First Author Risk of Bias | No.a | Recruitment | Depression Diagnosis | % Female Mean Age, y | Group 1 (No. of Sessions; Clinician) | Group 2 (No. of Sessions; Clinician) | Further Groups | Week Posttreatment Measurement Score and Instrument | Response Remission |
---|---|---|---|---|---|---|---|---|---|
Face-to-face CBT | |||||||||
Laidlaw 2008 | 44 | Referral | Major depression | 72 | CBT | Usual care | 18 | HRSD (i) | |
u (luuul) | 74 | (8; psychologist) | BDI | HRSD (i) | |||||
Scott 1997 | 48 | Referral | Major depression | 67 | Brief CT | Usual care | 7 | HRSD (i) | |
h (uuuhh) | 41 | (6; therapist) | BDI | HRSD (i) | |||||
Serfaty 2009 | 137 | Mainly screening | Depression | 79 | CBT | Usual care | Talking controlb | 16 | BDI (i) |
l (llhul) | 74 | (≤12; therapist) | BDI | BDI (i) | |||||
Smit 2006 | 116 | Referral | Major depression | 64 | CBT | Usual care | Recurrence preventionb | 12 | BDI (i) |
l (llhll) | 43 | (10–12; therapist) | BDI | BDI (i) | |||||
Teasdale 1984 | 44 | Screening | Major depression | 94 | CT | Usual care | ca 16 | HRSD | |
h (uuhhl) | 38 | (≤20; psychologist) | BDI (i) | BDI | |||||
Face-to-face problem-solving therapy | |||||||||
Barrett 2001 | 161 | Referral | Dysthymia, minor depression | 64 | Problem solving | Placebo | Paroxetineb | 11 | nr |
u (luuuu) | 44 | (6; psychologist) | HSCL-D (c, i) | HRSD ≤6 | |||||
Mynor-Wallis 1995 | 60 | Referral | Major depression | 77 | Problem solving | Placebo | Amitriptyline | 12 | HRSD (i) |
h (uuuhl) | 37 | (6; trained physician) | BDI | HRSD (i) | |||||
Oxman 2008 | 141 | Screening | Minor depression | 58 | Problem solving | Usual care | 9 | MADRS (i) | |
u (llhuu) | 55 | (6; counselor) | MADRS | MADRS (i) | |||||
Williams 2000 | 278 | Referral or screening | Dysthymia or minor depression | 41 | Problem solving | Placebo | Paroxetineb | 11 | HSCL-D (i) |
h (llhlh) | 71 | (6; psychologist/counselor) | HSCL-D (c) | HAD-D | |||||
Face-to-face interpersonal psychotherapy | |||||||||
Schulberg 1996 | 185 | Screening | Major depression | 83 | Interpersonal PT | Usual care | Nortriptylineb | 26 | HRSD (i) |
h (uuuhh) | 38 | (16; psychologist/psychiatrist) | HRSD (i) | HRSD (i) | |||||
Van Schaik 2006 | 143 | Screening | Major depression | 69 | Interpersonal PT | Usual care | 26 | MADRS | |
u (ulhul) | 68 | (10; psychologist/nurse) | MADRS | MADRS | |||||
Other face-to-face psychosocial therapies | |||||||||
Casanas 2012 | 231 | Referral | Major depression | 89 | Psychoeducation | Usual care | 12 | BDI (i) | |
l (llhul) | 53 | (12; nursec) | BDI | BDI (i) | |||||
Corney 1984 | 87 | Referral | Depression | 100 | Social work | Usual care | Unclear | Improvement | |
h (huhuh) | 30 | (Unclear; social worker) | nr | nr | |||||
Corney 2005 | 181 | Screening | Depression | 80 | Counseling | Usual care | 26 | BDI (i) | |
l (luhll) | (≥6 mo) | 43 | (6–12; counselorc) | BDI | BDI (i) | ||||
MacPherson 2013 | 453 | Referral | Depression | 73 | Counseling | Usual care | Acupunctureb | 12 | PHQ-9 (i) |
l (llhul) | 44 | (12; counselors) | PHQ-9 | PHQ-9 (i) | |||||
Three-armed trials with face-to-face CBT and other face-to-face psychosocial therapies | |||||||||
Scott 1992 | 121 | Referral | Major depression | 76 | CBT | Counseling | HRSD (i) | ||
u (uuuul) | 32 | (10; psychologist) | (13; social worker) | Usual care | 16 | HRSD | |||
Ward 2000 | 197 | Referral | Depression | 77 | CBT | Counseling | Amitriptylineb | HRSD | BDI (i) |
l (ulhll) | 37 | (6–12; psychologist) | (6–12; counselorc) | Usual care | 16 | BDI (i) | |||
Remote therapist-led CBT | |||||||||
Dwight-Johnson 2011 | 101 | Screening | Depression | 78 | Telephone CBT | Usual care | 12 | HSCL-D | |
