Table 2.
Subgroup analyses based on participant and study characteristics.
| Characteristic | Number of studies | Meta-analysis | Heterogeneity | Between-group test | |||
|---|---|---|---|---|---|---|---|
| Hedges's g | 95% CI | I 2 | p | Chi2 | p | ||
| Participant characteristics | |||||||
| Mean age | |||||||
| Children and adolescents | 1 | — | — | — | — | 1.78 | 0.18 |
| Adults (18–60 years old) | 18 | −0.63 | −1.08 to −0.17a | 97% | <0.01 | ||
| Older adults (above 60 years old) | 3 | −0.27 | −0.53 to −0.00a | 24% | 0.27 | ||
| Gender | |||||||
| Male < female | 18 | −0.59 | −1.05 to −0.13a | 97% | <0.01 | 0.71 | 0.70 |
| Male > female | 3 | −0.34 | −0.71 to 0.03 | 78% | 0.01 | ||
| No report | 1 | −0.44 | −0.78 to −0.09a | — | — | ||
| Associated disease | |||||||
| With disease | 7 | −0.22 | −0.36 to −0.08a | 26% | 0.23 | 2.91 | 0.09 |
| No mention disease | 15 | −0.71 | −1.25 to −0.17a | 97% | <0.01 | ||
| Study characteristics | |||||||
| Year of publication | |||||||
| 10 years ago | 8 | −0.21 | −0.39 to −0.03a | 35% | 0.15 | 3.08 | 0.08 |
| Recent 10 years | 14 | −0.74 | −1.31 to −0.18a | 98% | <0.01 | ||
| Country of publication | |||||||
| Asia | 7 | −1.13 | −2.22 to −0.04a | 99% | <0.01 | 7.19 | 0.07 |
| Australia | 1 | −0.87 | −1.44 to −0.30a | — | — | ||
| Europe | 11 | −0.27 | −0.40 to −0.14a | 53% | 0.02 | ||
| North America | 3 | −0.16 | −0.45 to 0.14 | 0% | 0.62 | ||
| Types of CBT approaches | |||||||
| in-CBT | 2 | −2.87 | −8.18 to 2.44 | — | — | 7.88 | 0.05 |
| g-CBT | 10 | −0.11 | −0.24 to 0.02 | 9% | 0.36 | ||
| i-CBT | 12 | −0.81 | −1.38 to −0.25a | 98% | <0.01 | ||
| t-CBT | 2 | −0.43 | −0.91 to 0.05 | — | — | ||
| Intervention duration | |||||||
| <1 M | 3 | −0.24 | −0.42 to −0.06a | 0% | 0.55 | 2.13 | 0.34 |
| 1 –3 M | 14 | −0.69 | −1.27 to −0.11a | 98% | <0.01 | ||
| >3 M | 5 | −0.31 | −0.45 to −0.16a | 23% | 0.27 | ||
| Follow-up duration | |||||||
| FU < 6 M | 4 | −0.69 | −0.90 to −0.48a | 18% | 0.30 | 1.85 | 0.40 |
| 6 ≤ FU < 12 M | 6 | −0.83 | −2.03 to 0.37 | 98% | <0.01 | ||
| FU ≥ 12 M | 12 | −0.39 | −0.78 to 0.00 | 96% | <0.01 | ||
| Attrition rate | |||||||
| High | 9 | −0.98 | −1.83 to −0.12a | 98% | <0.01 | 2.83 | 0.09 |
| Low and moderate | 13 | −0.24 | −0.36 to −0.12a | 48% | 0.03 | ||
Note: Justification for each subgroup type: age, characterized into three groups: children and adolescents (0–17), adults (18–60), and older adults (above 60) based on previous cutoff [8]; gender: male < female and based on previous review suggested that females are three times more likely to have subclinical depression [8]; associated disease: to see if the occurring symptoms from other diseases would influence the intervention outcome. Intervention duration, characterized into three groups: <1 M, 1–3 M, >3 M to ensure there are enough studies to conduct subgroup analysis; follow-up duration, characterized into three groups: 1 < FU ≤ 6 M, 6 < FU < 12, and ≥12 M due to the lack of studies conducted follow-up in less than 3 months, in 3 months, and 6 month which might result in low statistical power; attrition rate, characterized into two groups: high (≥30%) and low and moderate (<30%), the merge of low and moderate attrition was due to the lack of studies that have <10% attrition which might result in low statistical power.
aRepresents statistically significant.