J Korean Acad Psychiatr Ment Health Nurs.  2018 Sep;27(3):227-239. 10.12934/jkpmhn.2018.27.3.227.

Effectiveness of Telephone-Delivered Cognitive Behavioral Therapy for Depression in Patients with Chronic Physical Health Conditions: A Meta-Analysis

• Park S
• Kim Y
• Oh EG

• KMID: 2422595
• DOI: http://doi.org/10.12934/jkpmhn.2018.27.3.227

Abstract

PURPOSE
This study was a systematic review and meta-analysis of randomized controlled trials of telephonedelivered cognitive behavioral therapy (T-CBT) among patients with chronic physical health conditions and has been conducted to evaluate its effectiveness on depression.
METHODS
A literature search was conducted of electronic databases published from the journal inception to December 2017. Thirteen of 1,609 studies met the inclusion criteria. Selected studies were rated for quality assessment by two independent reviewers using Cochrane's collaboration tool.
RESULTS
Meta-analysis showed that T-CBT significantly reduces depression. The effect size of T-CBT was small (d=−0.20, 95% CI: −0.29~−0.10, Z=4.09, p < .001) and showed low heterogeneity (I2=0.0%). The effect of T-CBT at the 12-month follow-up was not sustained (d=−0.19, 95% CI:−0.42~0.03, Z=1.66, p=.10).
CONCLUSION
The current findings indicate that T-CBT for patients with chronic physical health conditions has a significant post-treatment effect on depression. T-CBT can be a useful intervention reducing barriers to treatment and improving depression in patients with chronic physical health conditions.

Keyword

Depression; Telephone; Cognitive behavioral therapy; Chronic disease; Meta-analysis

MeSH Terms

Chronic Disease
Cognitive Therapy*
Cooperative Behavior
Depression*
Follow-Up Studies
Humans
Population Characteristics
Telephone

Figure

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  Figure 1 Flow diagram of study selection.

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  Figure 2 Effect of telephone-delivered cognitive behavioral therapy on depression.

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  Figure 3 Effect of telephone-delivered cognitive behavioral therapy on depression at 12 month follow-up.

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  Figure 4 Funnel plot of effect sizes by standard error.

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