Evidence map›Paper›PMID 31179960›Full record

SynthesisPsychological medicine2019

The process and delivery of CBT for depression in adults: a systematic review and network meta-analysis.

José A López-López, Sarah R Davies, Deborah M Caldwell, Rachel Churchill, Tim J Peters, Deborah Tallon, Sarah Dawson, Qi Wu, Jinshuo Li, Abigail Taylor and 4 more

Registry-linked trialAbstract readSystematic ReviewNetwork Meta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Psychological medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04774796 (The Feasibility of a Group CBT Intervention for Improving Psychological Outcomes in Parents of Children With Food Allergy), which is not on this map. Cited by 64 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 14 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.

NCT04774796 nacompletednot on this mapstarted 2021, after this paper: background citation

The Feasibility of a Group CBT Intervention for Improving Psychological Outcomes in Parents of Children With Food Allergy

TypeinterventionalSponsorUniversity of SurreyRan2021 to 2021Enrolled38ConditionsAllergy, Food, Parents, Psychological DistressArmsCognitive Behavioural Therapy
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 14 syntheses or guidelines pooled it.

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

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

14 authors.

José A López-LópezDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.ORCID 0000-0002-9655-3616
Sarah R DaviesDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Deborah M CaldwellDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Rachel ChurchillCentre for Reviews and Dissemination, University of York, York, UK.
Tim J PetersDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Deborah TallonDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Sarah DawsonDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Qi WuFaculty of Health Sciences, University of York, York, UK.
Jinshuo LiFaculty of Health Sciences, University of York, York, UK.
Abigail TaylorDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Glyn LewisDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, UK.
David S KesslerDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Nicola WilesDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Nicky J WeltonDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.

Funding

British Heart Foundation MR/KO232331/1Cancer Research UK MR/KO232331/1Department of Health RP-PG-0514-20012Medical Research Council MR/K025643/1Medical Research Council MR/KO232331/1Wellcome TrustWellcome Trust MR/KO232331/1
6 · The paper itself

Abstract

Cognitive-behavioural therapy (CBT) is an effective treatment for depressed adults. CBT interventions are complex, as they include multiple content components and can be delivered in different ways. We compared the effectiveness of different types of therapy, different components and combinations of components and aspects of delivery used in CBT interventions for adult depression. We conducted a systematic review of randomised controlled trials in adults with a primary diagnosis of depression, which included a CBT intervention. Outcomes were pooled using a component-level network meta-analysis. Our primary analysis classified interventions according to the type of therapy and delivery mode. We also fitted more advanced models to examine the effectiveness of each content component or combination of components. We included 91 studies and found strong evidence that CBT interventions yielded a larger short-term decrease in depression scores compared to treatment-as-usual, with a standardised difference in mean change of -1.11 (95% credible interval -1.62 to -0.60) for face-to-face CBT, -1.06 (-2.05 to -0.08) for hybrid CBT, and -0.59 (-1.20 to 0.02) for multimedia CBT, whereas wait list control showed a detrimental effect of 0.72 (0.09 to 1.35). We found no evidence of specific effects of any content components or combinations of components. Technology is increasingly used in the context of CBT interventions for depression. Multimedia and hybrid CBT might be as effective as face-to-face CBT, although results need to be interpreted cautiously. The effectiveness of specific combinations of content components and delivery formats remain unclear. Wait list controls should be avoided if possible.

Indexed as

MultimediaAdultCognitive Behavioral TherapyDepressionHumansMajor Depressive DisorderRandomized Controlled Trials as TopicWaiting ListsCognitive-behavioural therapydepressionmultimedianetwork meta-analysissystematic review

Identifiers

PMID31179960
PMCPMC6712954

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.