Cited by 261Psychotherapy Techniques and ApplicationsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesProblem Solving Skills Development

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Problem solving therapies for depression: A meta-analysis

Cuijpers, Pim, van Straten, Annemieke, Warmerdam, Lisanne·2007·European Psychiatry

DOI 10.1016/j.eurpsy.2006.11.001

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Abstract

Purpose: In the past decades, the effects of problem-solving therapy (PST) for depression have been examined in several randomized controlled studies. However, until now no meta-analysis has tried to integrate the results of these studies. Methods: We conducted a systematic literature search and identified 13 randomized studies examining the effects of PST, with a total of 1133 subjects. The quality of studies varied. Results: The mean standardized effect size was 0.34 in the fixed effects model and 0.83 in the random effects model, with very high heterogeneity. Subgroup analyses indicated significantly lower effects for individual interventions in studies with subjects who met criteria for major depression, studies in which intention-to-treat analyses were conducted instead of completers-only analyses, and studies with pill placebo and care-as-usual control groups. Heterogeneity was high, and the subgroup analyses did not result in clear indications of what caused this high heterogeneity. This indicates that PST has varying effects on depression, and that it is not known to date what determines whether PST has larger of smaller effects. Conclusion: Although there is no doubt that PST can be an effective treatment for depression, more research is needed to ascertain the conditions and subjects in which these positive effects are realized.

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Authors: Cuijpers, P., van Straten, A., & Warmerdam, L.
Affiliations: Vrije Universiteit Amsterdam (NL)
Corresponding author: Cuijpers, Pim
ORCID: Cuijpers, Pim
Warmerdam, Lisanne
Venue: European Psychiatry
Publisher: Cambridge University Press (CUP)
Published: 2007-01
Volume: 22
Issue: 1
Pages: 9-15
ISSN: 0924-9338 (ISSN-L)
1778-3585
DOI: 10.1016/j.eurpsy.2006.11.001
OpenAlex: W2153485295
Cited by: 261
References: 29
Citations by year: 2026: 2 · 2025: 6 · 2024: 1 · 2023: 7 · 2022: 6 · 2021: 8 · 2020: 9 · 2019: 13 · 2018: 10 · 2017: 14 · 2016: 12 · 2015: 23 · 2014: 20 · 2013: 27 · 2012: 27
FWCI: 1.92
Type: journal article
Language: en
Open access: closed
Licence: www.cambridge.org/core/terms (unspecified, 4854 d)
Locations: European Psychiatry (publishedVersion)
PubMed (publishedVersion)
VU Research Portal (publishedVersion)
Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Applied Psychology › Problem Solving Skills Development
Keywords: problem-solving therapy, depression, psychotherapy efficacy, major depressive disorder, treatment effect heterogeneity, intention-to-treat analysis
MeSH terms: Adolescent, Adult, Aged, Depressive Disorder, Follow-Up Studies, Humans, Middle Aged, Problem Solving, Psychotherapy, Randomized Controlled Trials as Topic, Treatment Outcome

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