原创力文档self-guided psychological treatment for depressive symptoms a meta-analysis自导的心理治疗抑郁症状一个荟萃分析.pdfVIP
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self-guided psychological treatment for depressive symptoms a meta-analysis自导的心理治疗抑郁症状一个荟萃分析
Self-Guided Psychological Treatment for Depressive
Symptoms: A Meta-Analysis
1 1 2 3 1
Pim Cuijpers *, Tara Donker , Robert Johansson , David C. Mohr , Annemieke van Straten ,
Gerhard Andersson2,4
1 Department of Clinical Psychology, VU University Amsterdam, Amsterdam, The Netherlands, 2 Department of Behavioural Sciences and Learning, Swedish Institute for
¨ ¨
Disability Research, Linkoping University, Linkoping, Sweden, 3 Department of Preventive Medicine, Northwestern University, Chicago, Illinois, United States of America,
4 Psychiatry Section, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
Abstract
Background: A number of trials have examined the effects of self-guided psychological intervention, without any contact
between the participants and a therapist or coach. The results and sizes of these trials have been mixed. This is the first
quantitative meta-analysis, aimed at organizing and evaluating the literature, and estimating effect size.
Method: We conducted systematic literature searches in PubMed, PsycINFO and Embase up to January 2010, and identified
additional studies through earlier meta-analyses, and the references of included studies. We identified seven randomized
controlled trials that met our inclusion criteria, with a total of 1,362 respondents. The overall quality of the studies was high.
A post-hoc power calculation showed that the studies had sufficient statistical power to detect an effect size of d = 0.19.
Results: The overall mean effect size indicating the difference between self-guided psychological treatment and control
groups at post-test was d = 0.28 (p,0.001), which corresponds to a NNT of 6.41. At 4 to 12 months follow-up the effect size
wa
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