A Systematic Review and Meta-Analysis: Comparative Analysis of Psychotherapy and Pharmacotherapy for Treatment of Depression
Published 2024-11-06
Keywords
- pharmacotherapy,
- psychotherapy,
- depression,
- systematic review,
- meta analysis
- HAMD ...More
Copyright (c) 2024
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Abstract
Depression represents a significant health issue that can develop into a severe medical condition, especially when it recurs and manifests at moderate to severe levels of intensity. To identify the most effective treatment for depression, a rigorous study was conducted. The study used grid Hamilton Depression Rating Score (HAMD) scores to assess treatment efficacy and employed R software and MedCalc software to conduct a meta-analysis comparing the effectiveness of pharmacotherapy or psychotherapy or the combination of both. After eliminating duplicates, 280 papers were meticulously reviewed, and standardized mean differences and 95% confidence intervals were compared using a random effect model. The study found that combination therapy (combo-therapy) was more effective in reducing the HAMD than conventional monotherapy. These findings underscore the importance of identifying optimal treatment strategies for individuals suffering from depression.D
References
- P. (. N. 1. .. Bhandari, “What is Effect Size and Why Does It Matter? (Examples).,” Scribbr, May 2023.
- L. R. O. Z. O. S. &. A. J. Zientek, “ Reporting confidence intervals and effect sizes: Collecting the evidence.,” Career and Technical Education Research,., 2012.
- J. B. Williams, “ A structured interview guide for the Hamilton Depression Rating Scale.,” Archives of general psychiatry, 1988.
- J. Wettersten, “The sociology of scientific establishments today,” " The British journal of sociology, pp. 69-112.
- R. Team, RStudio: Integrated Development for R. RStudio, PBC, Boston, 2020.
- R. L. &. D. P. Sur, “History of evidence-based medicine.,” Indian journal of urology : IJU : journal of the Urological Society of India, p. 487–489, 2011.
- R. L. &. D. P. Sur, “ History of evidence-based medicine. Indian journal of urology,” IJU : journal of the Urological Society of India, p. 487–489., 2011.
- J. A. &. E. M. Sterne, “Funnel plots for detecting bias in meta-analysis: guidelines on choice of axis.,” Journal of clinical epidemiology, 2001.
- H. M. &. C. K. C. Shah, “Archie Cochrane and his vision for evidence-based medicine,” Plastic and reconstructive surgery,, p. 982, 2009.
- H. M. &. C. K. C. Shah, “Archie Cochrane and his vision for evidence-based medicine,” Plastic and reconstructive surgery, p. 982–988. , 2009.
- J. M. H. B. F. F. B. S. S. S. S. M. .. &. R. M. A. Seifert, “Pharmacological treatment of major depressive disorder according to severity in psychiatric inpatients: results from the AMSP pharmacovigilance program from 2001–2017,” Journal of Neural Transmission, pp. 925-944., 2022.
- J. M. H. B. F. F. B. S. S. S. S. M. .. &. R. M. A. Seifert, “ Pharmacological treatment of major depressive disorder according to severity in psychiatric inpatients: results from the AMSP pharmacovigilance program from 2001-2017,” Journal of Neural Transmission, 2022.
- H. J. Schmidt FL, “Methods of Meta-Analysis: Correcting Error and Bias in Research Findings,” Sage Publications, Inc, 2014.
- D. L. Sackett, “ Evidence-based medicine.,” In Seminars in perinatology , pp. 3-5, 1997.
- M. M. S. C. D. B. P. H. A. &. W. M. M. Olfson, “ Parental Depression, Child Mental Health Problems, and Health Care Utilization.,” Medical Care, p. 716–721, 2003.
- R. K. Merton, “The sociology of science: An episodic memoir.,” The British Journal for the Philosophy of Science,, pp. 335-341, 1973.
- Medcalc, MedCalc Statistical Software version 19.2.6, Ostend, Belgium, 2020.
- E. S. B. M. M. D. C. G. A. D. S. .. &. K. T. .. ,. Maund, “Managing antidepressant discontinuation: A systematic review,” Annals of Family Medicine, pp. 52-60, (2019).
- E. S. B. M. M. D. C. G. A. D. S. .. &. K. T. .. ,. Maund, “ Managing antidepressant discontinuation: a systematic review,” The Annals of Family Medicine,, pp. 52-60.
- H. M., “Assessment of change in psychiatric state by means of rating scales,” Proceedings of the Royal Society of Medicine, p. 10–13, 1966.
- H. M., “A rating scale for depression,” Neurol Neurosurg Psychiatry, pp. 56-62, 1960.
- H. M, “Standardised assessment and recording of depressive symptoms,” Psychiatria, Neurologia, Neurochirurgia. , p. 201–205., 1969.
- H. M, “"Development of a rating scale for primary depressive illness",” British Journal of Social and Clinical Psychology, p. 278–96., 1967.
- S. D. L., “Evidence-based medicine.,” Seminars in perinatology, p. 3–5. , 1997.
- W. JBW., “A Structured Interview Guide for the Hamilton Depression Rating Scale,” Arch Gen Psychiatry, p. 742–747., 1988.
- F. Hytten, “ Isabella Leitch's contributions to the development of systematic reviews of research evidence.,” Journal of the Royal Society of Medicine, pp. 114-117, 2010.
- M. Hunt, “ How science takes stock: The story of meta-analysis,” Russell Sage Foundation., 1997.
