Cognitive Behavioral Therapy (CBT): Small to Moderate Effectiveness

Small to moderate effectiveness: 0.47

What is Cognitive Behavioral Therapy (CBT)?

1. Development of personal coping strategies that target solving current problems and joshua-newton-214848-unsplashchanging unhelpful patterns in cognitions (e.g. thoughts, beliefs, and attitudes), behaviors, and emotional regulation.

2. Based on the belief that thought distortions and maladaptive behaviors play a role in the development and maintenance of psychological disorders, and that symptoms and associated distress can be reduced by teaching new information-processing skills and coping mechanisms

 

Evidence:

0.34 small effect: decreased depression symptoms (Ballesio, Aquino, Feige, Johann, Kyle, Spiegelhalder, & … Baglioni, 2018)

0.55 medium effect: decreased depression symptoms in older adults (Kishita, Takei, & Stewart, 2017)

0.58 medium effect: decreased anxiety symptoms (Kishita, Takei, & Stewart, 2017)

0.27 small effect: decreased anxiety disorders (Montero-Marin, Garcia-Campayo, López-Montoyo, Zabaleta-del-Olmo, & Cuijpers, 2017)

0.49 small to moderate effect: decreased depression symptoms in patients with bipolar (Chiang, Tsai, Liu, Lin, Chiu, & Chou, 2017)

0.58 moderate effect: decreased mania severity in patients with bipolar  (Chiang, Tsai, Liu, Lin, Chiu, & Chou, 2017)

0.46 small to moderate effect: improved psychosocial functioning in patients with bipolar  (Chiang, Tsai, Liu, Lin, Chiu, & Chou, 2017)

0.27 small effect: reduced depression severity (Karyotaki, Riper, Twisk, Hoogendoorn, Kleiboer, Mira, & … Cuijpers, 2017)

0.36 small effect: reduced depression right after treatment (Twomey, & O’Reilly, 2017)

0.57 moderate effect: reduced anxiety symptoms (Twomey, & O’Reilly, 2017)

0.82 large effect: reduced anxiety symptoms (Păsărelu, Andersson, Nordgren, & Dobrean, 2017)

0.79 moderate to large effect: reduced depression symptoms (Păsărelu, Andersson, Nordgren, & Dobrean, 2017)

0.56 moderate effect: increased quality of life (Păsărelu, Andersson, Nordgren, & Dobrean, 2017)

0.80 large effect: reduced anxiety symptoms (García-Escalera, Chorot, Valiente, Reales, & Sandín, 2016)

0.72 moderate to large effect: reduced depression symptoms (García-Escalera, Chorot, Valiente, Reales, & Sandín, 2016)

0.45 small to moderate effect: reduced anxiety in children and adolescents (García-Escalera, Chorot, Valiente, Reales, & Sandín, 2016)

0.50 moderate effect: reduced depression in children and adolescents (García-Escalera, Chorot, Valiente, Reales, & Sandín, 2016)

0.47 small to moderate effect: reduced fatigue in multiple sclerosis patients (van den Akker, Beckerman, Collette, Eijssen, Dekker, & de Groot, 2016)

0.30 small effect: has positive long-term effect (van den Akker, Beckerman, Collette, Eijssen, Dekker, & de Groot, 2016)

0.25 small effect: improved Autism Spectrum Disorders overall (Weston, Hodgekins, & Langdon, 2016)

0.35 small effect: improved Autism Spectrum Disorders in task-based measures (Weston, Hodgekins, & Langdon, 2016)

0.28 small effect: improved depression symptoms with internet-based CBT (Zhou, Li, Pei, Gao, & Kong, 2016)

0.71 moderate to large effect: reduced PTSD symptoms (Sijbrandij, Kunovski, & Cuijpers, 2016)

0.49 small to moderate effect: reduced depression in patients with body dysmorphic disorder (Harrison, Fernández de la Cruz, Enander, Radua, & Mataix-Cols, 2016)

0.56 moderate effect: increased insight and decreased delusions (Harrison, Fernández de la Cruz, Enander, Radua, & Mataix-Cols, 2016)

0.89 large effect: improved at follow-up 2-4 months after treatment (Harrison, Fernández de la Cruz, Enander, Radua, & Mataix-Cols, 2016)

0.54 moderate effect: reduced severity of mania (Ye, Jiang, Li, Cao, B., Cao, L., Lin, & … Miao, 2016)

0.49 small to moderate effect: reduced relapse rates at 6 month follow-up assessment (Ye, Jiang, Li, Cao, B., Cao, L., Lin, & … Miao, 2016)


 

Ballesio, A., Aquino, M. V., Feige, B., Johann, A. F., Kyle, S. D., Spiegelhalder, K., & … Baglioni, C. (2018). The effectiveness of behavioural and cognitive behavioural therapies for insomnia on depressive and fatigue symptoms: A systematic review and network meta-analysis. Sleep Medicine Reviews, 37114-129. doi:10.1016/j.smrv.2017.01.006

Chiang, K., Tsai, J., Liu, D., Lin, C., Chiu, H., & Chou, K. (2017). Efficacy of cognitive-behavioral therapy in patients with bipolar disorder: A metaanalysis of randomized controlled trials. Plos ONE, 12(5).

