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oai:repisalud.isciii.es:20.500.12105/228812024-11-28T23:11:19Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967

00925njm 22002777a 4500 dc Castro, Adoración author Gili, Margalida author Ricci-Cabello, Ignacio author Roca, Miquel author Gilbody, Simon author Pérez-Ara, María Ángeles author Seguí, Andrea author McMillan, Dean author 2020-01-01 The aim of this systematic review was to evaluate the effectiveness of telephone-administered psychotherapy for depression in adults when compared to control conditions or other active treatments, and to determine adherence to telephone-administered psychotherapy. A bibliographic search was conducted in MEDLINE, Embase, PsycINFO, the Cochrane library, and a number of sources of grey literature. We included randomised controlled trials (RCTs) examining the impact of telephone-administered psychotherapy on depressive symptomatology. Two reviewers independently screened citations, extracted the relevant data, and assessed risk of bias using Cochrane tools. Random effects meta-analyses were used to determine the average effect of the interventions on depressive symptomatology: main analysis including randomised trials only, and several exploratory subgroup and sensitivity analyses. We identified ten trials. Telephone-administered psychotherapy showed beneficial effects on depression severity when compared to control conditions ((standardized mean difference [SMD]= -0.85 (95% CI -1.56 to -0.15)). When compared to active comparators, the meta-analysis showed a non-significant small effect size (SMD= -0.18 (95% CI -0.45 to 0.09)), in favour of telephone-administered psychotherapy. Total weighted mean adherence was 73%. Some of the included studies presented a small sample size. Due to variations in time points follow-ups among the studies, it was not possible to determine long term post intervention effects. Available evidence suggests that telephone-delivered psychotherapy may be an effective strategy to reduce depression symptoms when compared to control conditions, and shows an adequate treatment adherence. Future research is needed to determine its cost-effectiveness and long-term effects. Castro A, Gili M, Ricci-Cabello I, Roca M, Gilbody S, Perez-Ara Maria Angeles, et al. Effectiveness and adherence of telephone-administered psychotherapy for depression: A systematic review and meta-analysis. J Affect Disord. 2019;260:514-26. 10.1016/j.jad.2019.09.023 1573-2517 Journal of affective disorders https://hdl.handle.net/20.500.13003/18707 31539688 L2002911538 2-s2.0-85072265488 https://hdl.handle.net/20.500.12105/22881 490428300065 Effectiveness and adherence of telephone-administered psychotherapy for depression: A systematic review and meta-analysis