Browsing by Subject "Psychosocial intervention"
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Item The effectiveness of empirically supported brief interventions for depressive and/or anxiety disorders for primary care patients : a systematic review and meta-analysis(2018-05) Zhang, Anao; Franklin, Cynthia; Beretvas, Natasha; Choi, Namkee G.; DiNitto, Diana M.Depressive and anxiety disorders (DADs) are highly prevalent in U.S. primary care systems. Consequences of DADs for primary care patients are real and substantial. While there exist many empirically supported interventions for DADs, only a few them have been adopted for a primary care population. To date, limited investigation has focused on the effectiveness of these empirically supported interventions for DADs when delivered in primary care settings. This dissertation aims to evaluate the effectiveness of empirically supported brief interventions for DADs for primary care patients. Using a systematic review and meta-analysis approach, this dissertation searches across seven electronic databases, six professional websites, peer-reviewed journal articles’ reference list, and contact field experts for a pool of articles for meta-analysis. An initial pool of 1,140 articles are identified, after title/abstract screening and full-text review, a final sample of 65 articles are included for final summary and data analysis. Publication bias, risk of bias, and study quality rating are conducted in accordance with the Cochrane guidelines. In addition to descriptive statistics of individual studies, an overall treatment effect, assuming a random-effect model, and moderator analysis, assuming a mixed-effect model, are performed using Robust Variance Estimation in Meta-regression. Meta-analytic results indicate an overall statistically significant treatment effect of included interventions for primary care patients’ DADs. Single-predictor moderator analyses find percentage of married participants, treatment modality (individual versus group), and treatment composition (one versus combined approach) significantly moderates treatment effect size estimate. Multiple-predictor moderator analysis finds that, after controlling for other treatment characteristics, interventions delivered outside primary care settings reported significantly higher treatment effect than those delivered inside primary care settings. Discussions on these results and implications for social work practice, research, education and policy are presented