Psychotherapy for Major Depressive Disorder and Generalized Anxiety Disorder: a Health Technology Assessment

The objectives of this report were to assess the effectiveness and safety of CBT, interpersonal therapy, and supportive therapy for the treatment of adults with major depressive disorder and/or generalized anxiety disorder. [...] The objectives of this report were to assess the effectiveness and safety of these types of therapy for the treatment of adults with major depressive disorder and/or generalized anxiety disorder, to assess the cost-effectiveness of structured psychotherapy (CBT or interpersonal therapy), to calculate the budget impact of publicly funding structured psychotherapy, and to gain a greater understandin [...] It consists of initial phases (i.e., the acute and continuation phases, each lasting approximately 3 months) and a maintenance phase (lasting approximately 6 to 24 months, with an average 9 to 12 months).2,8-10 The aim of treatment in the acute and continuation phases is the remission (reduction or elimination) of symptoms and the restoration of psychosocial functioning (a return to the level of p [...] The role of the expert advisors was to help contextualize the evidence and provide advice on the use of CBT, interpersonal therapy, and supportive therapy for the treatment of major depressive disorder and generalized anxiety disorder. [...] The authors rated the overall quality of evidence as low, based on the Cochrane risk-of-bias criteria.21 The providers of treatment in the studies reviewed by Linde et al varied and included counsellors, nurses, psychiatrists, psychologists, psychotherapists, and therapists.21 (No distinction between “psychotherapist” and “therapist” was made.) The reporting of intervention details for usual care