Cochrane · systematic review · CD012347

Psychological therapies for the treatment of depression in chronic obstructive pulmonary disease

Pollok, J, van Agteren, JEM, Esterman, AJ, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

Common Mental DisordersAMSTAR 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
15
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 6 · 40%Very low 9 · 60%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

Psychological therapies compared to no intervention for the treatment of depression in chronic obstructive pulmonary disease

Population: people with chronic obstructive pulmonary disease (COPD)
7 questions
OutcomeEffectEvidenceStatus / GRADE
Change in depressive symptoms
Psychological therapies vs no intervention
no estimate extracted6 studies · 764 participantsVery low
Downgraded: risk of bias
Adverse events
Psychological therapies vs no intervention
no estimate extracted6 studies · 6 participantsUngraded
Change in quality of life (QoL)
Psychological therapies vs no intervention
no estimate extracted3 studies · 348 participantsVery low
Downgraded: risk of bias
Change in dyspnoea
Psychological therapies vs no intervention
no estimate extracted0 studies · 0 participantsUngraded
Change in FEV1
Psychological therapies vs no intervention
no estimate extracted0 studies · 0 participantsUngraded
Change in exercise tolerance
Psychological therapies vs no intervention
no estimate extracted0 studies · 0 participantsUngraded
Hospital length of stay or readmission rates
Psychological therapies vs no intervention
no estimate extracted0 studies · 0 participantsUngraded

Psychological therapies compared to education for the treatment of depression in chronic obstructive pulmonary disease

Population: people with chronic obstructive pulmonary disease (COPD)
7 questions
OutcomeEffectEvidenceStatus / GRADE
Change in depressive symptoms
Psychological therapies vs education
no estimate extracted3 studies · 507 participantsVery low
Downgraded: risk of bias, imprecision
Adverse events
Psychological therapies vs education
no estimate extracted0 studies · 0 participantsUngraded
Change in quality of life (QoL), emotional functioning
Psychological therapies vs education
no estimate extracted2 studies · 460 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Change in dyspnoea
Psychological therapies vs education
no estimate extracted2 studies · 458 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Change in exercise tolerance
Psychological therapies vs education
no estimate extracted2 studies · 286 participantsVery low
Downgraded: risk of bias, imprecision
Change in hospital length of stay or readmission rates
Psychological therapies vs education
no estimate extracted1 study · 222 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Cost effectiveness
Psychological therapies vs education
no estimate extracted1 study · 222 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency

Psychological therapies and co‐intervention compared to co‐intervention alone for the treatment of depression in chronic obstructive pulmonary disease

Population: people with chronic obstructive pulmonary disease (COPD)
1 question
OutcomeEffectEvidenceStatus / GRADE
change in depressive symptoms
Psychological therapies and co‐intervention vs co‐intervention alone
no estimate extracted2 studies · 114 participantsVery low
Downgraded: risk of bias