Cochrane · systematic review · CD009501

Psychological interventions for co‐occurring depression and substance use disorders

Hides, L, Quinn, C, Stoyanov, S, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

Drugs and AlcoholAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
11
current version
GRADE rated
11
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 11 · 100%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Integrated CBT compared with Twelve Step Facilitation for co‐occurring depression and substance use disorders

Population: co‐occurring depression and substance use disorders
6 questions
OutcomeEffectEvidenceStatus / GRADE
Depression score
Integrated CBT vs Twelve Step Facilitation
no estimate extracted2 studies · 212 participantsVery low
Downgraded: risk of bias, imprecision
Depression score
Integrated CBT vs Twelve Step Facilitation
no estimate extracted2 studies · 181 participantsVery low
Downgraded: risk of bias, imprecision
Percent of days abstinent
Integrated CBT vs Twelve Step Facilitation
no estimate extracted2 studies · 220 participantsVery low
Downgraded: risk of bias, imprecision
Percent of days abstinent
Integrated CBT vs Twelve Step Facilitation
no estimate extracted2 studies · 189 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Treatment retention
Integrated CBT vs Twelve Step Facilitation
RR 0.95 [0.72, 1.25]2 studies · 296 participantsVery low
Downgraded: risk of bias, imprecision
Number of treatment sessions attended Scale from: 0 to 36
Integrated CBT vs Twelve Step Facilitation
no estimate extracted2 studies · 270 participantsVery low
Downgraded: risk of bias, imprecision, indirectness

Interpersonal Psychotherapy for Depression (IPT‐D) compared with Other Psychological Interventions for co‐occurring depression and substance use disorders

Population: Individuals experiencing co‐occurring depression and substance use disorders
5 questions
OutcomeEffectEvidenceStatus / GRADE
Depression score
Interpersonal Psychotherapy for Depression (IPT‐D) vs Other Psychological Interventions
no estimate extracted2 studies · 64 participantsVery low
Downgraded: risk of bias
Depression score
Interpersonal Psychotherapy for Depression (IPT‐D) vs Other Psychological Interventions
no estimate extracted1 study · 38 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Percentage of days abstinent
Interpersonal Psychotherapy for Depression (IPT‐D) vs Other Psychological Interventions
no estimate extracted1 study · 26 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Substance use ‐ relapse
Interpersonal Psychotherapy for Depression (IPT‐D) vs Other Psychological Interventions
RR 0.67 [0.3, 1.5]1 study · 38 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Treatment retention
Interpersonal Psychotherapy for Depression (IPT‐D) vs Other Psychological Interventions
RR 1 [0.81, 1.23]2 studies · 64 participantsVery low
Downgraded: risk of bias