Question · asked by 1 review

Psychotherapy as an adjunct to usual care vs usual care: Depressive symptoms

Psychotherapy as an adjunct to usual care showed no clear difference in self‐reported depressive symptoms short term (up to 6 months) ‐ BDI… compared with usual care alone (moderate certainty).

What each review found

Current versions only
FindingEffectStudiesGRADE certainty
Psychotherapy as an adjunct to usual care vs usual care alone
Self‐reported depressive symptoms short term (up to 6 months) ‐ BDI (BDI) · adults with treatment‐resistant depression
Psychotherapy as an adjunct to usual care showed no clear difference in self‐reported depressive symptoms short term (up to 6 months) ‐ BDI… compared with usual care alone (moderate certainty).
Psychological therapies for treatment‐resistant depression in adults (2018) · Cochrane Headline outcomes only
no estimate extracted5 studies · 575 participantsModerate
Psychotherapy as an adjunct to usual care vs usual care alone
Self (patient)‐reported depressive symptoms long term (longer than 12 months) ‐ BDI · adults with treatment‐resistant depression
Psychological therapies for treatment‐resistant depression in adults (2018) · Cochrane Headline outcomes only
no estimate extracted1 study · 248 participantsLow
Psychotherapy as an adjunct to usual care vs usual care alone
Observer‐rated depressive symptoms long term (longer than 12 months) ‐ PHQ‐9 · adults with treatment‐resistant depression
Psychological therapies for treatment‐resistant depression in adults (2018) · Cochrane Headline outcomes only
no estimate extracted1 study · 252 participantsLow
Psychotherapy as an adjunct to usual care vs usual care alone
Self‐reported depressive symptoms short term (up to 6 months) ‐ SMD (BDI & PHQ9) · adults with treatment‐resistant depression
Psychotherapy as an adjunct to usual care showed no clear difference in self‐reported depressive symptoms short term (up to 6 months) ‐ SMD… compared with usual care alone (moderate certainty).
Psychological therapies for treatment‐resistant depression in adults (2018) · Cochrane Headline outcomes only
no estimate extracted6 studies · 635 participantsModerate
Psychotherapy as an adjunct to usual care vs usual care alone
Observer‐rated depressive symptoms short term (up to 6 months) ‐ PHQ‐9 · adults with treatment‐resistant depression
Psychotherapy as an adjunct to usual care showed no clear difference in observer‐rated depressive symptoms short term (up to 6 months) ‐ PHQ‐9 compared with usual care alone (moderate certainty).
Psychological therapies for treatment‐resistant depression in adults (2018) · Cochrane Headline outcomes only
no estimate extracted2 studies · 482 participantsModerate
Psychotherapy as an adjunct to usual care vs usual care alone
Observer‐rated depressive symptoms short term (up to 6 months) ‐ HAMD · adults with treatment‐resistant depression
Psychotherapy as an adjunct to usual care showed no clear difference in observer‐rated depressive symptoms short term (up to 6 months) ‐ HAMD compared with usual care alone (low certainty).
Psychological therapies for treatment‐resistant depression in adults (2018) · Cochrane Headline outcomes only
no estimate extracted4 studies · 193 participantsLow
Psychotherapy as an adjunct to usual care vs usual care alone
Self‐reported depressive symptoms medium term (7 to 12 months) ‐ BDI · adults with treatment‐resistant depression
Psychological therapies for treatment‐resistant depression in adults (2018) · Cochrane Headline outcomes only
no estimate extracted2 studies · 475 participantsLow
Psychotherapy as an adjunct to usual care vs usual care alone
Observer‐rated depressive symptoms medium term (7 to 12 months) ‐ PHQ‐9 · adults with treatment‐resistant depression
Psychological therapies for treatment‐resistant depression in adults (2018) · Cochrane Headline outcomes only
no estimate extracted1 study · 395 participantsLow

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Psychological therapies for treatment‐resistant depression in adults
2018 · Cochrane Headline outcomes only
Not reportedlist not extracted yetNot assessed

Studies behind the findings

None of these reviews ties its included studies to this outcome in the data here. Cochrane reviews and reviews with headline outcomes only do not list their studies yet.

How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.