Comparative Effectiveness of Telepsychotherapy for Depressive Disorder: A Systematic Review and Meta-Analysis
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Objectives: The objective of this study is to evaluate the clinical effectiveness of telepsychotherapy compared to care as usual(CAU) for depressive disorder. Methods: We searched MEDLINE, Embase, CENTRAL, PsycINFO and 5 domestic electronic databases from its inception to March 2016. Randomized controlled trials for reporting clinical outcomes of synchronous and interactive telepsychotherapy were included. Results: A total 8 studies (9 articles) with 2393 patients were included. In comparison with telepsychotherapy and CAU, depressive symptom score was significantly lower in the telepsychotherapy (standard mean difference, -0.28; 95% confidence interval, -0.46 to -0.09; I2=69%). Especially, improvement of depressive symptom was significantly higher for telepsychotherapy in studies where telepsychotherapy was performed more than twice a month, and the follow up period was between 4−11 months. Conclusion: Telepsychotherapy may be effective than care as usual in depressive symptom improvement in patients with depressive disorder. However most of the studies were performed before 2010 with telephone based intervention, so additional studies are needed to confirm the clinical effectiveness of telepsychotherapy.
Abstract
Objectives: The objective of this study is to evaluate the clinical effectiveness of telepsychotherapy compared to care as usual(CAU) for depressive disorder. Methods: We searched MEDLINE, Embase, CENTRAL, PsycINFO and 5 domestic electronic databases from its inception to March 2016. Randomized controlled trials for reporting clinical outcomes of synchronous and interactive telepsychotherapy were included. Results: A total 8 studies (9 articles) with 2393 patients were included. In comparison with telepsychotherapy and CAU, depressive symptom score was significantly lower in the telepsychotherapy (standard mean difference, -0.28; 95% confidence interval, -0.46 to -0.09; I2=69%). Especially, improvement of depressive symptom was significantly higher for telepsychotherapy in studies where telepsychotherapy was performed more than twice a month, and the follow up period was between 4−11 months. Conclusion: Telepsychotherapy may be effective than care as usual in depressive symptom improvement in patients with depressive disorder. However most of the studies were performed before 2010 with telephone based intervention, so additional studies are needed to confirm the clinical effectiveness of telepsychotherapy.
참고문헌 (16)
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