Are individual and group treatments equally effective in the treatment of depression in adults?: A meta-analysis
Are individual and group treatments equally effective in the treatment of depression in adults?: A meta-analysis
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DOI：
10.4321/s0213-61632008000100005
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发表时间：
2008-03-01
期刊：
影响因子：
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通讯作者：
Warmerdam, Lisanne
中科院分区：
文献类型：
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作者：
Cuijpers, Pim;van Straten, Annemieke;Warmerdam, Lisanne
背景和目的：心理干预在抑郁症的治疗中是有效的，这是公认的。然而，目前还不清楚应该提供哪些心理治疗的最佳形式是什么。方法：我们检索了主要的文献数据库，并对15项研究进行了荟萃分析，在这些研究中，个体疗法和团体疗法直接相互比较。结果：在后测试中，表明个体疗法和团体疗法在抑郁症状学上的差异的平均效应量为0.20(95%CI：[0.05，0.35]；p<；0.01)，支持个体疗法，在个体干预中的脱落率较低(OR 0.56；95%可信区间：[0.37，0.86]；P<；0.01。随访时未发现显著差异。结论：虽然短期内个体化治疗似乎比集体治疗更有效，但从临床角度看这是否相关尚不清楚。由于研究数量少，质量有限，需要更多的研究来检验个体治疗和集体治疗之间的差异是否与临床相关。
Background and Objectives: It is well-established that psychological interventions are effective in the treatment of depression. However, it is not yet clear what the optima format is in which psychological treatments should be delivered. Although several studies have examined whether individual and group treatments are equally effective in the treatment of depression, no comprehensive meta-analysis has examined this.Methods: We searched major bibliographical databased and conducted a meta-analysis of 15 studies in which individual and group therapies were compared directly to each other.Results: The mean effect size indicating the difference between individual and group therapies in depressive symptomatology at post-test was 0.20 (95% CI: [0.05 0.35]; p < 0.01), in favor of individual therapies, with a lower drop-out rate in individual interventions (OR 0.56; 95% CI: [0.37, 0.86]; p < 0.01). At follow-up no significant differences were found.Conclusions: Although individual therapy seems to be somewhat more effective than group therapy at the short term, it is not clear whether this is relevant from a clinical point of view. Because of the small number of studies and the limited quality, more research is needed to examine whether the difference between individual and group treatment is clinically relevant.