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Clinically representative therapy for Nordic adult outpatients with common mental health problems: A systematic review and meta-analysis
Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.ORCID iD: 0000-0002-4351-2810
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Number of Authors: 72024 (English)In: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 65, no 2, p. 311-320Article, review/survey (Refereed) Published
Abstract [en]

There is a knowledge gap regarding clinically representative therapy given in routine settings, that is treatment as usual (TAU), for patients with common mental health problems (CMHP). This review and meta-analysis aimed to investigate what characterizes clinically representative therapy in Nordic routine clinics and meta-analyze the outcome of such treatment. Databases (PubMed, EMBASE, PsychINFO, and SveMed+) were searched for TAU, CMHP, and Nordic countries, together with backward and forward search in Scopus (7 November 2022). Studies were either randomized controlled trials (RCT) or open trials, using prospective study designs, examining heterogeneous outpatient groups in routine treatment. Within- and between-group effect sizes (ES), using random effects model, and moderator analyses were calculated. Eleven studies (n = 1,413), demonstrated a small to moderate within-group ES with high heterogeneity (g = 0.49, I2 = 90%). ESs in RCTs were significantly smaller than in open trials. TAU had a marginally smaller ES (g = −0.21; adjusted for publication bias g = −0.06) compared to a broad set of clinical interventions. Clinically representative therapy in the Nordic countries demonstrated a wide variety of characteristics and also a marginally lower ES compared to other interventions. The ESs were smaller than other meta-analyses examining evidence-based treatments in routine treatment.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024. Vol. 65, no 2, p. 311-320
Keywords [en]
clinically representative treatment, treatment as usual (TAU), care as usual, common mental health problems, meta-analysis
National Category
Psychiatry Psychology (excluding Applied Psychology)
Research subject
Psychology
Identifiers
URN: urn:nbn:se:su:diva-223983DOI: 10.1111/sjop.12976ISI: 001095056700001PubMedID: 37902112Scopus ID: 2-s2.0-85175379505OAI: oai:DiVA.org:su-223983DiVA, id: diva2:1814368
Available from: 2023-11-24 Created: 2023-11-24 Last updated: 2024-04-25Bibliographically approved

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Öst, Lars-Göran

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