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Region Hovedstaden - en del af Københavns Universitetshospital

Short-term versus long-term psychotherapy for adult psychiatric disorders: a systematic review with meta-analysis and Trial Sequential Analysis

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BaggrundPsychiatric disorders are highly prevalent and associated with great symptomatic, functional, and health economic burdens. Psychotherapy is among the recommended and used interventions for most psychiatric disorders and is becoming widely accessible in mental health systems. The effects of specific forms of psychotherapy (e.g. psychodynamic therapies, cognitive and behavioral therapies, humanistic therapies, and systemic therapies) have been assessed previously in systematic reviews, but the appropriate psychotherapy duration for psychiatric disorders has not been reviewed. FormålThe aim of this systematic review is to synthesize the evidence of the effects of short-term compared with long-term psychotherapy for all adult psychiatric disorders.DesignA comprehensive search for relevant published literature will be undertaken in Cochrane Central Register of Controlled Trials (CENTRAL), Cochrane Database of Systematic Reviews, Medical Literature Analysis and Retrieval System Online (MEDLINE), Excerpta Medica database (EMBASE), PsycINFO, PubMed, IEEE Explore and Web of Science (SCI-EXPANDED, SSCI, A&HCI, CPCI-S, CPCI-SSH, ESCI, CCR-EXPANDED, IC). We will include randomized clinical trials comparing a short-term and a long-term version of the same psychotherapy type for adult psychiatric disorders. Two review authors will independently extract data and perform risk of bias assessment using the Cochrane Risk of Bias Tool. Meta-analysis will be performed as recommended by Cochrane Handbook for Systematic Review of Interventions, bias will be assessed with domains, and Trial Sequential Analysis will be conducted to control random errors. Certainty of the evidence will be assessed by GRADE.DiscussionAs psychotherapy is among the treatments of choice for most adult psychiatric disorders, a systematic review evaluating the benefits and harms of short-term compared with long-term psychotherapy is urgently needed. Hopefully this review will be able to inform best practice in treatment and clinical research of these highly prevalent and burdensome disorders.
FinansieringskildeAnden offentlig støtte (Offentlig)

ID: 56690400