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dc.contributor.authorÖst, Lars Gøran
dc.contributor.authorEnebrink, Pia
dc.contributor.authorFinnes, Anna
dc.contributor.authorGhaderi, Ata
dc.contributor.authorHavnen, Audun
dc.contributor.authorKvale, Gerd
dc.contributor.authorSalomonsson, Sigrid
dc.contributor.authorWergeland, Gro Janne Henningsen
dc.date.accessioned2024-03-11T10:00:41Z
dc.date.available2024-03-11T10:00:41Z
dc.date.created2023-04-17T14:51:31Z
dc.date.issued2023
dc.identifier.issn0165-0327
dc.identifier.urihttps://hdl.handle.net/11250/3121752
dc.description.abstractBackground Different cognitive behavioral therapies (CBT) have strong research support for treatment of adult depressive disorders (DD). Given the scarcity of knowledge about the performance of CBT in routine clinical care, a systematic review and meta-analysis of CBT for adults with DD treated in this context was conducted. Methods Published studies until the end of September 2022, were systematically searched in Ovid MEDLINE, Embase OVID, and PsycINFO. The effectiveness of CBT, methodological quality, and moderators of treatment outcome were examined, and benchmarked by meta-analytically comparing with efficacy studies for DD. Results Twenty-eight studies, comprising 3734 participants, were included. Large within-group effect sizes (ES) were obtained for DD-severity at post-treatment, and follow-up, on average 8 months post-treatment. Benchmarking analysis showed that effectiveness studies had very similar ESs as efficacy studies at post-treatment (1.51 vs. 1.71) and follow-up (1.71 vs. 1.85). Remission rates were also very similar; effectiveness studies 44 % and 46 %, efficacy studies 45 % and 46 %, at post-treatment and follow-up, respectively. Limitations Only studies published in English-language peer-reviewed journals were included and the use of pre-post ES in the meta-analyses could contribute to biased outcomes. Conclusions CBT for DD is an effective treatment when delivered in routine clinical care and the outcomes of effectiveness studies for DD are comparable to the effects obtained in efficacy studies.en_US
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/deed.no*
dc.titleCognitive behavior therapy for adult depressive disorders in routine clinical care: A systematic review and meta-analysisen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.description.versionacceptedVersionen_US
dc.rights.holderCopyright 2023 Elsevieren_US
cristin.ispublishedtrue
cristin.fulltextpostprint
cristin.fulltextpostprint
cristin.qualitycode1
dc.identifier.doi10.1016/j.jad.2023.03.002
dc.identifier.cristin2141344
dc.source.journalJournal of Affective Disordersen_US
dc.source.pagenumber322-333en_US
dc.identifier.citationJournal of Affective Disorders. 2023, 331, 322-333.en_US
dc.source.volume331en_US


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Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal