A systematic review of non-pharmacological treatments for depression in people with chronic physical health problems

Maria Rizzo, Francis Creed, David Goldberg, Nicholas Meader, Stephen Pilling

Research output: Contribution to journalLiterature reviewpeer-review

28 Citations (Scopus)

Abstract

Objective: To review the efficacy of non-pharmacological treatment for depression in people with depression and chronic physical health problems. Method: Five electronic databases were searched including EMBASE, Medline and PsycINFO for randomized controlled trials (RCTs). Each paper was assessed for quality, data extracted and, where possible, the data meta-analyzed. The overall quality of each meta-analysis was assessed. Results: 35 studies met our inclusion criteria and 22 were meta-analyzed using a random-effects model. The largest and strongest evidence base supports individual- and group-based cognitive and behavioral interventions (18 trials). The evidence was strongest for those interventions aimed solely at reducing depression in comparison to those aimed more broadly at reducing the psychosocial stress associated with having a chronic physical health problem. Conclusion: Overall, the efficacy of certain types of non-pharmacological interventions for people with depression and chronic physical health problems has been demonstrated. The overall impression is that their efficacy in this population is comparable to that in people with depression without chronic physical health problems but the evidence-base is currently inadequate and larger trials with long-term follow-up are required. (C) 2011 Elsevier Inc. All rights reserved.
Original languageEnglish
Pages (from-to)18 - 27
Number of pages10
JournalJournal of Psychosomatic Research
Volume71
Issue number1
DOIs
Publication statusPublished - Jul 2011

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