l (llhul) | 40 | (8; trained therapist) | HSCL-D | nr | |||||
Kessler 2009 | 297 | Referral | Major depression | 68 | Online CBT | Usual care | 16 | BDI (i) | |
h (llhhl) | 35 | (≤10; psychologist) | BDI | BDI (i) | |||||
Simon 2004 | 393 | Referral | Depression | 76 | Telephone CBT | Usual care | 26 | HSCL-D | |
u (llhuu) | 44 | (8; psychotherapist) | HSCL-D | HSCL-D | |||||
Remote therapist-led problem-solving therapy | |||||||||
Lynch 1997 | 29 | Screening | Minor depression | 86 | Telephone problem solving | Usual care, | 6 | nr | |
h (uuhhu) | 48 | (6; trained student) | no treatment | BDI (i) | BDI (i) | ||||
Lynch 2004 | 54 | Screening | Mild depression | 83 | Telephone problem solving | Usual care | 6 | nr | |
h (uuhhh) | 38 | (6; nurse) | BDI | BDI (i) | |||||
Guided self-help CBT | |||||||||
Joling 2011 | 170 | Screening | Subthreshold depression | 54 | Bibliotherapy | Usual care | 12 | CES-D reduction ≥5 | |
u (luhul) | 81 | (3; nurse) | CES-D | CES-D ≤16 | |||||
Proudfoot 2004 | 274 | Referral or screening | Depression | 74 | Computerized CBT | Usual care | 9 | BDI (i) | |
u (ulhuu) | 44 | (≤80 min; nursec) | BDI | BDI (i) | |||||
Watkins 2012 | 82 | Screening | Depression | 55 | Guided self-help concreteness training | Usual care | 8 | HRSD (i) | |
l (llull) | 46 | (≤4; psychologist) | Relaxation controlb | BDI | HRSD (i) | ||||
Williams 2013 | 281 | Referral | Depression | 68 | Guided self-help CBT | Usual care | 16 | BDI | |
u (ulhul) | 42 | (3; psychologist) | BDI | BDI (i) | |||||
No/minimal contact CBT | |||||||||
de Graaf 2009 | 303 | Screening | Depression | 57 | Computerized CBTd | Usual care | |||
l (llhll) | 45 | 8 | BDI reliable change | ||||||
Levesque 2011 | 350 | Screening | Depression | 67 | Computer behavioral intervention (TTM) | Usual care, no intervention | BDI | BDI (i) | |
h (luhhl) | 47 | 39 | BDI ≤9+ significant change | ||||||
Levin 2011 | 191 | Referral | Depression | 77 | Computer CBT | Usual care | BDI | ||
l (luhll) | 44 | BDI (i) | |||||||
Naylor 2010 | 38 | Screening | Depression | 84 | Bibliotherapy | Usual care | 6 | SCID symptoms (i) | |
h (luhhl) | 51 | CES-D | nr | ||||||
6 | BDI-FS (i) | ||||||||
BDI-FS | BDI-FS (i) |
BDI = Beck Depression Inventory; BDI-FS = Beck Depression Inventory-Fast Screen; c = only change from baseline data available; ca = circa; CBT = cognitive behavioral therapy; CES-D = Center for Epidemiologic Studies-Depression Scale; CT = cognitive therapy; HAD-D = Hospital Anxiety and Depression Scale subscale depression; HRSD = Hamilton Rating Scale for Depression; HSCL-D = Hopkins Symptom Checklist Depression Scale; i = imputed data; MADRS = Montgomery Asberg Depression Rating Scale; nr = not measured or reported; PHQ-9 = Patient Health Questionnaire for Depression; PT = psychotherapy; RDC = Research Diagnostic Criteria; SCID = Structured Clinical Interview for DSM Disorders; TTM = transtheoretical model.
Note: Risk of bias: l = low, u = unclear, h = high. First letter indicates the overall risk of blinding, not taking blinding into account; letters in parentheses sequentially indicate the risk of bias for the following 5 items: sequence generation, concealment, blinding, attrition, and selective reporting, respectively.
↵a Number of patients randomized (only in groups included in analyses).
↵b Comparator or control group not included in analyses.
↵c Trial included 2 separate groups (computerized CBT alone and in combination with usual care), which were pooled.
↵d Person providing the treatment was explicitly or probably a routine member of the primary care team.