Psychological treatments for common mental health problems experienced by informal carers of adults with chronic physical health conditions (protocol)
Open accessAbstract
BACKGROUND: Improved life expectancy is resulting in increased outpatient treatment of people with chronic physical health conditions and reliance on the provision of informal care in the community. However, informal care is also associated with increased risk of experiencing common mental health difficulties such as depression and anxiety. Currently there is a lack of evidence-based treatments for such difficulties, resulting in poor health outcomes for both the informal carer and care recipient. METHODS/DESIGN: Electronic databases will be systemically searched for randomised controlled trials examining the effectiveness of psychological interventions targeted at treating depression or anxiety experienced by informal carers of patients with chronic physical health conditions. Database searches will be supplemented by contact with experts, reference and citation checking and grey literature. Both published and unpublished research in English language will be reviewed with no limitations on year or source. Individual, group and patient-carer dyad focused interventions will be eligible. Primary outcomes of interest will be validated self-report or clinician administered measures of depression or anxiety. If data allows a meta-analysis will examine: (1) the overall effectiveness of psychological interventions in relation to outcomes of depression or anxiety; (2) intervention components associated with effectiveness. DISCUSSION: This review will provide evidence on the effectiveness of psychological interventions for depression and anxiety experienced by informal carers of patients with chronic physical health conditions. In addition, it will examine intervention components associated with effectiveness. Results will inform the design and development of a psychological intervention for carers of people with chronic physical health conditions experiencing depression and anxiety. PROSPERO registration number: CRD42012003114.
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Excluding high risk of bias RCTs is a technique used in previous systematic reviews and meta-analyses.
“and is a technique used in previous systematic reviews and meta-analyses.80–82”
From Effectiveness and acceptability of cognitive-behavioural therapy based interventions for maternal peripartum depression: A systematic review, meta-analysis and thematic synthesis protocol (2019) · cites this paper as [82]
The Methods > Inclusion and exclusion criteria passage says the planned review will include only RCTs assessed as having low or unclear risk of bias for random sequence generation and allocation concealment. This supports excluding trials at high risk on those criteria, but the paper is a protocol: it does not show that a completed systematic review or meta-analysis used the technique. (LLM, conf=0.85)
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- Authors
- Woodford, J., Farrand, P., Richards, D., & Llewellyn, D. J.
- Affiliations
- University of Exeter (GB)
- Corresponding author
- Woodford, Joanne
- Venue
- Systematic Reviews
- Published
- 2013-01-31
- Volume
- 2
- Issue
- 1
- Pages
- 9-9
- ISSN
- 2046-4053 (ISSN-L)
- PMC
- PMC3599247
- OpenAlex
- W2167257526
- Cited by
- 7
- References
- 55
- Citations by year
- 2021: 1 · 2020: 2 · 2019: 1 · 2016: 1 · 2014: 1 · 2013: 1
- FWCI
- 0.24
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Systematic Reviews (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Uppsala University Publications (Uppsala University) (submittedVersion, other-oa)
- Figshare (submittedVersion)
- Open Research Exeter (University of Exeter) (submittedVersion, cc-by)
- Funders
- National Institute for Health and Care Research (NF-SI-0611-10203)
- Dunhill Medical Trust
- Association of Medical Research Charities
- Topics
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- informal caregivers, chronic physical illness, depression, anxiety, psychological intervention, caregiver mental health, dyadic intervention, intervention components
- MeSH terms
- Anxiety, Chronic Disease, Depression, Humans, Mental Health, Research Design, Treatment Outcome, Caregivers
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