The process and delivery of CBT for depression in adults: a systematic review and network meta-analysis
Authors: "[\"Jos\\u00e9 A L\\u00f3pez-L\\u00f3pez\",\"Sarah R Davies\",\"Deborah M Caldwell\",\"Rachel Churchill\",\"Tim J Peters\",\"Deborah Tallon\",\"Sarah Dawson\",\"Qi Wu\",\"Jinshuo Li\",\"Abigail Taylor\",\"Glyn Lewis\",\"David S Kessler\",\"Nicola Wiles\",\"Nicky J Welton\"]"
Journal: Psychological Medicine
"[\"CBT\",\"cognitive behavioural therapy\",\"depression\",\"multimedia\",\"network meta-analysis\",\"systematic review\"]"
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. Outcomes were pooled using a component-level network meta-analysis. Results showed strong evidence that CBT interventions yielded a larger short-term decrease in depression scores compared to treatment-as-usual. Face-to-face CBT, hybrid CBT, and multimedia CBT all showed benefits. 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.