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Psychotherapy for depression among children and adolescents: a systematic review

Forfatter(e)
Watanabe, N. Hunot, V. Omori, I. M. Churchill, R. Furukawa, T. A.
År
2007
DOI
10.1111/j.1600-0447.2007.01018.x
Tidsskrift
Acta Psychiatrica Scandinavica
Sider
84-95
Kategori(er)
Depresjon og nedstemthet (inkl. både vansker og lidelse)
Tiltakstype(r)
Kognitiv atferdsterapi, atferdsterapi og kognitiv terapi Psykodynamisk/interpersonlig terapi
Abstract

Objective: To examine the clinical benefit, the harm and the cost-effectiveness of psychotherapies in comparison with no treatment, waiting-list controls, attention-placebos, and treatment as usual in depressed youths.

Method: Meta-analyses were undertaken by using data from all relevant randomized-controlled trials identified by a comprehensive literature search. The primary outcome was relative risk (RR) of response.

Results: We identified 27 studies containing 35 comparisons and 1744 participants. At post-treatment, psychotherapy was significantly superior (RR = 1.39, 95% CI 1.18-1.65, P = 0.0001, number-needed to treat 4.3). There was an evidence of the existence of small study effects, including a publication bias (P < 0.001). The superiority of psychotherapy was no longer statistically significant (1.18 [0.94-1.47], P = 0.15) at 6-month follow-up. None of the studies reported adverse effects or cost-effectiveness outcomes.

Conclusion: Although the findings were biased by some small positive trials, psychotherapies appear to help depressed youths for the short term, but are no longer significantly favourable at 6-month follow-up.