A systematic review of non-pharmacological treatments for depression in people with chronic physical health problems
Abstract
Objective To review the efficacy of non-pharmacological treatment for depression in people with depression and chronic physical health problems. Method Five electronic databases were searched including EMBASE, Medline and PsycINFO for randomized controlled trials (RCTs). Each paper was assessed for quality, data extracted and, where possible, the data meta-analyzed. The overall quality of each meta-analysis was assessed. Results 35 studies met our inclusion criteria and 22 were meta-analyzed using a random-effects model. The largest and strongest evidence base supports individual- and group-based cognitive and behavioral interventions (18 trials). The evidence was strongest for those interventions aimed solely at reducing depression in comparison to those aimed more broadly at reducing the psychosocial stress associated with having a chronic physical health problem. Conclusion Overall, the efficacy of certain types of non-pharmacological interventions for people with depression and chronic physical health problems has been demonstrated. The overall impression is that their efficacy in this population is comparable to that in people with depression without chronic physical health problems but the evidence-base is currently inadequate and larger trials with long-term follow-up are required.
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Independently, both CBT and ACT group-based interventions improve psychological and behavioural health outcomes across a range of conditions.
“Independently, both CBT and ACT group-based interventions improve psychological and behavioural health outcomes across a range of conditions such as cancer, chronic obstructive pulmonary disease, chronic pain, diabetes, epilepsy, HIV, neurological disorders (e.g., Parkinson’s disease, Huntington’s disease, multiple sclerosis), renal disease, spinal cord injury, and traumatic/acquired brain injury”
From Attachment insecurity predicts outcomes in an ACT-CBT group therapy for adults in a physical rehabilitation centre (2022) · cites this paper as Rizzo, Creed, Goldberg, Meader, & Pilling, 2011
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Web-based interventions for comorbid depression and chronic illness: a systematic review
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- Authors
- Rizzo, M., Creed, F., Goldberg, D., Meader, N., & Pilling, S.
- Affiliations
- Centre for Mental Health (GB)
- University of Manchester (GB)
- King's College London (GB)
- Corresponding author
- Rizzo, Maria
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2011-07
- Volume
- 71
- Issue
- 1
- Pages
- 18-27
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W1999891283
- Cited by
- 40
- References
- 9
- Citations by year
- 2024: 1 · 2022: 2 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 3 · 2017: 5 · 2016: 4 · 2015: 6 · 2014: 2 · 2013: 7 · 2012: 5
- FWCI
- 0.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- depression, non-pharmacological treatment, cognitive behavioral therapy, group intervention, psychosocial stress, treatment efficacy
- MeSH terms
- Chronic Disease, Depressive Disorder, Health Status, Humans, Psychotherapy, Stress, Psychological, Treatment Outcome
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