Table 2.
Effect sizes and predictors identified in IPD meta-analyses of psychotherapies for adult depression.
Study | Contrast a) | Effect Size | Significant Predictors/Moderators b) | Non-significant Predictors/Moderators c) |
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IPD meta-analyses | ||||
Bower et al., 2013 [11] | Low-intensity CBT vs. CTR | CBT > CTR: SMD = −0.42 (95% CI: −0.55; −0.29) |
SPE: Baseline severity | - |
Weitz et al., 2015 [12] | CBT vs. ADM | ADM > CBT (on HAM-D: β = −0.88; p = 0.03) |
- | SPE/NSP/MOD: Gender MOD: Baseline severity |
Furukawa et al., 2017 [14] | CBT vs. pill placebo | CBT > placebo: SMD: −0.22 (95% CI: −0.42; 0.02) |
- | SPE: Baseline severity |
Karyotaki et al., 2018 [18] | Guided iCBT vs. CTR | Guided iCBT > CTR; OR = 2.49 response; OR = 2.41 remission | SPE: Older age; native-born; baseline severity | SPE: Sex; relationship; education; medication use; anxiety; previous episodes; alcohol problems |
Karyotaki et al., 2017 [16] | Unguided iCBT vs. CTR | Unguided iCBT > control; g = 0.27 | SPE: None | SPE: Age, sex, education, relation-ship status anxiety, baseline severity |
Kuyken et al., 2016 [17] | MBCT for relapse vs. CTR | MBCT > CTR: HR of relapse = 0.69 (95% CI: 0.58; 0.82) | SPE: Baseline severity | SPE: Age, sex, education, relationship status |
Driessen et al., 2020 [18] | Dynamic vs. combined treatment | Combined > dynamic therapy; d = 0.26 | - | - |
Reins et al., 2020 [13] | Internet interventions for subthreshold depression | Internet interventions > control; d = 0.39 | SPE: Higher baseline severity; Older age | SPE: Gender; relationship; employment; previous therapy; medication use; anxiety; medical condition; education |
IPD network meta-analyses | Examined moderators/predictors and models | |||
Furukawa et al., 2018 [19] |
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Karyotaki et al., 2021 [20] |
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a) Extensive definitions of the different types of therapies can be found in Cuijpers et al., 2020. b) Predictors defined as characteristics that indicate whether a patient benefits from a treatment or not. Specific predictors (SPEs) indicate whether a specific characteristic predicts outcome of therapy compared to a no-treatment control, while non-specific predictors (NPEs) indicate variables that are related to improvement, regardless of comparison or control group (within-group improvement). Moderators (MODs) are characteristics that indicate which patients benefit more from one treatment compared to another treatment. c) Because these studies are based on large sample sizes, non-significant variables are also important because they are probably not associated with the outcome. Abbreviations: ADM: antidepressant medication; CBASP: Cognitive Behavioral Analysis System of Psychotherapy; CBT: cognitive behavioral therapy; CTR: control group; HAM-D: Hamilton Rating scale for depression; HR: hazard ratio; iCBT: internet-based CBT; IPD: individual participant data; MBCT: mindfulness-based CBT; MOD: moderator; NSP: non-specific predictor; OR: odds ratio; PHQ-9: Patient Health Questionnaire-9 items; SMD: standardized mean difference; SPE: specific predictor; TAU: treatment as usual; u-iCBT: unguided iCBT; WL: waiting list.