Evidence map›Paper›PMID 37770471›Full record

SynthesisTranslational psychiatry2023

Psychological interventions for the prevention of depression relapse: systematic review and network meta-analysis.

Yurong Zhou, Defeng Zhao, Xiaotong Zhu, Lu Liu, Ming Meng, Xiaojun Shao, Xueyan Zhu, Jing Xiang, Jiali He, Yimeng Zhao and 4 more

Open access · goldAbstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in Translational psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 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

14 authors at 3 institutions in 1 country.

Yurong Zhou *Department of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, 110001, China.ORCID 0000-0002-1483-9742
Defeng Zhao *Clinical Medicine (5 + 3), China Medical University, Shenyang, 110122, China.
Xiaotong ZhuDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, 110001, China.
Lu LiuDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, 110001, China.
Ming MengDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, 110001, China.
Xiaojun ShaoDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, 110001, China.
Xueyan ZhuDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, 110001, China.
Jing XiangDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, 110001, China.
Jiali HeDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, 110001, China.
Yimeng ZhaoDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, 110001, China.
Yuman YuanDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, 110001, China.
Rui GaoDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, 110001, China.
Lin JiangDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, 110001, China.
Gang ZhuDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, 110001, China. gzhu@cmu.edu.cn.ORCID 0000-0001-6967-8336
First Hospital of China Medical University · CNFourth Affiliated Hospital of China Medical University · CNChina Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Depression is highly prevalent and easily relapses. Psychological interventions are effective for the prevention of depression relapse. This systematic review and network meta-analysis aimed to compare the efficacy at the same follow-up time points of psychological interventions in depression. We searched PubMed, Embase, and PsycINFO via OVID, and the Cochrane Library published up to December 12, 2021, and PubMed up to July 1, 2022. The primary outcome was depression relapse, considering the same time points that were extracted on survival curves or relapse curves. The study protocol was registered with PROSPERO, CRD42022343327. A total of 2,871 patients were included from 25 RCTs. Mindfulness-based cognitive therapy (MBCT) was significantly better than placebo at the 3 months, the 6 months, and the 9 months at follow-up. Cognitive behavioral therapy (CBT) was significantly better than treatment as usual at the 3 months, the 9 months, the 12 months, and the 15 months at follow-up. CBT was significantly better than placebo at the 21 months and the 24 months at follow-up. Behavioral activation therapy was significantly better than placebo at the 21 months and the 24 months at follow-up. Interpersonal psychotherapy was significantly better than placebo at the 24-month follow-up. All psychological interventions included in the study were significantly better than supportive counseling most of the time. The results were robust in various sensitivity and subgroup analyses. In conclusion, MBCT had a continuous effect in preventing relapse of depression. CBT had the longest but not continuous effect in preventing relapse of depression. The effects of behavioral activation therapy and interpersonal therapy for the prevention of depression appeared late. All psychological interventions included in the study were more effective than supportive counseling. More evidence is needed from large comparative trials that provide long-term follow-up data.

Indexed as

DepressionPsychosocial InterventionBehavior TherapyChronic DiseaseHumansRecurrence

Identifiers

PMID37770471
PMCPMC10539522
OpenAlexW4387139364

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.