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The “Dodo bird verdict,” which claims that all psychotherapies are equally effective, has been a source of bewilderment and intense controversy among psychiatrists and psychologists. To examine this issue, we focused on cognitive-behavior therapy (CBT) and applied the newly developed review method known as multiple treatments meta-analysis (MTM). We identified randomized controlled trials comparing CBT against a psychological placebo (PP) and/or no treatment (NT) controls during the acute phase treatment of adults with depression. A random-effects MTM was conducted within a Bayesian framework. All the analyses were performed on an intention-to-treat basis. The MTM of the evidence network from 18 studies (39 treatment arms, 1,153 participants) revealed that CBT was significantly more likely to yield a response than NT (OR 2.24, 1.32–3.88) and that CBT was nominally, but not significantly, superior to PP (OR 1.30, 0.53–2.94), which in turn was superior to NT (OR 1.73, 0.67–4.84). The intervention effects in MTM were associated with the number of sessions, and the specificity of CBT increased as the number of sessions increased. The specific component of CBT was estimated to constitute 50.4 % (19.7–85.0) when CBT was given for ten or more sessions. Despite the quantitatively and qualitatively limited body of randomized evidence examining this issue, the present study strongly suggested a non-null specific component of CBT when given for an adequate length.
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Ahn, H., & Wampold, B. E. (2001). Where oh where are the specific ingredients? A meta-analysis of component studies in counseling and psychotherapy. Journal of Counseling Psychology,48, 251–257. CrossRef
Barker, S. L., Funk, S. C., & Houston, B. K. (1988). Psychological treatment versus nonspecific factors: A meta-analysis of conditions that engender comparable expectations for improvement. Clinical Psychology Review,8(6), 579–594. CrossRef
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.
Besyner, K. J. (1979). The comparative efficacy of cognitive and behavioral treatments of depression: A multi-assessment approach. A Thesis Submitted to the Graduate Faculty of Texas Tech University.
Chambless, D. (2002). Beware the dodo bird: The dangers of overgeneralization. Clinical Psychology Science and Practice,9, 13–16. CrossRef
Cohen, J. (1988). Statistical power analysis in the behavioral sciences. Hillsdale, NJ: Erlbaum.
da Costa, B. R., Rutjes, A. W., Johnston, B. C., Reichenbach, S., Nüesch, E., Tonia, T., et al. (2012). Methods to convert continuous outcomes into odds ratios of treatment response and numbers needed to treat: Meta-epidemiological study. International Journal of Epidemiology,41(5), 1445–1459. PubMedCrossRef
Dowrick, C., Dunn, G., Ayuso-Mateos, J. L., Dalgard, O. S., Page, H., Lehtinen, V., et al. (2000). Problem solving treatment and group psychoeducation for depression: multicentre randomised controlled trial: Outcomes of Depression International Network (ODIN) Group. BMJ,321(7274), 1450–1454. PubMedCentralPubMedCrossRef
Egger, M., Juni, P., Bartlett, C., Holenstein, F., & Sterne, J. (2003). How important are comprehensive literature searches and the assessment of trial quality in systematic reviews? Empirical study. Health Technology Assessment,7(1), 1–76. PubMed
Ellis, A. (1979). Theoretical and empirical foundations of rational-emotive therapy. Monterey: Brooks/Cole.
Hamamci, Z. (2006). Integrating psychodrama and cognitive behavioral therapy to treat moderate depression. The Arts in Psychotherapy,33(3), 199–207. CrossRef
Hegerl, U., Hautzinger, M., Mergl, R., Kohnen, R., Schutze, M., Scheunemann, W., et al. (2010). Effects of pharmacotherapy and psychotherapy in depressed primary-care patients: A randomized, controlled trial including a patients’ choice arm. International Journal of Neuropsychopharmacology,13(1), 31–44. PubMedCrossRef
Hunot, V., Moore Theresa, H. M., Caldwell Deborah, M., Furukawa Toshi, A., Davies, P., Jones, H., et al. (2013). ‘Third wave’ cognitive and behavioural therapies versus other psychological therapies for depression. Cochrane Database of Systematic Reviews, 10. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD008704.pub2/abstract. doi: 10.1002/14651858.CD008704.pub2.
Kelly, M. L. (1982). Rational emotive therapy versus Lewinsohnian based approaches to the treatment of depression. Dissertation Abstracts International, 43(6-B).
Lambert, M. J., & Barley, D. E. (2001). Research summary on the therapeutic relationship and psychotherapy outcome. Psychotherapy,38(4), 357–361. CrossRef
Lewinsohn, P. M., Antonuccio, D. O., Breckenridge, J. S., & Teri, L. (1984). The coping with depression course: A psychoeducational intervention for unipolar depression. Eugene, OR: Castalia.
Luborsky, L., Rosenthal, R., Diguer, L., Andrusyna, T. P., Berman, J. S., Levitt, J. T., et al. (2002). The dodo bird verdict is alive and well—mostly. Clinical Psychology Science and Practice,9, 2–12. CrossRef
Propst, L. R. (1980). The comparative efficacy of religious and nonreligious imagery for the treatment of mild depression in religious individuals. Cognitive Therapy and Research,4(2), 167–178. CrossRef
Rose, S., Bisson, J., Churchill, R., & Wessely, S. (2002). Psychological debriefing for preventing post traumatic stress disorder (PTSD). Cochrane database of systematic reviews,2(2), CD000560. PubMed
Rosenzweig, S. (1936). Some implicit common factors in diverse methods of psychotherapy. American Journal of Orthopsychiatry,6, 412–415. CrossRef
Shinohara, K., Honyashiki, M., Imai, H., Hunot, V., Caldwell Deborah, M., Davies, P., et al. (2013). Behavioural therapies versus other psychological therapies for depression. Cochrane Database of Systematic Reviews, (10). http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD008696.pub2/abstract. doi: 10.1002/14651858.CD008696.pub2.
Siev, J., Huppert, J., & Chambless, D. (2010). Treatment specificity for panic disorder: A reply to Wampold, Imel, and Miller (2009). Behavior Therapist,33, 12–14.
Song, F., Eastwood, A. J., Gilbody, S., Duley, L., & Sutton, A. J. (2000). Publication and related biases. Health Technology Assessment,4(10), 1–115.
Stevens, S. E., Hynan, M. T., & Allen, M. (2000). A meta-analysis of common factor and specific treatment effects across the outcome domains of the phase model of psychotherapy. Clinical Psychology-Science and Practice,7(3), 273–290. CrossRef
Wampold, B. E., Mondin, G. W., Moody, M., Stich, F., Benson, K., & Ahn, H. (1997). A meta-analysis of outcome studies comparing bona fide psychotherapies: Empirically, “All must have prizes.”. Psychological Bulletin,122, 203–215. CrossRef
- Specificity of CBT for Depression: A Contribution from Multiple Treatments Meta-analyses
Toshi A. Furukawa
Deborah M. Caldwell
- Springer US