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The efficacy of psychotherapy and pharmacotherapy in treating depressive and anxiety disorders: a meta‐analysis of direct comparisons

Overview of attention for article published in World Psychiatry, June 2013
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (98th percentile)
  • High Attention Score compared to outputs of the same age and source (84th percentile)

Mentioned by

blogs
6 blogs
policy
4 policy sources
twitter
33 X users
facebook
4 Facebook pages
wikipedia
1 Wikipedia page

Citations

dimensions_citation
429 Dimensions

Readers on

mendeley
746 Mendeley
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Title
The efficacy of psychotherapy and pharmacotherapy in treating depressive and anxiety disorders: a meta‐analysis of direct comparisons
Published in
World Psychiatry, June 2013
DOI 10.1002/wps.20038
Pubmed ID
Authors

Pim Cuijpers, Marit Sijbrandij, Sander L. Koole, Gerhard Andersson, Aartjan T. Beekman, Charles F. Reynolds

Abstract

Although psychotherapy and antidepressant medication are efficacious in the treatment of depressive and anxiety disorders, it is not known whether they are equally efficacious for all types of disorders, and whether all types of psychotherapy and antidepressants are equally efficacious for each disorder. We conducted a meta-analysis of studies in which psychotherapy and antidepressant medication were directly compared in the treatment of depressive and anxiety disorders. Systematic searches in bibliographical databases resulted in 67 randomized trials, including 5,993 patients that met inclusion criteria, 40 studies focusing on depressive disorders and 27 focusing on anxiety disorders. The overall effect size indicating the difference between psychotherapy and pharmacotherapy after treatment in all disorders was g=0.02 (95% CI: -0.07 to 0.10), which was not statistically significant. Pharmacotherapy was significantly more efficacious than psychotherapy in dysthymia (g=0.30), and psychotherapy was significantly more efficacious than pharmacotherapy in obsessive-compulsive disorder (g=0.64). Furthermore, pharmacotherapy was significantly more efficacious than non-directive counseling (g=0.33), and psychotherapy was significantly more efficacious than pharmacotherapy with tricyclic antidepressants (g=0.21). These results remained significant when we controlled for other characteristics of the studies in multivariate meta-regression analysis, except for the differential effects in dysthymia, which were no longer statistically significant.

X Demographics

X Demographics

The data shown below were collected from the profiles of 33 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 746 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 2 <1%
Portugal 1 <1%
Germany 1 <1%
Sweden 1 <1%
United Kingdom 1 <1%
Canada 1 <1%
Norway 1 <1%
Spain 1 <1%
Mexico 1 <1%
Other 2 <1%
Unknown 734 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 119 16%
Student > Bachelor 106 14%
Student > Ph. D. Student 87 12%
Researcher 84 11%
Student > Doctoral Student 52 7%
Other 113 15%
Unknown 185 25%
Readers by discipline Count As %
Psychology 269 36%
Medicine and Dentistry 118 16%
Neuroscience 28 4%
Nursing and Health Professions 22 3%
Social Sciences 20 3%
Other 68 9%
Unknown 221 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 78. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 April 2023.
All research outputs
#555,977
of 25,728,855 outputs
Outputs from World Psychiatry
#133
of 1,150 outputs
Outputs of similar age
#3,917
of 210,833 outputs
Outputs of similar age from World Psychiatry
#3
of 19 outputs
Altmetric has tracked 25,728,855 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 97th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,150 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 41.5. This one has done well, scoring higher than 88% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 210,833 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 98% of its contemporaries.
We're also able to compare this research output to 19 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 84% of its contemporaries.