Direct comparisons of treatment modalities for youth disorders: a meta-analysis
Abstract
A meta-analysis was conducted to determine whether differences in efficacy exist among treatment approaches applied to youth. Included were all studies published between 1980 and 2005 involving participants 18 years of age or younger with diagnoses of depression, anxiety, conduct disorder, and attention-deficit/hyperactivity disorder that contained direct comparisons among two or more treatment methods intended to be therapeutic. Effect sizes were found to vary significantly, providing some evidence that differences in efficacy exist among treatments for these disorders in youth. However, the upper bound of the true difference in effects among treatments was small. Furthermore, researcher allegiance was found to be strongly associated with the difference in effect sizes so that when allegiance was controlled there was no evidence of any differences among treatments.
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In psychotherapy, allegiance to a particular approach due to personal training or prior research involvement may significantly influence reported outcomes.
“In psychotherapy, for instance, an allegiance to a particular ap proach, due to personal training or involvement in previous research efforts, may significantly influence reported outcomes of results [293][294][295][296] .”
From Ethical challenges in contemporary psychiatry: an overview and an appraisal of possible strategies and research needs (2024) · cites this paper as [295]
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References 81 · Cited by 126
- Authors
- Miller, S., Wampold, B., & Varhely, K.
- Affiliations
- Institute for the Study of Therapeutic Change
- University of Wisconsin–Madison (US)
- c Chicago, Illinois
- Corresponding author
- Miller, Scott
- Venue
- Psychotherapy Research
- Publisher
- Informa UK Limited
- Published
- 2008-01
- Volume
- 18
- Issue
- 1
- Pages
- 5-14
- ISSN
- 1050-3307 (ISSN-L)
- 1468-4381
- OpenAlex
- W2130548018
- Cited by
- 126
- References
- 81
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 4 · 2023: 2 · 2022: 5 · 2021: 5 · 2020: 6 · 2019: 5 · 2018: 10 · 2017: 2 · 2016: 12 · 2015: 12 · 2014: 11 · 2013: 14 · 2012: 9
- FWCI
- 1.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychotherapy Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- adolescent mental disorders, treatment efficacy, depression, anxiety, conduct disorder, attention deficit hyperactivity disorder, psychotherapy comparison, effect size
- MeSH terms
- Adolescent, Anxiety Disorders, Attention Deficit Disorder with Hyperactivity, Mental Disorders, Child, Clinical Trials as Topic, Depressive Disorder, Humans, Outcome and Process Assessment, Health Care, Psychotherapy, Conduct Disorder
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