Evidence map›Paper›PMID 30058524›Full record

ArticleEpidemiology and psychiatric sciences2019

Is psychotherapy effective? A re-analysis of treatments for depression.

T Munder, C Flückiger, F Leichsenring, A A Abbass, M J Hilsenroth, P Luyten, S Rabung, C Steinert, B E Wampold

Abstract readComment
In one paragraph

Article in Epidemiology and psychiatric sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 7 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.

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

48 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  17. Psychological interventions for depression in people with diabetes mellitus.The Cochrane database of systematic reviews · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

T MunderPsychologische Hochschule Berlin,Berlin,Germany.
C FlückigerDepartment of Psychology,University of Zürich,Zürich,Switzerland.
F LeichsenringDepartment of Psychosomatics and Psychotherapy,Justus-Liebig-University Giessen,Giessen,Germany.
A A AbbassDepartment of Psychiatry,Centre for Emotions and Health, Dalhousie University,Halifax, NS,Canada.
M J HilsenrothThe Derner Institute of Advanced Psychological Studies,Adelphi University, Hy Weinberg Center,Garden City, NY,USA.
P LuytenFaculty of Psychology and Educational Sciences,University of Leuven,Leuven,Belgium.
S RabungDepartment of Psychology,Alpen-Adria-Universität Klagenfurt,Klagenfurt,Austria.
C SteinertDepartment of Psychosomatics and Psychotherapy,Justus-Liebig-University Giessen,Giessen,Germany.
B E WampoldModum Bad Psychiatric Center, Modum Bad,Vikersund,Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AimsThe aim of this study was to reanalyse the data from Cuijpers et al.'s (2018) meta-analysis, to examine Eysenck's claim that psychotherapy is not effective. Cuijpers et al., after correcting for bias, concluded that the effect of psychotherapy for depression was small (standardised mean difference, SMD, between 0.20 and 0.30), providing evidence that psychotherapy is not as effective as generally accepted.

methodsThe data for this study were the effect sizes included in Cuijpers et al. (2018). We removed outliers from the data set of effects, corrected for publication bias and segregated psychotherapy from other interventions. In our study, we considered wait-list (WL) controls as the most appropriate estimate of the natural history of depression without intervention.

resultsThe SMD for all interventions and for psychotherapy compared to WL controls was approximately 0.70, a value consistent with past estimates of the effectiveness of psychotherapy. Psychotherapy was also more effective than care-as-usual (SMD = 0.31) and other control groups (SMD = 0.43).

conclusionsThe re-analysis reveals that psychotherapy for adult patients diagnosed with depression is effective.

Indexed as

DepressionDepressive DisorderAdultHumansPsychotherapyWaiting ListsDepressionEysenckmeta-analysisnatural historypsychotherapy effectiveness

Identifiers

PMID30058524
PMCPMC6998909

What OpenQuestion holds

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Registered trials

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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.