Article type
Year
Abstract
Background: Cognitive behavior therapy (CBT) is based on the main assumption that how we perceive situations influences how we feel emotionally and how we act in different situations. CBT helps people identify their dysfunctional thoughts and evaluate how realistic those thoughts are. The focus is on learning how to change distorted thinking. The emphasis is also consistently on solving problems and initiating behavioral change.
Objectives: We evaluated the conclusions from Cochrane Systematic Reviews (SRs) of randomized controlled trials in terms of their recommendations for clinical practice and research for CBT for prevention and treatment of mental disorders.
Methods: In our cross-sectional study of systematic reviews published in the Cochrane Library, we analyzed all the completed systematic reviews published about the efficacy and effectiveness of CBT in the prevention and treatment of mental disorders.
Results: We analyzed 84 completed SRs. Of these, 44 (52,4%) concluded that the interventions studied were likely to be beneficial, and they all recommended additional research. Also, two of the reviews concluded that the interventions were not helpful, one of which did not recommend further studies and one review recommended additional studies. In total, 38 of the reviews reported that the evidence did not support either benefit or harm, two did not recommend further studies and 36 recommended additional studies. Therefore, 81 of the total of 84 completed SRs recommended further research. (Fig I).
CONCLUSIONS: Forty-four Cochrane SRs investigating efficacy of CBT for prevention and treatment of mental disorders concluded that the interventions studied were likely to be beneficial, and they all recommended additional research. Thirty-eight reviews reported that the evidence did not support either benefit or harm. On the basis of these results we recommend the elaboration of high-quality primary studies in CBT in active collaboration and consultation with International Societies of CBT and Academy. This will represent a major component of methodological advance in dissemination of Evidence Based Psychology.
Objectives: We evaluated the conclusions from Cochrane Systematic Reviews (SRs) of randomized controlled trials in terms of their recommendations for clinical practice and research for CBT for prevention and treatment of mental disorders.
Methods: In our cross-sectional study of systematic reviews published in the Cochrane Library, we analyzed all the completed systematic reviews published about the efficacy and effectiveness of CBT in the prevention and treatment of mental disorders.
Results: We analyzed 84 completed SRs. Of these, 44 (52,4%) concluded that the interventions studied were likely to be beneficial, and they all recommended additional research. Also, two of the reviews concluded that the interventions were not helpful, one of which did not recommend further studies and one review recommended additional studies. In total, 38 of the reviews reported that the evidence did not support either benefit or harm, two did not recommend further studies and 36 recommended additional studies. Therefore, 81 of the total of 84 completed SRs recommended further research. (Fig I).
CONCLUSIONS: Forty-four Cochrane SRs investigating efficacy of CBT for prevention and treatment of mental disorders concluded that the interventions studied were likely to be beneficial, and they all recommended additional research. Thirty-eight reviews reported that the evidence did not support either benefit or harm. On the basis of these results we recommend the elaboration of high-quality primary studies in CBT in active collaboration and consultation with International Societies of CBT and Academy. This will represent a major component of methodological advance in dissemination of Evidence Based Psychology.