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. 2014 Nov 1;2014(11):CD011142. doi: 10.1002/14651858.CD011142.pub2

Comparison 2. Psychological therapies versus enhanced care.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Severity of somatic symptoms at end of treatment 5 624 Std. Mean Difference (IV, Random, 95% CI) ‐0.19 [‐0.43, 0.04]
1.1 Cognitive behavioural therapy versus enhanced care 3 307 Std. Mean Difference (IV, Random, 95% CI) ‐0.34 [‐0.71, 0.03]
1.2 Third‐wave cognitive behavioural therapy versus enhanced care 1 106 Std. Mean Difference (IV, Random, 95% CI) 0.01 [‐0.38, 0.39]
1.3 Psychodynamic therapy versus enhanced care 1 211 Std. Mean Difference (IV, Random, 95% CI) ‐0.04 [‐0.31, 0.23]
2 Severity of somatic symptoms within 1 year after treatment 5 593 Std. Mean Difference (IV, Random, 95% CI) ‐0.21 [‐0.40, ‐0.02]
2.1 Cognitive behavioural therapy versus enhanced care 3 289 Std. Mean Difference (IV, Random, 95% CI) ‐0.30 [‐0.60, ‐0.00]
2.2 Third‐wave cognitive behavioural therapy versus enhanced care 1 93 Std. Mean Difference (IV, Random, 95% CI) 0.05 [‐0.36, 0.46]
2.3 Psychodynamic therapy versus enhanced care 1 211 Std. Mean Difference (IV, Random, 95% CI) ‐0.20 [‐0.47, 0.07]
3 Severity of somatic symptoms > 1 year after treatment 2 172 Std. Mean Difference (IV, Random, 95% CI) ‐0.32 [‐0.73, 0.10]
3.1 Cognitive behavioural therapy versus enhanced care 1 82 Std. Mean Difference (IV, Random, 95% CI) ‐0.53 [‐0.98, ‐0.09]
3.2 Third‐wave cognitive behavioural therapy versus enhanced care 1 90 Std. Mean Difference (IV, Random, 95% CI) ‐0.11 [‐0.53, 0.30]
4 Acceptability 5 679 Risk Ratio (M‐H, Random, 95% CI) 0.93 [0.87, 1.00]
4.1 Cognitive behavioural therapy versus enhanced care 3 349 Risk Ratio (M‐H, Random, 95% CI) 0.91 [0.82, 1.02]
4.2 Third‐wave cognitive behavioural therapy versus enhanced care 1 119 Risk Ratio (M‐H, Random, 95% CI) 0.91 [0.82, 1.01]
4.3 Psychodynamic therapy versus enhanced care 1 211 Risk Ratio (M‐H, Random, 95% CI) 1.01 [0.89, 1.14]
5 Severity of anxiety or depressive symptoms (or both) at end of treatment 5 624 Std. Mean Difference (IV, Random, 95% CI) ‐0.14 [‐0.30, 0.02]
5.1 Cognitive behavioural therapy versus enhanced care 3 307 Std. Mean Difference (IV, Random, 95% CI) ‐0.17 [‐0.40, 0.05]
5.2 Third‐wave cognitive behavioural therapy versus enhanced care 1 106 Std. Mean Difference (IV, Random, 95% CI) ‐0.05 [‐0.43, 0.33]
5.3 Psychodynamic therapy versus enhanced care 1 211 Std. Mean Difference (IV, Random, 95% CI) ‐0.13 [‐0.40, 0.14]
6 Severity of anxiety or depressive symptoms (or both) within 1 year after treatment 5 593 Std. Mean Difference (IV, Random, 95% CI) ‐0.13 [‐0.29, 0.03]
6.1 Cognitive behavioural therapy versus enhanced care 3 289 Std. Mean Difference (IV, Random, 95% CI) ‐0.17 [‐0.40, 0.06]
6.2 Third‐wave behavioural therapy versus enhanced care 1 93 Std. Mean Difference (IV, Random, 95% CI) ‐0.04 [‐0.45, 0.36]
6.3 Psychodynamic therapy versus enhanced care 1 211 Std. Mean Difference (IV, Random, 95% CI) ‐0.11 [‐0.38, 0.16]
7 Severity of anxiety or depressive symptoms (or both) > 1 year after treatment 2 184 Std. Mean Difference (IV, Random, 95% CI) ‐0.26 [‐0.55, 0.03]
7.1 Cognitive behavioural therapy versus enhanced care 1 94 Std. Mean Difference (IV, Random, 95% CI) ‐0.36 [‐0.77, 0.04]
7.2 Third‐wave cognitive behavioural therapy versus enhanced care 1 90 Std. Mean Difference (IV, Random, 95% CI) ‐0.15 [‐0.56, 0.26]