- Q. N. &. P. P. Hong, “Systematic reviews: A brief historical overview,” Education for information,, pp. 261-276., 2018.
- T. M. &. P. J. H. Hillhouse, “ A brief history of the development of antidepressant drugs: from monoamines to glutamate.,” Experimental and clinical psychopharmacology,, pp. 1-21, 2015.
- J. P. &. T. S. G. Higgins, “ Quantifying heterogeneity in a meta‐analysis,” Statistics in medicine, 2002.
- V. C. K. J. F. D. G. J. M. &. H. D. G. Henderson, “Threats to validity in the design and conduct of preclinical efficacy studies: a systematic review of guidelines for in vivo animal experiments.,” PLoS medicine, 2013.
- P. L. E. Harriman, Encyclopedia of psychology., 1946.
- Harriman, Encyclopedia of psychology., 2016.
- M. Hamilton, “ A rating scale for depression.,” Journal of neurology, neurosurgery, and psychiatry,, 1960.
- M. Hamilton, “Rating depressive patients,” Journal of Clinical Psychiatry, p. 21–24., 1980.
- Hamilton, “MA RATING SCALE FOR DEPRESSION,” Journal of Neurology, Neurosurgery & Psychiatry, pp. 56-62, 1960.
- G. GV., “Primary, secondary, and meta-analysis of research..,” Educational Researcher, pp. 3-8., 1976.
- J. C. J. T. D. &. W. M. Grimshaw, “The Cochrane Collaboration 20 years in.,” CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, p. 1117–1118, 2013.
- S. Green, “ The Cochrane Collaboration and the Cochrane Library.,” In Evidence-Based Practice: An Integrative Approach to Research, Administration, and Practice, pp. 39-49, 2019.
- C. S. A. G. G. e. a. Garritty, “Cochrane Rapid Reviews Methods Group to play a leading role in guiding the production of informed high-quality, timely research evidence syntheses. Syst Rev 5,” Systematic Reviews Journal, 2016.
- C. S. A. G. G. K. V. &. K. C. Garritty, “). Cochrane Rapid Reviews Methods Group to play a leading role in guiding the production of informed high-quality, timely research evidence syntheses,” Systematic reviews,, pp. 1-5, 2016.
- M. Funk, “ Global burden of mental disorders and the need for a comprehensive, coordinated response from health and social sectors at the country level,” 2016.
- M. Funk, “Global burden of mental disorders and the need for a comprehensive, coordinated response from health and social sectors at the country level.,” 2016]{]].
- A. S. J. L. S. M. R. T. G. C. R. &. S.-C. L. Fernandez, “ Evidence-based medicine: is it a bridge too far?,” Health Research Policy and Systems, pp. 1-9, 2015.
- A.-G. S. A.-H. A. e. a. Evans-Lacko S, “Socio-economic variations in the mental health treatment gap for people with anxiety, mood, and substance use disorders: results from the WHO World Mental Health (WMH) surveys,” Psychol Med, pp. 1560-1571, 2018.
- S. A. G. S. A.-G. S. A.-H. A. A. J. B. C. B. R. .. &. T. G. Evans-Lacko, “ Socio-economic variations in the mental health treatment gap for people with anxiety, mood, and substance use disorders: results from the WHO World Mental Health (WMH) surveys.,” Psychological medicine , pp. 1560-1571, 2018.
- R. &. L. N. DerSimonian, “Meta-analysis in clinical trials revisited,” Contemporary clinical trials, pp. 139-145., 2015.
- P. &. B. R. Davies, “The Campbell Collaboration. Does for public policy what cochrane does for health,” BMJ (Clinical research ed.), p. 294–295, 2001.
- A. F. T. A. S. G. C. A. A. L. Z. O. Y. .. &. G. J. R. Cipriani, “ Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder: a systematic review and network meta-analysis,” Focus , pp. 420-429, 2018.
- H. L. C. H. Chalmers I, “A brief history of research synthesis.,” Eval Health Prof. , pp. 12-37, 2002.
- D. K. C. T. Chalmers I, “Getting to grips with Archie Cochrane's agenda. .,” BMJ, pp. 786-788.
- I. H. L. V. &. C. H. Chalmers, “A brief history of research synthesis,” Evaluation & the health professions,, pp. 2-37, 2002.
- A. P. Association, National Institute for Health and Clinical Excellence, 2010.
- C. Armstrong, “ APA releases guidelines on treatment of patients with major depressive disorder,” . American Family Physician, 2011.
- C. AL., “1931-1971: a critical review, with particular reference to the medical profession.,” Medicines for the Year Office of Health Economics, pp. 1-11, 1979.
- B. A., “ Evolution of clinical research: a history before and beyond james lind,” Perspectives in clinical research, pp. 6-10, 2010.
- C. C. (n.d.)., “Depression in children,” [联机]. Available: https://my.clevelandclinic.org/health/diseases/14938-depression-in-children.
- H. F. (2010), “ Isabella Leitch's contributions to the development of systematic reviews of research evidence.,” Journal of the Royal Society of Medicine,, p. 114–117. .
- WHO , “World Health Organisation,” 13 Sept 2021. [联机]. Available: https://www.who.int/news-room/fact-sheets/detail/depression.
- “Cleveland Clinic,” [联机]. Available: https://my.clevelandclinic.org/health/diseases/14938-depression-in-children.