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Self-reported versus clinician-rated symptoms of depression as outcome measures in psychotherapy research on depression: A meta-analysis
Cuijpers, Pim1,2; Li, Juan3; Hofmann, Stefan G.4; Andersson, Gerhard5,6; Pim Cuijpers
2010-08-01
Source PublicationCLINICAL PSYCHOLOGY REVIEW
ISSN0272-7358
SubtypeReview
Volume30Issue:6Pages:768-778
AbstractIt is not well-known whether self-report measures and clinician-rated instruments for depression result in comparable outcomes in research on psychotherapy. We conducted a meta-analysis in which randomized controlled trials were included examining the effects of psychotherapy for adult depression. Only studies were included in which both a self-report and a clinician-rated instrument were used. We calculated the effect size (Hedges' g) based on the self-report measures, the effect size based on the clinician-rated instruments, and the difference between these two effect sizes (Delta g). A total of 48 studies including a total of 2462 participants was included in the meta-analysis. The differential effect size was Delta g=0.20 (95% CI: 0.10-0.30), indicating that clinician-rated instruments resulted in a significantly higher effect size than self-report instruments from the same studies. When we limited the effect size analysis to those studies comparing the HRSD with the BDI, the differential effect was somewhat smaller, but still statistically significant (Delta g=0.15; 95% CI: 0.03-0.27). This meta-analysis has made it clear that clinician-rated and self-report measures of improvement following psychotherapy for depression are not equivalent. Different symptoms may be more suitable for self-report or ratings by clinicians and in clinical trials it is probably best to include both. (C) 2010 Elsevier Ltd. All rights reserved.
KeywordDepression Major depression Meta-analysis Self-report Clinician-rated
Subject Area医学心理学
Indexed BySSCI
Language英语
Funding Project一室李娟课题组
WOS IDWOS:000280573600013
Citation statistics
Cited Times:100[WOS]   [WOS Record]     [Related Records in WOS]
Document Type期刊论文
Identifierhttp://ir.psych.ac.cn/handle/311026/7015
Collection中国科学院心理研究所回溯数据库(1956-2010)
Corresponding AuthorPim Cuijpers
Affiliation1.Vrije Univ Amsterdam, Dept Clin Psychol, NL-1081 BT Amsterdam, Netherlands
2.Vrije Univ Amsterdam, EMGO Inst Hlth & Care Res, NL-1081 BT Amsterdam, Netherlands
3.Chinese Acad Sci, Inst Psychol, Key Lab Mental Hlth, Beijing 100101, Peoples R China
4.Boston Univ, Dept Psychol, Boston, MA 02215 USA
5.Linkoping Univ, Swedish Inst Disabil Res, Dept Behav Sci & Learning, S-58183 Linkoping, Sweden
6.Karolinska Inst, Psychiat Sect, Dept Clin Neurosci, Stockholm, Sweden
Recommended Citation
GB/T 7714
Cuijpers, Pim,Li, Juan,Hofmann, Stefan G.,et al. Self-reported versus clinician-rated symptoms of depression as outcome measures in psychotherapy research on depression: A meta-analysis[J]. CLINICAL PSYCHOLOGY REVIEW,2010,30(6):768-778.
APA Cuijpers, Pim,Li, Juan,Hofmann, Stefan G.,Andersson, Gerhard,&Pim Cuijpers.(2010).Self-reported versus clinician-rated symptoms of depression as outcome measures in psychotherapy research on depression: A meta-analysis.CLINICAL PSYCHOLOGY REVIEW,30(6),768-778.
MLA Cuijpers, Pim,et al."Self-reported versus clinician-rated symptoms of depression as outcome measures in psychotherapy research on depression: A meta-analysis".CLINICAL PSYCHOLOGY REVIEW 30.6(2010):768-778.
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