Evidence map›Paper›PMID 33455594›Full record

SynthesisPsychological medicine2021

The evidence for cognitive behavioural therapy in any condition, population or context: a meta-review of systematic reviews and panoramic meta-analysis.

Beth Fordham, Thavapriya Sugavanam, Katherine Edwards, Paul Stallard, Robert Howard, Roshan das Nair, Bethan Copsey, Hopin Lee, Jeremy Howick, Karla Hemming and 1 more

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Psychological medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07408934 (A Randomized Controlled Trial of Group Cognitive Behavioral Therapy), which is not on this map. Cited by 59 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 12 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.

NCT07408934 naenrolling by invitationnot on this mapstarted 2024, after this paper: background citation

A Randomized Controlled Trial of Group Cognitive Behavioral Therapy (the Feeling Safe Programme) for Psychosis

TypeinterventionalSponsorThe Royal Ottawa Mental Health CentreRan2024 to 2027Enrolled50ConditionsSchizophrenia and Schizoaffective DisorderArmsCognitive Behavioral Therapy for Psychosis
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 12 syntheses or guidelines pooled it.

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  10. For whom and what outcomes does cognitive-behavioral-therapy work among cancer survivors: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
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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

11 authors.

Beth FordhamNuffield Department of Orthopaedic, Rheumatology and Musculoskeletal Science (NDORMS) University of Oxford, Oxford, UK.ORCID 0000-0001-5996-3563
Thavapriya SugavanamNuffield Department of Population Health, University of Oxford, Oxford, UK.
Katherine EdwardsReviews and Implementation Group, University of Liverpool, Liverpool, UK.
Paul StallardDepartment for Health, University of Bath, Bath, UK.
Robert HowardInstitute of Mental Health, University College London, London, UK.
Roshan das NairFaculty of Medicine & Health Sciences, University of Nottingham, Nottingham, UK.
Bethan CopseySchool of Medicine, University of Leeds, Leeds, UK.
Hopin LeeNuffield Department of Orthopaedic, Rheumatology and Musculoskeletal Science (NDORMS) University of Oxford, Oxford, UK.
Jeremy HowickDepartment of Philosophy, University of Oxford, Oxford, UK.
Karla HemmingPublic Health, Epidemiology and Biostatistics, University of Birmingham, Birmingham, UK.
Sarah E LambCollege of Medicine and Health, University of Exeter, Exeter, UK.

Funding

Department of Health HTA 15/174/24
6 · The paper itself

Abstract

The majority of psychological treatment research is dedicated to investigating the effectiveness of cognitive behavioural therapy (CBT) across different conditions, population and contexts. We aimed to summarise the current systematic review evidence and evaluate the consistency of CBT's effect across different conditions. We included reviews of CBT randomised controlled trials in any: population, condition, format, context, with any type of comparator and published in English. We searched DARE, Cochrane, MEDLINE, EMBASE, PsycINFO, CINAHL, CDAS, and OpenGrey between 1992 and January 2019. Reviews were quality assessed, their data extracted and summarised. The effects upon health-related quality of life (HRQoL) were pooled, within-condition groups. If the across-condition heterogeneity was I2 < 75%, we pooled effects using a random-effect panoramic meta-analysis. We summarised 494 reviews (221 128 participants), representing 14/20 physical and 13/20 mental conditions (World Health Organisation's International Classification of Diseases). Most reviews were lower-quality (351/494), investigated face-to-face CBT (397/494), and in adults (378/494). Few reviews included trials conducted in Asia, South America or Africa (45/494). CBT produced a modest benefit across-conditions on HRQoL (standardised mean difference 0.23; 95% confidence intervals 0.14-0.33, I2 = 32%). The effect's associated prediction interval -0.05 to 0.50 suggested CBT will remain effective in conditions for which we do not currently have available evidence. While there remain some gaps in the completeness of the evidence base, we need to recognise the consistent evidence for the general benefit which CBT offers.

Indexed as

Cognitive Behavioral TherapyHumansMental DisordersQuality of LifeTreatment OutcomeCognitive Behavioural Therapymeta-reviewoverviewpanoramic meta-analysissystematic reviews

Identifiers

PMID33455594
PMCPMC7856415

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.