Evidence map›Paper›PMID 29475431›Full record

SynthesisBMC psychiatry2018

The effect of CBT and its modifications for relapse prevention in major depressive disorder: a systematic review and meta-analysis.

Zuojie Zhang, Lingli Zhang, Guorong Zhang, Jianing Jin, Zhenyang Zheng

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 4 pooled it
6.5field-weighted citation impact, top 3% 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

37 citing papers in PubMed, 4 syntheses or guidelines pooled it, 89 citations in OpenAlex.

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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

5 authors at 3 institutions in 1 country.

Zuojie ZhangDepartment of Pharmacy, Evidence-based Pharmacy Center, West China second hospital, Sichuan University, Chengdu, China.
Lingli ZhangDepartment of Pharmacy, Evidence-based Pharmacy Center, West China second hospital, Sichuan University, Chengdu, China. zhlingli@sina.com.
Guorong ZhangWest China School of Pharmacy, Sichuan University, Chengdu, China.
Jianing JinWest China School of Pharmacy, Sichuan University, Chengdu, China.
Zhenyang ZhengDepartment of Neurology, Fujian Medical University attached Union Hospital, Fuzhou, China.
Sichuan University · CNUnion Hospital · CNWest China Second University Hospital of Sichuan University · CN

Funding

National Natural Science Foundation of China 81373381
6 · The paper itself

Abstract

backgroundThe risk of relapse in major depressive disorder (MDD) is associated with high worldwide disease burden. Cognitive behavioral therapy (CBT) and its modifications might be effective in relapse prevention. The aim of this review was to evaluate the efficacy of these treatments for reducing relapse of MDD.

methodsThe retrieval was performed in the databases of MEDLINE via Pubmed, EMBASE and PsycINFO via OVID, The Cochrane Library and four Chinese databases. Clinical trials registry platforms and references of relevant articles were retrieved as well. Hazard ratio (HR) and corresponding 95% confidence interval (CI) were used to pool evidences.

resultsA total of 16 eligible trials involving 1945 participants were included. In the first 12 months, CBT was more efficacious than control in reducing the risk of developing a new episode of depression for MDD patients in remission (HR:0.50, 95%CI:0.35-0.72, I

conclusionThe use of CBT for MDD patients in remission might reduce risk of relapse. Besides, the effect of MBCT was moderated by number of prior episodes and MBCT might only be effective for MDD patients with 3 or more previous episodes. Further exploration for the influence of previous psychological intervention is required.

Indexed as

Antidepressive AgentsClinical Trials as TopicCognitive Behavioral TherapyCombined Modality TherapyHumansMajor Depressive DisorderMindfulnessRecurrenceRegistriesSecondary PreventionTreatment OutcomeAntidepressive Agentscognitive behavioural therapymajor depressive disorderrelapseremission

Identifiers

PMID29475431
PMCPMC6389220
OpenAlexW2797781084

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.