دورية أكاديمية
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A meta-analysis on the efficacy of low-intensity cognitive behavioural therapy for generalised anxiety disorder.

التفاصيل البيبلوغرافية
العنوان: A meta-analysis on the efficacy of low-intensity cognitive behavioural therapy for generalised anxiety disorder.
المؤلفون: Powell CLYM; Clinical Psychological Services, New Life Psychiatric Rehabilitation Association, Hong Kong Special Administrative Region, China., Chiu CY; Clinical Psychological Services, New Life Psychiatric Rehabilitation Association, Hong Kong Special Administrative Region, China., Sun X; Department of Psychology, Hunan Normal University, Hunan, China.; Cognition and Human Behavior Key Laboratory of Hunan Province, Hunan Normal University, Hunan, China., So SH; Department of Psychology, The Chinese University of Hong Kong, Room 321, Wong Foo Yuan Building, Shatin, Hong Kong SAR, China. shwso@psy.cuhk.edu.hk.
المصدر: BMC psychiatry [BMC Psychiatry] 2024 Jan 02; Vol. 24 (1), pp. 10. Date of Electronic Publication: 2024 Jan 02.
نوع المنشور: Meta-Analysis; Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968559 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-244X (Electronic) Linking ISSN: 1471244X NLM ISO Abbreviation: BMC Psychiatry Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Anxiety Disorders*/psychology , Cognitive Behavioral Therapy*/methods, Humans ; Anxiety/therapy ; Systematic Reviews as Topic
مستخلص: Background: Low-intensity cognitive behavioural therapy (LICBT) has been recommended as a primary intervention in the tiered care for mild to moderate generalised anxiety disorder. However, LICBT for generalised anxiety disorder are markedly diverse and efficacy data on various outcomes have not been systematically reviewed. This meta-analysis aimed to synthesise effect sizes of three NICE-recommended LICBT for generalised anxiety disorder: non-facilitated self-help, guided self-help, and psychoeducational groups.
Methods: A systematic literature review of randomised controlled trials (RCTs) examining LICBT for generalised anxiety disorder in the last 23 years (2000-2023) was conducted. Efficacy data for anxiety, depression, and worry outcomes were separately meta-analysed. The study was reported following the PRISMA guidelines.
Results: The systematic review identified 12 RCTs out of 1205 papers. The three meta-analyses consisted of 12 (anxiety), 11 (depression), and 9 (worry) effect sizes respectively, including total sample sizes of 1201 (anxiety), 1164 (depression), and 908 (worry). The adjusted effect sizes for reductions in anxiety (g = -0.63), depression (g = -0.48), and worry (g = -0.64) were all in the medium range, favouring LICBT over control conditions. Between-study heterogeneity was significant on anxiety and worry, with no specific moderators identified by meta-regression.
Conclusions: LICBT has shown promise as an effective and efficient treatment modality for individuals with generalised anxiety disorder. Future research comparing various LICBT subtypes and treatment components will further inform clinical practice.
Trial Registration: This systematic review protocol has been registered with the International Prospective Register of Systematic Reviews (PROSPERO; record ID CRD42021285590).
(© 2023. The Author(s).)
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فهرسة مساهمة: Keywords: Depression; GAD; Generalised anxiety; NICE guideline; Psychoeducation; Review; Self-help; Stepped care; Worry
تواريخ الأحداث: Date Created: 20240103 Date Completed: 20240105 Latest Revision: 20240326
رمز التحديث: 20240326
مُعرف محوري في PubMed: PMC10763350
DOI: 10.1186/s12888-023-05306-6
PMID: 38166836
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-244X
DOI:10.1186/s12888-023-05306-6