TABLE 2.
Response rate in control group | Psychotherapy versus control | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
N | Rate | 95% CI | I 2 | 95% CI | N | RR | 95% CI | I 2 | 95% CI | NNT | 95% CI | |
Care‐as‐usual (vs. therapy) | ||||||||||||
All studies | 79 | 0.17 | 0.15~0.20 | 74 | 68~79 | 83 | 2.12 | 1.80~2.50 | 62 | 52~70 | 5.3 | 3.9~7.4 |
Completers only | 79 | 0.19 | 0.16~0.22 | 74 | 68~79 | 83 | 2.17 | 1.85~2.55 | 61 | 51~70 | 4.5 | 3.4~6.2 |
All drop‐outs responders | 79 | 0.25 | 0.21~0.28 | 81 | 77~85 | 83 | 1.94 | 1.68~2.24 | 67 | 59~74 | 4.3 | 3.2~5.9 |
Outliers excluded | 66 | 0.16 | 0.14~0.18 | 24 | 0~44 | 75 | 2.14 | 1.85~2.48 | 41 | 22~56 | 5.5 | 4.2~7.4 |
Only low risk of bias | 28 | 0.21 | 0.16~0.26 | 81 | 74~87 | 29 | 1.79 | 1.36~2.34 | 59 | 38~73 | 6.0 | 3.6~13.2 |
Adj. for publication bias | 108 | 0.24 | 0.21~0.28 | 79 | 74~82 | 113 | 1.43 | 1.16~1.78 | 73 | 67~77 | 9.7 | 5.3~26.0 |
Only reported | 10 | 0.16 | 0.09~0.27 | 85 | 73~91 | 10 | 2.17 | 1.42~3.30 | 48 | 0~75 | 5.3 | 2.7~14.9 |
Waitlist (vs. therapy) | ||||||||||||
All studies | 92 | 0.16 | 0.14~0.18 | 56 | 44~65 | 102 | 2.61 | 2.29~2.98 | 40 | 24~53 | 3.9 | 3.2~4.8 |
Completers only | 92 | 0.17 | 0.15~0.19 | 53 | 41~63 | 102 | 2.74 | 2.40~3.13 | 45 | 31~57 | 3.4 | 2.8~4.2 |
All drop‐outs responders | 92 | 0.21 | 0.19~0.24 | 64 | 55~71 | 102 | 2.42 | 2.12~2.77 | 50 | 37~60 | 3.4 | 2.7~4.3 |
Outliers excluded | 83 | 0.16 | 0.15~0.18 | 0 | 0~25 | 96 | 2.65 | 2.35~2.98 | 0 | 0~24 | 3.8 | 3.2~4.6 |
Only low risk of bias | 28 | 0.18 | 0.15~0.21 | 61 | 42~74 | 29 | 2.09 | 1.69~2.58 | 47 | 19~66 | 5.1 | 3.5~8.1 |
Adj. for publication bias | 125 | 0.20 | 0.18~0.23 | 62 | 54~69 | 143 | 1.87 | 1.56~2.23 | 51 | 41~60 | 5.7 | 4.1~8.9 |
Only reported | 6 | 0.22 | 0.06~0.53 | 89 | 79~94 | 7 | 3.13 | 1.19~8.23 | 75 | 47~88 | 2.1 | 0.6~23.9 |
Pill placebo (vs. therapy)a, b, c | ||||||||||||
All studies | 7 | 0.31 | 0.23~0.40 | 70 | 33~86 | 8 | 1.48 | 1.14~1.93 | 42 | 0~74 | 6.7 | 3.5~23.0 |
Completers only | 7 | 0.33 | 0.26~0.42 | 61 | 11~83 | 8 | 1.65 | 1.19~2.28 | 66 | 28~84 | 4.7 | 2.4~15.9 |
All drop‐outs responders | 7 | 0.37 | 0.30~0.46 | 62 | 14~84 | 8 | 1.59 | 1.18~2.15 | 69 | 34~85 | 4.6 | 2.4~15.0 |
Outliers excluded | 6 | 0.28 | 0.23~0.33 | 0 | 0~58 | 8 | 1.48 | 1.14~1.93 | 42 | 0~74 | 7.4 | 3.8~25.5 |
Only low risk of bias | 3 | 0.34 | 0.21~0.52 | 88 | 65~96 | 3 | 1.12 | 0.84~1.49 | 0 | 0~75 | 24.5 | n.s. |
Adj. for publication bias | 9 | 0.35 | 0.26~0.44 | 72 | 46~86 | 12 | 1.20 | 0.89~1.62 | 62 | 28~80 | 14.3 | n.s. |
Response at follow‐upd | ||||||||||||
≥3 and ≤6 months (WL) | 14 | 0.13 | 0.09~0.19 | 49 | 5~72 | 14 | 3.24 | 2.32~4.53 | 24 | 0~59 | 3.4 | 2.2~5.8 |
>3 and <6 months (CAU) | 23 | 0.21 | 0.17~0.26 | 60 | 37~75 | 23 | 1.61 | 1.32~1.96 | 44 | 8~66 | 7.8 | 5.0~14.9 |
6–8 months | 47 | 0.26 | 0.23~0.30 | 71 | 60~78 | 49 | 1.47 | 1.29~1.68 | 44 | 22~60 | 8.2 | 5.7~13.3 |
9–12 months | 28 | 0.28 | 0.22~0.35 | 88 | 84~91 | 30 | 1.38 | 1.19~1.61 | 52 | 27~68 | 9.4 | 5.9~18.8 |
13–24 months | 5 | 0.29 | 0.18~0.42 | 69 | 20~88 | 5 | 1.59 | 0.98~2.60 | 17 | 0~83 | 5.8 | n.s |
No outliers were detected for the RR in pill placebo (one for the response rate in the placebo group).
Response rates for pill placebo were reported in only one study (with 2 comparisons); results not included in the table.
p for difference between control conditions is <0.001.
Response rates for waitlist were not available after 6‐month follow‐up. Only two studies reported outcomes at longer than 24‐month follow‐up.