Wienicke, Frederik J;
Beutel, Manfred E;
Zwerenz, Rüdiger;
Brähler, Elmar;
Fonagy, Peter;
Luyten, Patrick;
Constantinou, Matthew;
... Driessen, Ellen; + view all
(2023)
Efficacy and moderators of short-term psychodynamic psychotherapy for depression: a systematic review and meta-analysis of individual participant data.
Clinical Psychology Review
, 101
, Article 102269. 10.1016/j.cpr.2023.102269.
(In press).
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Abstract
Background: Short-term psychodynamic psychotherapy (STPP) is frequently used to treat depression, but it is unclear which patients might benefit specifically. Individual participant data (IPD) meta-analyses can provide more precise effect estimates than conventional meta-analyses and identify patient-level moderators. This IPD meta-analysis examined the efficacy and moderators of STPP for depression compared to control conditions. Methods: PubMed, PsycInfo, Embase, and Cochrane Library were searched September 1st, 2022, to identify randomized trials comparing STPP to control conditions for adults with depression. IPD were requested and analyzed using mixed-effects models. Results: IPD were obtained from 11 of the 13 (84.6%) studies identified (n = 771/837, 92.1%; mean age = 40.8, SD = 13.3; 79.3% female). STPP resulted in significantly lower depressive symptom levels than control conditions at post-treatment (d = -0.62, 95%CI [-0.76, -0.47], p <.001). At post-treatment, STPP was more efficacious for participants with longer rather than shorter current depressive episode durations. Conclusions: These results support the evidence base of STPP for depression and indicate episode duration as an effect modifier. This moderator finding, however, is observational and requires prospective validation in future large-scale trials.
| Type: | Article |
|---|---|
| Title: | Efficacy and moderators of short-term psychodynamic psychotherapy for depression: a systematic review and meta-analysis of individual participant data |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.cpr.2023.102269 |
| Publisher version: | https://doi.org/10.1016/j.cpr.2023.102269 |
| Language: | English |
| Additional information: | This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third-party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ |
| Keywords: | Depression, Efficacy, Outcome, Moderators, Short-term psychodynamic psychotherapy, Individual participant data meta-analysis |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10166315 |
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