A meta-analysis of the effects of cognitive therapy in depressed patients

被引:447
作者
Gloaguen, V
Cottraux, J
Cucherat, M
Blackburn, IM
机构
[1] Hop Neurol, Anxiety Disorder Unit, F-69394 Lyon, France
[2] Univ Durham, Newcastle, England
[3] Cognit Therapy Ctr, Newcastle, England
关键词
cognitive therapy; behaviour therapy; depression; meta-analysis; psychotherapy; antidepressants;
D O I
10.1016/S0165-0327(97)00199-7
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background. Cognitive therapy (CT) has been studied in 78 controlled clinical trials from 1977 to 1996. Method. The meta-analysis used Hedges and Olkin d+ and included 48 high-quality controlled trials. The 2765 patients presented non-psychotic and non-bipolar major depression, or dysthymia of mild to moderate severity. Results. At post-test CT appeared significantly better than waiting-list, antidepressants (P<0.0001) and a group of miscellaneous therapies (P < 0.01). But, CT was equal to behaviour therapy. As between-trial homogeneity was not met, the comparisons of CT with waiting-list or placebo, and other therapies should be taken cautiously. In contrast, between-trial homogeneity was high for the comparisons of CT with behaviour therapy and antidepressants. A review of eight follow-up studies comparing CT with antidepressants suggested that CT may prevent relapses in the long-term, while relapse rate is high with antidepressants in naturalistic studies. Conclusion. CT is effective in patients with mild or moderate depression. (C) 1998 Elsevier Science B.V.
引用
收藏
页码:59 / 72
页数:14
相关论文
共 110 条
[71]  
ROTZERZIMMER FT, 1985, 15 ANN M EUR ASS BEH
[72]  
Rush A.J., 1977, COGNITIVE THER RES, V1, P17, DOI [DOI 10.1007/BF01173502, 10.1007/BF01173502]
[73]   COGNITIVE-BEHAVIORAL PROBLEM-SOLVING IN THE TREATMENT OF PATIENTS WHO REPEATEDLY ATTEMPT SUICIDE - A CONTROLLED TRIAL [J].
SALKOVSKIS, PM ;
ATHA, C ;
STORER, D .
BRITISH JOURNAL OF PSYCHIATRY, 1990, 157 :871-876
[74]  
SCHLOSSER D, 1988, BEHAV CHANGE, V5, P28
[75]   BIBLIOTHERAPY FOR DEPRESSED OLDER ADULTS - A SELF-HELP ALTERNATIVE [J].
SCOGIN, F ;
HAMBLIN, D ;
BEUTLER, L .
GERONTOLOGIST, 1987, 27 (03) :383-387
[76]   EDINBURGH PRIMARY CARE DEPRESSION STUDY - TREATMENT OUTCOME, PATIENT SATISFACTION, AND COST AFTER 16 WEEKS [J].
SCOTT, AIF ;
FREEMAN, CPL .
BRITISH MEDICAL JOURNAL, 1992, 304 (6831) :883-887
[77]   PSYCHOLOGICAL TREATMENTS FOR DEPRESSION - AN UPDATE [J].
SCOTT, J .
BRITISH JOURNAL OF PSYCHIATRY, 1995, 167 :289-292
[78]  
SELMI PM, 1990, AM J PSYCHIAT, V147, P51
[79]   PRESCRIPTIVE V EXPLORATORY PSYCHOTHERAPY - OUTCOMES OF THE SHEFFIELD PSYCHOTHERAPY PROJECT [J].
SHAPIRO, DA ;
FIRTH, J .
BRITISH JOURNAL OF PSYCHIATRY, 1987, 151 :790-799
[80]   EFFECTS OF TREATMENT DURATION AND SEVERITY OF DEPRESSION ON THE EFFECTIVENESS OF COGNITIVE-BEHAVIORAL AND PSYCHODYNAMIC INTERPERSONAL PSYCHOTHERAPY [J].
SHAPIRO, DA ;
BARKHAM, M ;
REES, A ;
HARDY, GE ;
REYNOLDS, S ;
STARTUP, M .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1994, 62 (03) :522-534