Table 2.
Summary of Unconditional and Moderated Intervention Effects in Studies Using the Hospital Anxiety and Depression Scale
| HADS - anxiety | HADS - depression | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| k | F | τ2 | ES | 95% CI | F | τ2 | ES | 95% CI | |
| Overall intervention effect | 27 | 2.58 | −1.96 | −2.64/−1.28 | 1.36 | −1.32 | −1.83/−0.81 | ||
| Moderated intervention effects | |||||||||
| Pre-intervention HADS scores | 24.52*** | 1.18 | 22.04*** | 0.66 | |||||
| Slope (increment per scale-point) | 27 | −0.53 | −0.74/−0.32 | −0.48 | −0.68/−0.28 | ||||
| Targeted at distressed patients | 5.72* | 1.99 | 8.92** | 0.95 | |||||
| Targeted intervention | 4 | −3.63 | −5.12/−2.13 | −2.94 | −4.09/−1.79 | ||||
| Not targeted | 23 | −1.66 | −2.30/−1.03 | −1.05 | −1.50/−0.60 | ||||
| Type of intervention | 0.01 | 2.58 | 1.07 | 1.31 | |||||
| CBT | 14 | −1.99 | −2.90/−1.08 | −1.57 | −2.26/−0.89 | ||||
| Non-CBT | 13 | −1.93 | −2.84/−1.02 | −1.08 | −1.74/−0.41 | ||||
| Mode of delivery (setting) | 6.86** | 1.59 | 4.86** | 0.95 | |||||
| Individual | 11 | −3.19 | −4.03/−2.34 | −2.19 | −2.89/−1.49 | ||||
| Group | 12 | −1.13 | −1.90/−0.36 | −0.87 | −1.47/−0.26 | ||||
| Self-administered | 4 | −1.25 | −2.57/+0.07 | −0.65 | −1.68/+0.38 | ||||
| Number of sessions (dose) | 0.25 | 2.54 | 0.08 | 1.34 | |||||
| <4 sessions | 7 | −2.35 | −3.60/−1.09 | −1.30 | −2.26/−0.35 | ||||
| 4–6 sessions | 8 | −1.80 | −2.98/−0.62 | −1.47 | −2.35/−0.59 | ||||
| >6 sessions | 12 | −1.84 | −2.79/−0.88 | −1.23 | −1.96/−0.51 | ||||
Note. HADS = Hospital Anxiety and Depression Scale; CBT = Cognitive Behavioral Treatment; ES = Raw effect size; CI = Confidence interval; k = number of studies. Values were derived from unconditional random effects models and conditional mixed-effects models, τ2 is the between-study variance in each model;
p < .05;
p < .01;
p < .001.