چکیده مقاله
Background: Depression and anxiety disorders are among the most prevalent and disabling mental health conditions globally Individual cognitive behavioral therapy CBT , family therapy, and combined interventions are widely utilized; however, their comparative efficacy remains insufficiently characterized This study employed network meta analysis to compare these three treatment modalities Methods: A systematic search of PubMed, PsycINFO, Scopus, Web of Science, and Cochrane Library identified randomized controlled trials RCTs evaluating individual CBT, family therapy, or combined CBT family interventions for depression and anxiety Effect sizes were calculated as Hedges' g with 95% confidence intervals CIs A random effects network meta analysis was conducted to synthesize direct and indirect evidence, and treatment rankings were derived from surface under the cumulative ranking curve SUCRA values Results: Twelve RCTs comprising 1,847 participants were included All three active interventions significantly outperformed control conditions for both depression and anxiety Combined interventions yielded the largest effect sizes depression: g = 0 89, 95% CI: 0 72–1 06; anxiety: g = 0 81, 95% CI: 0 64–0 98 , followed by individual CBT depression: g = 0 71, 95% CI: 0 55–0 87; anxiety: g = 0 67, 95% CI: 0 50–0 84 and family therapy depression: g = 0 52, 95% CI: 0 34–0 70; anxiety: g = 0 48, 95% CI: 0 30–0 66 Combined interventions were significantly superior to family therapy for both outcomes SUCRA rankings confirmed combined interventions as the most effective treatment Conclusions: Combined CBT family interventions demonstrate the greatest efficacy for depression and anxiety, followed by individual CBT and family therapy These findings support a stepped care model in which combined approaches are prioritized for complex cases
کلیدواژهها
نویسندگان
Tahereh faraji
Payam Noor University, Qazvin Center
Tahereh faraji
Payam Noor University, Qazvin Center
شیوه ارجاع
faraji, Tahereh,1405,Network Meta-Analysis of the Efficacy of Individual Cognitive-Behavioral Therapy, Family Therapy, and Combined Interventions on Depression and Anxiety: Direct and Indirect Comparisons of Treatment Effects,4th International Conference on Modern Studies in Psychology, Educational Sciences, Social Sciences, and Education,Tehran
ارائهشده در
مجموعه مقالات چهارمین کنفرانس بین المللی مطالعات نوین در روانشناسی، علوم تربیتی، علوم اجتماعی و آموزش و پرورش31 اردیبهشت 1405 · تهران