8 Dysfunctional cognitions, emotions, and behaviours at end of treatment 4 499 Std. Mean Difference (IV, Random, 95% CI) ‐0.09 [‐0.29, 0.10]
8.1 Cognitive behavioural therapy versus enhanced care 2 182 Std. Mean Difference (IV, Random, 95% CI) ‐0.28 [‐0.57, 0.01]
8.2 Third‐wave cognitive behavioural therapy versus enhanced care 1 106 Std. Mean Difference (IV, Random, 95% CI) 0.06 [‐0.32, 0.44]
8.3 Psychodynamic therapy versus enhanced care 1 211 Std. Mean Difference (IV, Random, 95% CI) 0.0 [‐0.27, 0.27]
9 Dysfunctional cognitions, emotions, and behaviours within 1 year after treatment 4 477 Std. Mean Difference (IV, Random, 95% CI) ‐0.24 [‐0.49, 0.00]
9.1 Cognitive behavioural therapy versus enhanced care 2 173 Std. Mean Difference (IV, Random, 95% CI) ‐0.45 [‐0.83, ‐0.07]
9.2 Third‐wave cognitive behavioural therapy versus enhanced care 1 93 Std. Mean Difference (IV, Random, 95% CI) ‐0.03 [‐0.44, 0.38]
9.3 Psychodynamic therapy versus enhanced care 1 211 Std. Mean Difference (IV, Random, 95% CI) ‐0.13 [‐0.40, 0.14]
10 Dysfunctional cognitions, emotions, and behaviours > 1 year after treatment 2 184 Std. Mean Difference (IV, Random, 95% CI) ‐0.58 [‐1.27, 0.11]
10.1 Cognitive behavioural therapy versus enhanced care 1 94 Std. Mean Difference (IV, Random, 95% CI) ‐0.94 [‐1.36, ‐0.51]
10.2 Third‐wave cognitive behavioural therapy versus enhanced care 1 90 Std. Mean Difference (IV, Random, 95% CI) ‐0.23 [‐0.64, 0.19]
11 Functional disability and quality of life at end of treatment 4 497 Std. Mean Difference (IV, Random, 95% CI) 0.13 [‐0.05, 0.30]
11.1 Cognitive behavioural therapy versus enhanced care 2 182 Std. Mean Difference (IV, Random, 95% CI) 0.21 [‐0.08, 0.51]
11.2 Third‐wave cognitive behavioural therapy versus enhanced care 1 104 Std. Mean Difference (IV, Random, 95% CI) 0.07 [‐0.31, 0.46]
11.3 Psychodynamic therapy at end of treatment 1 211 Std. Mean Difference (IV, Random, 95% CI) 0.08 [‐0.19, 0.35]
12 Functional disability and quality of life within 1 year after treatment 4 476 Std. Mean Difference (IV, Random, 95% CI) 0.20 [0.02, 0.38]
12.1 Cognitive behavioural therapy versus enhanced care 2 173 Std. Mean Difference (IV, Random, 95% CI) 0.30 [0.00, 0.60]
12.2 Third‐wave cognitive behavioural therapy versus enhanced care 1 92 Std. Mean Difference (IV, Random, 95% CI) 0.10 [‐0.31, 0.51]
12.3 Psychodynamic therapy versus enhanced care 1 211 Std. Mean Difference (IV, Random, 95% CI) 0.16 [‐0.11, 0.43]
13 Functional disability and quality of life > 1 year of treatment 2 184 Std. Mean Difference (IV, Random, 95% CI) 0.22 [‐0.16, 0.60]
13.1 Cognitive behavioural therapy versus enhanced care 1 94 Std. Mean Difference (IV, Random, 95% CI) 0.42 [0.01, 0.83]
13.2 Third‐wave cognitive behavioural therapy versus enhanced care 1 90 Std. Mean Difference (IV, Random, 95% CI) 0.03 [‐0.39, 0.44]
14 Healthcare use at end of treatment 2 334 Std. Mean Difference (IV, Random, 95% CI) ‐0.03 [‐0.33, 0.28]
14.1 Cognitive behavioural therapy versus enhanced care 1 123 Std. Mean Difference (IV, Random, 95% CI) ‐0.21 [‐0.56, 0.15]
14.2 Psychodynamic therapy versus enhanced care 1 211 Std. Mean Difference (IV, Random, 95% CI) 0.11 [‐0.16, 0.38]
15 Healthcare use within 1 year after treatment 2 319 Std. Mean Difference (IV, Random, 95% CI) ‐0.24 [‐0.46, ‐0.01]
15.1 Cognitive behavioural therapy versus enhanced care 1 108 Std. Mean Difference (IV, Random, 95% CI) ‐0.08 [‐0.46, 0.30]
15.2 Psychodynamic therapy versus enhanced care 1 211 Std. Mean Difference (IV, Random, 95% CI) ‐0.32 [‐0.59, ‐0.05]