چکیده مقاله
Background: Depression and anxiety disorders are among the most prevalent mental health conditions globally, with significant personal and societal burden Individual cognitivebehavioral therapy CBT , family therapy FT , and combined interventions represent three major treatment modalities, yet their comparative efficacy through both direct and indirect evidence has not been comprehensively synthesized in a network metaanalytic framework Methods: A systematic literature search was conducted in PubMed, PsycINFO, Embase, Cochrane Library, and Google Scholar for randomized controlled trials published between 2020 and 2025 A total of 87 studies with 12,847 participants were included in a Bayesian network metaanalysis Effect sizes were calculated as Hedges' g with 95% credible intervals CrI Surface under the cumulative ranking curve SUCRA values were used to rank treatment conditions Results: All three active treatments were significantly superior to control conditions Combined interventions CBT family therapy showed the largest effect on depression g = 0 89, 95% CrI: 0 72 to 1 07 and anxiety g = 0 81, 95% CrI: 0 64 to 0 98 Individual CBT demonstrated moderatetolarge effects on depression g = 0 71, 95% CrI: 0 58 to 0 84 and anxiety g = 0 67, 95% CrI: 0 53 to 0 81 Family therapy showed moderate effects on depression g = 0 52, 95% CrI: 0 38 to 0 67 and anxiety g = 0 48, 95% CrI: 0 34 to 0 63 In direct comparisons, combined interventions were significantly more effective than family therapy alone for depression g = 0 37, 95% CrI: 0 18 to 0 56 and anxiety g = 0 33, 95% CrI: 0 14 to 0 52 , but not significantly different from individual CBT alone SUCRA rankings placed combined interventions first for both depression 82 4% and anxiety 79 1% , followed by individual CBT 61 3% and 58 7% , and family therapy 38 9% and 35 2% Conclusions: Combined interventions integrating CBT with family therapy components yield the highest probability of being the most effective treatment for both depression and anxiety Individual CBT remains a robust firstline treatment, while family therapy alone, though effective, may be enhanced by combination with CBT techniques
کلیدواژهها
نویسندگان
Majid Farasmanh
Graduated from the Faculty of Clinical Medicine and Research Sciences, Arak
Majid Farasmanh
Graduated from the Faculty of Clinical Medicine and Research Sciences, Arak
شیوه ارجاع
Farasmanh, Majid,1405,Network MetaAnalysis of the Efficacy of Individual CognitiveBehavioral 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