Evidence map›Paper›PMID 19192368›Full record

SynthesisThe British journal of general practice : the journal of the Royal College of General Practitioners2009

Psychological treatment of depression in primary care: a meta-analysis.

Pim Cuijpers, Annemieke van Straten, Anneke van Schaik, Gerhard Andersson

Registry-linked trialAbstract readMeta-Analysis
In one paragraph

Synthesis in The British journal of general practice : the journal of the Royal College of General Practitioners, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03034343 (Effectiveness of a Brief Psychological Mindfulness Based Intervention for the Treatment of Depression in Primary Care), which is not on this map. Cited by 59 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 10 pooled it
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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.

NCT03034343 naunknown statusnot on this mapstarted 2016, after this paper: background citation

Effectiveness of a Brief Psychological Mindfulness Based Intervention for the Treatment of Depression in Primary Care: Face-to-face Application, Treatment as Usual and Application Through ICTs

TypeinterventionalSponsorUniversitat Jaume IRan2016 to 2020Enrolled120ConditionsDepressive DisorderArmsMindfulness
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 10 syntheses or guidelines pooled it.

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  7. Brief psychotherapy for depression: a systematic review and meta-analysis.International journal of psychiatry in medicine · 2012
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Pim CuijpersDepartment of Clinical Psychology, VU University Amsterdam, the Netherlands. p.cuijpers@psy.vu.nl
Annemieke van Straten
Anneke van Schaik
Gerhard Andersson

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough most depressive disorders are treated in primary care and several studies have examined the effects of psychological treatment in primary care, hardly any meta-analytic research has been conducted in which the results of these studies are integrated.

aimTo integrate the results of randomised controlled trials of psychological treatment of depression in adults in primary care, and to compare these results to psychological treatments in other settings. DESIGN OF STUDY: A meta-analysis of studies examining the effects of psychological treatments of adult depression in primary care.

settingPrimary care.

methodAn existing database of studies on psychological treatments of adult depression that was built on systematic searches in PubMed, PsychINFO, EMBASE, and Dissertation Abstracts International was used. Randomised trials were included in which the effects of psychological treatments on adult primary care patients with depression were compared to a control condition.

resultsIn the 15 included studies, the standardised mean effect size of psychological treatment versus control groups was 0.31 (95% CI = 0.17 to 0.45), which corresponds with a numbers-needed-to-treat (NNT) of 5.75. Studies in which patients were referred by their GP for treatment had significantly higher effect sizes (d = 0.43; NNT = 4.20) than studies in which patients were recruited through systematic screening (d = 0.13, not significantly different from zero; NNT = 13.51).

conclusionsAlthough the number of studies was relatively low and the quality varied, psychological treatment of depression was found to be effective in primary care, especially when GPs refer patients with depression for treatment.

Indexed as

AdultCognitive Behavioral TherapyDepressive DisorderFamily PracticeHumansMiddle AgedPrimary Health CarePsychotherapyRandomized Controlled Trials as TopicReferral and ConsultationTreatment Outcome

Identifiers

PMID19192368
PMCPMC2629842

What OpenQuestion holds

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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.