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Psychotherapy for depression in adults: A meta-analysis of comparative outcome studies.

2008/01/01 by Pim Cuijpers, Annemieke van Straten, Gerhard Andersson +1 · 11 citations
Psychology · #Psychotherapy Techniques and Applications #Child and Adolescent Psychosocial and Emotional Development #Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes

paper · doi:10.1037/a0013075

openalex publication_date 2008/01/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/04

Abstract

Although the subject has been debated and examined for more than 3 decades, it is still not clear whether all psychotherapies are equally efficacious. The authors conducted 7 meta-analyses (with a total of 53 studies) in which 7 major types of psychological treatment for mild to moderate adult depression (cognitive-behavior therapy, nondirective supportive treatment, behavioral activation treatment, psychodynamic treatment, problem-solving therapy, interpersonal psychotherapy, and social skills training) were directly compared with other psychological treatments. Each major type of treatment had been examined in at least 5 randomized comparative trials. There was no indication that 1 of the treatments was more or less efficacious, with the exception of interpersonal psychotherapy (which was somewhat more efficacious; d = 0.20) and nondirective supportive treatment (which was somewhat less efficacious than the other treatments; d = -0.13). The drop-out rate was significantly higher in cognitive-behavior therapy than in the other therapies, whereas it was significantly lower in problem-solving therapy. This study suggests that there are no large differences in efficacy between the major psychotherapies for mild to moderate depression.

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