMC psychiatry · 2008Pooled it
- 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 · 2005Pooled it
- Paraprofessionals for anxiety and depressive disorders.The Cochrane database of systematic reviews · 2005Pooled it
- 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 · 2002Pooled it
- A Booklet Self-Help Intervention for People Living with HIV and Depressive Symptoms in Botswana: A Randomized Controlled Trial.AIDS and behavior · 2025Trial
- Efficacy of path-oriented psychological self-help interventions to improve mental health of empty-nest older adults in the Community of China.BMC psychiatry · 2019Trial
- "Unrigging the support wheels" - A qualitative study on patients' experiences with and perspectives on low-intensity CBT.BMC health services research · 2019Trial
- Effectiveness of a self-help manual on the promotion of resilience in individuals with depression in Thailand: a randomised controlled trial.BMC psychiatry · 2012Trial
- Cost-effectiveness analysis of an occupational therapy-led lifestyle approach and routine general practitioner's care for panic disorder.Social psychiatry and psychiatric epidemiology · 2010Trial
- Depression and anxiety, an indicated prevention (DIP) protocol in homes for the elderly: feasibility and (cost) effectiveness of a stepped care programme.BMC geriatrics · 2007Trial
- 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 · 2005Trial
- 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 · 2003Trial
- Implementing Digital Tools for Mental Health Support in Young Individuals in Colombia: Mixed Methods Feasibility Study.JMIR formative research · 2025Article
- Utilization of clinical practice guidelines and interprofessional collaboration in depression management in Swiss primary care: a cross-sectional survey study among primary care physicians.BMC primary care · 2025Article
- Bibliotherapy for stress management: a wellness intervention for first-year medical students.Journal of the Medical Library Association : JMLA · 2025Article
- Evaluating a Smartphone App (MeT4VeT) to Support the Mental Health of UK Armed Forces Veterans: Feasibility Randomized Controlled Trial.JMIR mental health · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
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
Identifiers
11677710PMC1314132What OpenQuestion holds
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.