Effectiveness of cognitive behavioural therapy for anxiety and depression in primary care: a meta-analysis

Hdl Handle:
http://hdl.handle.net/10147/331864
Title:
Effectiveness of cognitive behavioural therapy for anxiety and depression in primary care: a meta-analysis
Authors:
Byrne, M.; Twomey, Conal; O'Reilly, Gary
Affiliation:
School of Psychology, University College Dublin, Dublin, Ireland, bSchool of Psychology, University of Southampton, Southampton, UK, cPsychology Department, Health Service Executive Dublin Mid-Leinster, Offaly, Ireland
Citation:
Twomey, C;O'Reilly, G;Byrne, M; Effectiveness of cognitive behavioural therapy for anxiety and depression in primary care: a meta-analysis Family Practice September 2014
Publisher:
Oxford Journals
Journal:
Family Practice
Issue Date:
22-Sep-2014
URI:
http://hdl.handle.net/10147/331864
Additional Links:
doi:10.1093/fampra/cmu060
Item Type:
Article In Press
Language:
en
Description:
Background. Cognitive behavioural therapy (CBT) is increasingly being delivered in primary care, in a variety of delivery formats such as guided self-help CBT, telephone-based CBT, computerized CBT and standard, one-to-one CBT. However, the vast majority of research has focused on CBT in specialized services, and no previous meta-analysis has examined CBT’s effectiveness across delivery formats in primary care. Objective. To determine the effectiveness of multi-modal CBT (i.e. CBT across delivery formats) for symptoms of anxiety and depression, in primary care. Methods. A meta-analysis of CBT-focused RCTs, for symptoms of anxiety or depression, in primary care. The authors searched four databases. To be included, RCTs had to be set in primary care or have primary care participants. Results. Twenty-nine RCTs were included in three separate meta-analyses. Results showed multi-modal CBT was more effective than no primary care treatment (d =0.59), and primary care treatment-as-usual (TAU) (d = 0.48) for anxiety and depression symptoms. Moreover, multimodal CBT in addition to primary care TAU was shown to be more effective than primary care TAU for depression symptoms (no comparisons of this kind were available for anxiety) (d = 0.37). Conclusions. The results from conducted meta-analyses indicate that multi-modal CBT is effective for anxiety and depression symptoms in primary care. Furthermore, based on CBT’s economic viability, increasing the provision of CBT in primary care seems justified. Future research should examine if varying levels of qualification among primary care CBT practitioners impacts on the effectiveness of CBT in this setting.
Keywords:
ANXIETY; COGNITIVE BEHAVIOURAL THERAPY (CBT); DEPRESSION; PRIMARY CARE
Local subject classification:
MULTIMODAL TREATMENT

Full metadata record

DC FieldValue Language
dc.contributor.authorByrne, M.en_GB
dc.contributor.authorTwomey, Conalen_GB
dc.contributor.authorO'Reilly, Garyen_GB
dc.date.accessioned2014-09-25T16:19:46Z-
dc.date.available2014-09-25T16:19:46Z-
dc.date.issued2014-09-22-
dc.identifier.citationTwomey, C;O'Reilly, G;Byrne, M; Effectiveness of cognitive behavioural therapy for anxiety and depression in primary care: a meta-analysis Family Practice September 2014en_GB
dc.identifier.urihttp://hdl.handle.net/10147/331864-
dc.descriptionBackground. Cognitive behavioural therapy (CBT) is increasingly being delivered in primary care, in a variety of delivery formats such as guided self-help CBT, telephone-based CBT, computerized CBT and standard, one-to-one CBT. However, the vast majority of research has focused on CBT in specialized services, and no previous meta-analysis has examined CBT’s effectiveness across delivery formats in primary care. Objective. To determine the effectiveness of multi-modal CBT (i.e. CBT across delivery formats) for symptoms of anxiety and depression, in primary care. Methods. A meta-analysis of CBT-focused RCTs, for symptoms of anxiety or depression, in primary care. The authors searched four databases. To be included, RCTs had to be set in primary care or have primary care participants. Results. Twenty-nine RCTs were included in three separate meta-analyses. Results showed multi-modal CBT was more effective than no primary care treatment (d =0.59), and primary care treatment-as-usual (TAU) (d = 0.48) for anxiety and depression symptoms. Moreover, multimodal CBT in addition to primary care TAU was shown to be more effective than primary care TAU for depression symptoms (no comparisons of this kind were available for anxiety) (d = 0.37). Conclusions. The results from conducted meta-analyses indicate that multi-modal CBT is effective for anxiety and depression symptoms in primary care. Furthermore, based on CBT’s economic viability, increasing the provision of CBT in primary care seems justified. Future research should examine if varying levels of qualification among primary care CBT practitioners impacts on the effectiveness of CBT in this setting.en_GB
dc.language.isoenen
dc.publisherOxford Journalsen_GB
dc.relation.urldoi:10.1093/fampra/cmu060en_GB
dc.subjectANXIETYen_GB
dc.subjectCOGNITIVE BEHAVIOURAL THERAPY (CBT)en_GB
dc.subjectDEPRESSIONen_GB
dc.subjectPRIMARY CAREen_GB
dc.subject.otherMULTIMODAL TREATMENTen_GB
dc.titleEffectiveness of cognitive behavioural therapy for anxiety and depression in primary care: a meta-analysisen_GB
dc.typeArticle In Pressen
dc.contributor.departmentSchool of Psychology, University College Dublin, Dublin, Ireland, bSchool of Psychology, University of Southampton, Southampton, UK, cPsychology Department, Health Service Executive Dublin Mid-Leinster, Offaly, Irelanden_GB
dc.identifier.journalFamily Practiceen_GB
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