Evidence map›Paper›PMID 24642702›Full record

Trial reportFamily practice2014

Randomized controlled trial of transdiagnostic group treatments for primary care patients with common mental disorders.

Kersti Ejeby, Ruslan Savitskij, Lars-Göran Ost, Anders Ekbom, Lena Brandt, Jonas Ramnerö, Marie Asberg, Lars G Backlund

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Family practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
3.2field-weighted citation impact, top 9% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Review
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

8 authors at 2 institutions in 2 countries.

Kersti EjebyDepartment of Neurobiology, Care Sciences and Society, Centre for Family Medicine, Karolinska Institutet, Stockholm, kersti.ejeby@sll.se.
Ruslan SavitskijCEO Innernet, Research & Development Centre, Nacka.
Lars-Göran OstDepartment of Psychology, Stockholm University, Stockholm.
Anders EkbomDepartment of Medicine, Clinical Epidemiology Unit, Karolinska Institutet, Solna and.
Lena BrandtDepartment of Medicine, Clinical Epidemiology Unit, Karolinska Institutet, Solna and.
Jonas RamneröDepartment of Psychology, Stockholm University, Stockholm.
Marie AsbergDepartment of Clinical Sciences, Karolinska Institutet/Danderyd Hospital, Stockholm, Sweden.
Lars G BacklundDepartment of Neurobiology, Care Sciences and Society, Centre for Family Medicine, Karolinska Institutet, Stockholm.
Karolinska Institutet · SEStockholm University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose was to test the effectiveness of two transdiagnostic group interventions compared to care as usual (CAU) for patients with anxiety, depressive or stress-related disorders within a primary health care context.

objectivesTo compare the effects of cognitive-based-behavioural therapy (CBT) and multimodal intervention (MMI) on the quality of life and relief of psychological symptoms of patients with common mental disorders or problems attending primary health care centre.

methodsPatients (n = 278), aged 18-65 years, were referred to the study by the GPs and 245 were randomized to CAU or one of two group interventions in addition to CAU: (i) group CBT administered by psychologists and (ii) group MMI administered by assistant nurses. The primary outcome measure was the Mental Component Summary score of short form 36. Secondary outcome measures were Perceived Stress Scale and Self-Rating Scale for Affective Syndromes. The data were analysed using intention-to-treat with a linear mixed model.

resultsOn the primary outcome measure, the mean improvement based on mixed model analyses across post- and follow-up assessment was significantly larger for the MMI group than for the CBT (4.0; P = 0.020) and CAU (7.5; P = .001) groups. Participants receiving CBT were significantly more improved than those in the CAU group. On four of the secondary outcome measures, the MMI group was significantly more improved than the CBT and CAU groups. The course of improvement did not differ between the CBT group and the CAU group on these measures.

conclusionsTransdiagnostic group treatment can be effective for patients with common mental disorders when delivered in a primary care setting. The group format and transdiagnostic approach fit well with the requirements of primary care.

Indexed as

Primary Health CareAdultAnxiety DisordersCognitive Behavioral TherapyDepressive DisorderFemaleHumansMajor Depressive DisorderMaleMiddle AgedPhobic DisordersPsychotherapy, GroupQuality of LifeSomatoform DisordersStress, PsychologicalTreatment OutcomeCBTcommon mental disordersMMIprimary health carequality of lifetransdiagnostic group interventions.

Identifiers

PMID24642702
PMCPMC4024961
OpenAlexW2162472038

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.