García-Escalera, J., Chorot, P., Valiente, R. M., Reales, J. M., & Sandín, B. (2016). Efficacy of transdiagnostic cognitive-behavioral therapy for anxiety and depression in adults, children and adolescents: A meta-analysis. Revista De Psicopatología Y Psicología Clínica, 21(3), 147-175. doi:10.5944/rppc.vol.21.num.3.2016.17811

Harrison, A., Fernández de la Cruz, L., Enander, J., Radua, J., & Mataix-Cols, D. (2016). Cognitive-behavioral therapy for body dysmorphic disorder: A systematic review and meta-analysis of randomized controlled trials. Clinical Psychology Review, 4843-51. doi:10.1016/j.cpr.2016.05.007

Karyotaki, E., Riper, H., Twisk, J., Hoogendoorn, A., Kleiboer, A., Mira, A., & … Cuijpers, P. (2017). Efficacy of self-guided internet-based cognitive behavioral therapy in the treatment of depressive symptoms: A meta-analysis of individual participant data. JAMA Psychiatry, 74(4), 351-359. doi:10.1001/jamapsychiatry.2017.0044

Kishita, N., Takei, Y., & Stewart, I. (2017). A meta‐analysis of third wave mindfulness‐based cognitive behavioral therapies for older people. International Journal Of Geriatric Psychiatry, 32(12), 1352-1361. doi:10.1002/gps.4621

Montero-Marin, J., Garcia-Campayo, J., López-Montoyo, A., Zabaleta-del-Olmo, E., & Cuijpers, P. (2017). Is cognitive–behavioural therapy more effective than relaxation therapy in the treatment of anxiety disorders? A meta-analysis. Psychological Medicine, doi:10.1017/S0033291717003099

Păsărelu, C. R., Andersson, G., Nordgren, L. B., & Dobrean, A. (2017). Internet-delivered transdiagnostic and tailored cognitive behavioral therapy for anxiety and depression: A systematic review and meta-analysis of randomized controlled trials. Cognitive Behaviour Therapy, 46(1), 1-28. doi:10.1080/16506073.2016.1231219

Sijbrandij, M., Kunovski, I., & Cuijpers, P. (2016). Effectiveness of internet‐delivered cognitive behavioral therapy for posttraumatic stress disorder: A systematic review and meta‐analysis. Depression And Anxiety, 33(9), 783-791. doi:10.1002/da.22533

Twomey, C., & O’Reilly, G. (2017). Effectiveness of a freely available computerised cognitive behavioural therapy programme (MoodGYM) for depression: Meta-analysis. Australian And New Zealand Journal Of Psychiatry, 51(3), 260-269. doi:10.1177/0004867416656258

van den Akker, L. E., Beckerman, H., Collette, E. H., Eijssen, I. M., Dekker, J., & de Groot, V. (2016). Effectiveness of cognitive behavioral therapy for the treatment of fatigue in patients with multiple sclerosis: A systematic review and meta-analysis. Journal Of Psychosomatic Research, 9033-42. doi:10.1016/j.jpsychores.2016.09.002

Weston, L., Hodgekins, J., & Langdon, P. E. (2016). Effectiveness of cognitive behavioural therapy with people who have autistic spectrum disorders: A systematic review and meta-analysis. Clinical Psychology Review, 4941-54. doi:10.1016/j.cpr.2016.08.001

Ye, B., Jiang, Z., Li, X., Cao, B., Cao, L., Lin, Y., & … Miao, G. (2016). Effectiveness of cognitive behavioral therapy in treating bipolar disorder: An updated meta‐analysis with randomized controlled trials. Psychiatry And Clinical Neurosciences, 70(8), 351-361. doi:10.1111/pcn.12399

Zhou, T., Li, X., Pei, Y., Gao, J., & Kong, J. (2016). Internet-based cognitive behavioural therapy for subthreshold depression: A systematic review and meta-analysis. BMC Psychiatry, 16.

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