Evidence map›Paper›PMID 25583894›Full record

SynthesisAnnals of family medicine

Effectiveness of psychological treatments for depressive disorders in primary care: systematic review and meta-analysis.

Klaus Linde, Kirsten Sigterman, Levente Kriston, Gerta Rücker, Susanne Jamil, Karin Meissner, Antonius Schneider

2 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 66 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 5 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.

NCT05811897 naactive not recruitingnot on this map

Un Meilleur Sommeil Pour Une Meilleure résilience : Une Plateforme en Ligne autogérée Pour Les Victimes d'Agression Sexuelle

TypeinterventionalSponsorLaval UniversityRan2022 to 2026Enrolled204ConditionsPost Traumatic Stress Disorder, Insomnia Disorder, Major Depressive DisorderArmsSelf-Managed Online Treatment, Therapist-Assisted Online Treatment
NCT06456775 nacompletednot on this map

Tele-SSM: A Telephone Technology Innovation in the Intervention on Supported Self-management for Depression in Vietnam

TypeinterventionalSponsorInstitute for Social Development Studies, VietnamRan2021 to 2023Enrolled75ConditionsDepressionArmsTele-SSM
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Klaus LindeInstitute of General Practice, Technische Universität München, Munich, Germany Klaus.Linde@tum.de.
Kirsten SigtermanInstitute of General Practice, Technische Universität München, Munich, Germany.
Levente KristonDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Gerta RückerInstitute of Medical Biometry and Statistics, University Medical Center Freiburg, Freiburg, Germany.
Susanne JamilInstitute of General Practice, Technische Universität München, Munich, Germany.
Karin MeissnerInstitute of General Practice, Technische Universität München, Munich, Germany Institute of Medical Psychology, Ludwig-Maximilians-University Munich, Munich, Germany.
Antonius SchneiderInstitute of General Practice, Technische Universität München, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe performed a systematic review of the currently available evidence on whether psychological treatments are effective for treating depressed primary care patients in comparison with usual care or placebo, taking the type of therapy and its delivery mode into account.

methodsRandomized controlled trials comparing a psychological treatment with a usual care or a placebo control in adult, depressed, primary care patients were identified by searches in MEDLINE, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and PsycINFO up to December 2013. At least 2 reviewers extracted information from included studies and assessed the risk of bias. Random effects meta-analyses were performed using posttreatment depression scores as outcome.

resultsA total of 30 studies with 5,159 patients met the inclusion criteria. Compared with control, the effect (standardized mean difference) at completion of treatment was -0.30 (95% CI, -0.48 to -0.13) for face-to-face cognitive behavioral therapy (CBT), -0.14 (-0.40 to 0.12) for face-to-face problem-solving therapy, -0.24 (-0.47 to -0.02) for face-to-face interpersonal psychotherapy, -0.28 (-0.44 to -0.12) for other face-to-face psychological interventions, -0.43 (-0.62 to -0.24) for remote therapist-led CBT, -0.56 (-1.57 to 0.45) for remote therapist-led problem-solving therapy, -0.40 (-0.69 to -0.11) for guided self-help CBT, and -0.27 (-0.44 to -0.10) for no or minimal contact CBT.

conclusionsThere is evidence that psychological treatments are effective in depressed primary care patients. For CBT approaches, substantial evidence suggests that interventions that are less resource intensive might have effects similar to more intense treatments.

Indexed as

Cognitive Behavioral TherapyDepressive DisorderHumansPrimary Health CarePsychotherapyTelemedicineTreatment Outcomecognitive therapydepressiondepressive disordersprimary health carepsychotherapyreview, systematictherapeutics

Identifiers

PMID25583894
PMCPMC4291267

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.