Evidence map›Paper›PMID 36404677›Full record

SynthesisPsychological medicine2023

Which patients benefit from adding short-term psychodynamic psychotherapy to antidepressants in the treatment of depression? A systematic review and meta-analysis of individual participant data.

Ellen Driessen, Marjolein Fokkema, Jack J M Dekker, Jaap Peen, Henricus L Van, Giuseppe Maina, Gianluca Rosso, Sylvia Rigardetto, Francesco Cuniberti, Veronica G Vitriol and 7 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Psychological medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Innovations to improve outcomes and uptake of psychotherapies for mental disorders: a state-of-the-art review.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026
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  4. Article
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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

17 authors.

Ellen DriessenDepartment of Clinical Psychology, Behavioural Science Institute, Radboud University, Nijmegen, Netherlands.ORCID 0000-0002-9602-1548
Marjolein FokkemaDepartment of Methodology and Statistics, Leiden University, Leiden, Netherlands.ORCID 0000-0002-9252-8325
Jack J M DekkerDepartment of Research, Arkin Mental Health Care, Amsterdam, Netherlands.ORCID 0000-0003-3782-6431
Jaap PeenDepartment of Research, Arkin Mental Health Care, Amsterdam, Netherlands.ORCID 0000-0002-4421-8744
Henricus L VanNPI, Arkin Mental Health Care, Amsterdam, Netherlands.ORCID 0000-0001-6491-7238
Giuseppe MainaDepartment of Neuroscience 'Rita Levi Montalcini', University of Turin, Turin, Italy.ORCID 0000-0002-2533-140X
Gianluca RossoDepartment of Neuroscience 'Rita Levi Montalcini', University of Turin, Turin, Italy.ORCID 0000-0002-2308-9146
Sylvia RigardettoPsychiatric Unit, San Luigi Gonzaga University Hospital of Orbassano, Turin, Italy.
Francesco CunibertiDepartment of Neuroscience 'Rita Levi Montalcini', University of Turin, Turin, Italy.ORCID 0000-0002-6145-2137
Veronica G VitriolMedical School, University of Talca, Talca, Chile.ORCID 0000-0001-7406-4363
Antonio AndreoliGeneva University Hospital Center, Geneva, Switzerland.
Yvonne BurnandGeneva University Hospital Center, Geneva, Switzerland.
Jaime López RodríguezNational Institute of Psychiatry, Mexico City, Mexico.
Valerio Villamil SalcedoNational Institute of Psychiatry, Mexico City, Mexico.ORCID 0000-0003-2672-7059
Jos W R TwiskDepartment of Epidemiology and Data Science, Amsterdam University Medical Centers, Amsterdam, Netherlands.
Frederik J WienickeDepartment of Clinical Psychology, Behavioural Science Institute, Radboud University, Nijmegen, Netherlands.ORCID 0000-0002-1728-1203
Pim CuijpersDepartment of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.ORCID 0000-0001-5497-2743

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdding short-term psychodynamic psychotherapy (STPP) to antidepressants increases treatment efficacy, but it is unclear which patients benefit specifically. This study examined efficacy moderators of combined treatment (STPP + antidepressants)

methodsFor this systematic review and meta-analysis (PROSPERO registration number: CRD42017056029), we searched PubMed, PsycINFO, Embase.com, and the Cochrane Library from inception to 1 January 2022. We included randomized clinical trials comparing combined treatment (antidepressants + individual outpatient STPP)

resultsData were obtained for all seven trials identified (100%,

conclusionsTo our knowledge, this is the first study that examines moderators across trials assessing the addition of STPP to antidepressants. These findings need validation but suggest that depression severity and episode duration are factors to consider when adding STPP to antidepressants and might contribute to personalizing treatment selection for depression.

Indexed as

Psychotherapy, BriefPsychotherapy, PsychodynamicAdultAntidepressive AgentsDepressionHumansPsychotherapyTreatment OutcomeAntidepressive AgentsCombined treatmentdepressionindividual participant data meta-analysismoderatorshort-term psychodynamic psychotherapy (STPP)

Identifiers

PMID36404677
PMCPMC10520584

What OpenQuestion holds

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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.