Effectiveness of Cognitive Behavioral Therapy for Depression in Patients Receiving Disability Benefits: A Systematic Review and Individual Patient Data Meta-Analysis

Ebrahim, Shanil; Montoya, Luis; Truong, Wanda; Hsu, Sandy C.; Din, Mostafa Kamal el; Carrasco-Labra, Alonso; Busse, Jason W.; Walter, Stephen D.; Heels‐Ansdell, Diane; Couban, Rachel; Patelis‐Siotis, Irene; Bellman, Marg; Graaf, L. Esther de; Dozois, David J. A.; Bieling, Peter; Guyatt, Gordon

doi:10.1371/journal.pone.0050202

Cited by 10 publications

(7 citation statements)

References 40 publications

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“…We recently completed a systematic review in which none of 92 randomized controlled trials (RCTs) that explored the effect of CBT on depression reported whether enrolled patients were receiving disability benefits. We successfully contacted 56 trialists and identified 3 trials that captured information on disability benefit status [18]. Our analyses consisting of 2 trials (including 34 patients on disability benefits) did not find a significant difference in depression between patients receiving disability benefits versus those not receiving disability benefits.…”

Section: Introductionmentioning

confidence: 99%

Association of Psychotherapy with Disability Benefit Claim Closure among Patients Disabled Due to Depression

et al. 2013

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BackgroundDepression is the most frequent reason for receiving disability benefits in North America, and treatment with psychotherapy is often funded by private insurers. No studies have explored the association between the provision of psychotherapy for depression and time to claim closure.MethodsUsing administrative data from a Canadian disability insurer, we evaluated the association between the provision of psychotherapy and short-term disability (STD) and long-term disability (LTD) claim closure by performing Cox proportional hazards regression.ResultsWe analyzed 10,508 STD and 10,338 LTD claims for depression. In our adjusted analyses, receipt of psychotherapy was associated with longer time to STD closure (HR [99% CI] = 0.81 [0.68 to 0.97]) and faster LTD claim closure (1.42 [1.33 to 1.52]). In both STD and LTD, older age (0.90 [0.88 to 0.92] and 0.83 [0.80 to 0.85]), per decade), a primary diagnosis of recurrent depression versus non-recurrent major depression (0.78 [0.69 to 0.87] and 0.80 [0.72 to 0.89]), a psychological secondary diagnosis (0.90 [0.84 to 0.97] and 0.66 [0.61 to 0.71]), or a non-psychological secondary diagnosis (0.81 [0.73 to 0.90] and 0.77 [0.71 to 0.83]) versus no secondary diagnosis, and an administrative services only policy ([0.94 [0.88 to 1.00] and 0.87 [0.75 to 0.996]) or refund policy (0.86 [0.80 to 0.92] and 0.73 [0.68 to 0.78]) compared to non-refund policy claims were independently associated with longer time to STD claim closure.ConclusionsWe found, paradoxically, that receipt of psychotherapy was independently associated with longer time to STD claim closure and faster LTD claim closure in patients with depression. We also found multiple factors that were predictive of time to both STD and LTD claim closure. Our study has limitations, and well-designed prospective studies are needed to establish the effect of psychotherapy on disabling depression.

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Section: Introductionmentioning

confidence: 99%

Association of Psychotherapy with Disability Benefit Claim Closure among Patients Disabled Due to Depression

et al. 2013

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“…Due to the high level of depression and anxiety in infertile women (44,45), special attention should be paid and appropriate treatments should be provided. CBT effectiveness in reducing anxiety and depression (46,47) has made this technique as an appropriate approach to improve mental health in infertile people and also alleviate their infertility problems.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Cognitive Behavioral Therapy on Anxiety and Depression in Iranian Infertile Women: A Systematic and Meta-Analytical Review

Golshani

Mirghafourvand

Hasanpour

et al. 2020

Iran J Psychiatry Behav Sci

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Context:The prevalence of infertility, as one of the most unpleasant experiences, is approximately 13.2% in Iran. It can affect the quality of life in infertile people through mental disorders, such as depression and anxiety. Objectives: This systematic review was carried out to assess the effect of cognitive-behavioral therapy (CBT) on anxiety and depression of infertile women in Iran. Data Sources: All articles published in English and Persian until 20 February 2019 in databases, including Magiran, Iranmedex, SID, Medline (via PubMed), Scopus, Google Scholar, Embase, Cochrane Library, and Web of Sciences were searched. Study Selection: All randomized controlled clinical trials conducted in Iran on the effect of CBT on anxiety and depression were studied. In the selected studies, participants were Iranian infertile women. The used intervention was the application of CBT, the control group had received only routine care, and the outcomes were anxiety and depression. Data Extraction: Two authors separately investigated the acceptability and quality of articles, and any disagreement was solved through consensus and a third opinion. Results: Six clinical trials with 321 infertile women entered the systematic review. The meta-analysis of six studies showed that the mean depression and anxiety score in the CBT group was lower than the routine care group, which was significant only for anxiety. Conclusions:The results indicated the effectiveness of CBT intervention in reducing anxiety and depression in infertile women. However, the between-group difference was not significant in terms of depression. Convenience sampling and small sample size in the selected studies reduced the generalizability of research findings. Therefore, it is recommended to conduct clinical trials with larger sample size and accurate methodology to obtain more generalizable results.

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“…MDD patients with greater clinical improvement more likely maintain paid employment and report fewer days missed from work [35], and productivity gains following effective depression treatment may far exceed treatment costs [36]. While treatments exist, lack of evidence of an effect of antidepressants alone, enhanced PC, psychological interventions or the combination of these on sickness absence of depressed workers [24] may derive from underuse of optimal treatments [9,15,42]. Thus, improvement of treatment strategies is required [17,27].…”

Section: Discussionmentioning

confidence: 99%

A 5-year prospective study of predictors for functional and work disability among primary care patients with depressive disorders

2015

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Duration of depressive episodes appears decisive for long-term disability among PC patients with depression. Patients spent one-third of the follow-up off work due to depression, and remaining outside the labour force is a common outcome. Psychiatric and somatic co-morbidities, education and socio-economic means influence the level of functioning and ability to work, but are not equally important for all areas of life.

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Effectiveness of Cognitive Behavioral Therapy for Depression in Patients Receiving Disability Benefits: A Systematic Review and Individual Patient Data Meta-Analysis

Cited by 10 publications

References 40 publications

Association of Psychotherapy with Disability Benefit Claim Closure among Patients Disabled Due to Depression

Association of Psychotherapy with Disability Benefit Claim Closure among Patients Disabled Due to Depression

The Effect of Cognitive Behavioral Therapy on Anxiety and Depression in Iranian Infertile Women: A Systematic and Meta-Analytical Review

A 5-year prospective study of predictors for functional and work disability among primary care patients with depressive disorders

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