Cochrane · systematic review · CD011818
Cognitive behavioural therapy (CBT) for adults and adolescents with asthma
Kew, KM, Nashed, M, Dulay, V, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
AirwaysAMSTAR 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
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 0 · 0%Low 6 · 85.7%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
Cognitive behavioural therapy versus usual care
Population: adults and adolescents with asthma
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Asthma‐related quality of life (AQLQ) Cognitive behavioural therapy vs usual care | no estimate extracted | 6 studies · 214 participants | Low Downgraded: risk of bias, inconsistency |
Asthma exacerbations requiring at least a course of oral steroids Cognitive behavioural therapy vs usual care | no estimate extracted | NR | No studies |
Asthma control Mean change on the ASC and ACQ (adjusted so lower scores are better) Cognitive behavioural therapy vs usual care | no estimate extracted | 3 studies · 95 participants | Low Downgraded: risk of bias, imprecision |
Unscheduled healthcare visits Mean visits per participant in the 6 months after treatment (lower scores better) Primary care visits included nurse and out‐of‐hours visits Cognitive behavioural therapy vs usual care | no estimate extracted | 1 study · 80 participants | Low Downgraded: risk of bias, imprecision |
Anxiety scales Mean change on the ASC panic/fear, PSS, and HADS‐Anxiety (lower scores better) Cognitive behavioural therapy vs usual care | no estimate extracted | 4 studies · 225 participants | Low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Depression scales Mean change on HADS‐Depression. Endpoint scores on NEM, BDI, and QD (see comment) (lower scores better) Cognitive behavioural therapy vs usual care | no estimate extracted | 2 studies · 112 participants | Low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Medication adherence 6‐item Adherence Scale rated 1 to 5 (lower scores better) Cognitive behavioural therapy vs usual care | no estimate extracted | 1 study · 23 participants | Low Downgraded: imprecision |