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Effectiveness of group cognitive behavioral therapy for depression in adults: a systematic review and meta-analysis of delivery by different healthcare professionals
Wong, Cecil Pak Shun1; Yeung, Jacky Tsz Kit2; Fong, Daniel Yee Tak1; Smith, Robert David3; Ngan, Angela Hoi Yan2; Lam, Yanny Yin Ling2; Chan, Kitty Siu Shan2; Leung, Hilary Hau Yee2; Wang, Man Ping1; Wong, Janet Yuen Ha4
2024
Source PublicationCognitive Behaviour Therapy
ISSN1650-6073
Volume53Issue:3Pages:302-323
Abstract

This study addresses the gap in understanding the varied effectiveness of group cognitive behavioral therapy (gCBT) delivered by different professionals. This study aims to address this gap by conducting a systematic review of randomized controlled trials (RCTs) that evaluate gCBT and compare it to inactive controls in adults with a clinical diagnosis of depression. A total of 33 RCTs were included for analysis. In the overall analysis, ‘profession of gCBT deliverer’ was not a significant moderator in the meta-regression model (p = 0.57). For people without comorbidity, the overall effect size estimate was −0.69 (95% CI, −1.01. to −0.37, p = 0.03). Among gCBT deliverers, psychologists and nurses/psychiatric nurses demonstrated significant effectiveness, with psychologists showing a large effect size of −0.78 (95% CI, −1.25 to −0.30, p < 0.01) and nurses/psychiatric nurses showing a medium effect size of −0.45 (95% CI, −0.85 to −0.05, p = 0.03). The certainty of evidence for both professionals was moderate. These results have significant implications for the delivery of mental healthcare, as nurses/psychiatric nurses may be more accessible and cost-effective than psychologists in some settings. However, further research is necessary to determine the effectiveness of gCBT delivered by a broader range of healthcare professionals for patients with depression and other comorbidities.

KeywordCognitive Behavioral Therapy Depression Meta-analysis Meta-regression
DOI10.1080/16506073.2024.2313741
URLView the original
Indexed BySSCI
Language英語English
WOS Research AreaBehavioral Sciences ; Psychology
WOS SubjectBehavioral Sciences ; Psychology, Clinical
WOS IDWOS:001164999600001
PublisherROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2-4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND
Scopus ID2-s2.0-85186173475
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Citation statistics
Document TypeJournal article
CollectionFaculty of Health Sciences
DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Corresponding AuthorFong, Daniel Yee Tak
Affiliation1.School of Nursing, the University of Hong Kong, SAR, Hong Kong
2.Kwai Chung Hospital, SAR, Hong Kong
3.Public Health Sciences University of Macau, Taipa, Macao
4.School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong
Recommended Citation
GB/T 7714
Wong, Cecil Pak Shun,Yeung, Jacky Tsz Kit,Fong, Daniel Yee Tak,et al. Effectiveness of group cognitive behavioral therapy for depression in adults: a systematic review and meta-analysis of delivery by different healthcare professionals[J]. Cognitive Behaviour Therapy, 2024, 53(3), 302-323.
APA Wong, Cecil Pak Shun., Yeung, Jacky Tsz Kit., Fong, Daniel Yee Tak., Smith, Robert David., Ngan, Angela Hoi Yan., Lam, Yanny Yin Ling., Chan, Kitty Siu Shan., Leung, Hilary Hau Yee., Wang, Man Ping., & Wong, Janet Yuen Ha (2024). Effectiveness of group cognitive behavioral therapy for depression in adults: a systematic review and meta-analysis of delivery by different healthcare professionals. Cognitive Behaviour Therapy, 53(3), 302-323.
MLA Wong, Cecil Pak Shun,et al."Effectiveness of group cognitive behavioral therapy for depression in adults: a systematic review and meta-analysis of delivery by different healthcare professionals".Cognitive Behaviour Therapy 53.3(2024):302-323.
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