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Effectiveness of Cognitive Behavioural Self-Help for the Treatment of Depression and Anxiety in People with Long-Term Physical Health Conditions: a Systematic Review and Meta-Analysis of Randomised Controlled Trials.
University of Exeter.
University of Exeter.
2015 (English)In: Annals of Behavioral Medicine, ISSN 0883-6612, E-ISSN 1532-4796, Vol. 49, no 4, 579-93 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Depression and anxiety are prevalent comorbidities in people with long-term physical health conditions; however, there is limited access to evidence-based treatments for comorbid mental health difficulties.

PURPOSE: This study is a meta-analysis examining the effectiveness of cognitive behavioural self-help for physical symptoms, depression and anxiety in people with long-term conditions.

METHODS: This study involves a systematic search of electronic databases supplemented by expert contact, reference and citation checking and grey literature.

RESULTS: The meta-analysis yielded a small effect size for 11 studies reporting primary outcomes of depression (g = -0.20) and 8 studies anxiety (g = -0.21) with a large effect size (g = -1.14) for 1 study examining physical health symptoms. There were no significant moderators of the main effect.

CONCLUSIONS: Limited evidence supports cognitive behavioural self-help for depression, anxiety and physical symptoms in people with long-term conditions. Small effect sizes for depression and anxiety may result from failure to recruit participants with clinical levels of these difficulties at baseline.

Place, publisher, year, edition, pages
2015. Vol. 49, no 4, 579-93 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-332229DOI: 10.1007/s12160-015-9689-0PubMedID: 25690370OAI: oai:DiVA.org:uu-332229DiVA: diva2:1152544
Available from: 2017-10-25 Created: 2017-10-25 Last updated: 2017-10-25

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