The Effects of Patient Preference on Clinical Outcome, Satisfaction and Adherence Within the Treatment of Anxiety and Depression: A Meta-Analysis.

Autor: Eigenhuis E; Department for Anxiety and Depression, GGZ inGeest Mental Health Care, Amsterdam, The Netherlands.; Department of Psychiatry, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.; Mental Health Program, Amsterdam Public Health, Amsterdam, The Netherlands., van Buuren VEM; Department for Anxiety and Depression, GGZ inGeest Mental Health Care, Amsterdam, The Netherlands., Boeschoten RE; Department for Anxiety and Depression, GGZ inGeest Mental Health Care, Amsterdam, The Netherlands.; Department of Psychiatry, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.; Mental Health Program, Amsterdam Public Health, Amsterdam, The Netherlands., Muntingh ADT; Department for Anxiety and Depression, GGZ inGeest Mental Health Care, Amsterdam, The Netherlands.; Department of Psychiatry, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.; Mental Health Program, Amsterdam Public Health, Amsterdam, The Netherlands., Batelaan NM; Department for Anxiety and Depression, GGZ inGeest Mental Health Care, Amsterdam, The Netherlands.; Department of Psychiatry, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.; Mental Health Program, Amsterdam Public Health, Amsterdam, The Netherlands., van Oppen P; Department for Anxiety and Depression, GGZ inGeest Mental Health Care, Amsterdam, The Netherlands.; Department of Psychiatry, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.; Mental Health Program, Amsterdam Public Health, Amsterdam, The Netherlands.
Jazyk: angličtina
Zdroj: Clinical psychology & psychotherapy [Clin Psychol Psychother] 2024 May-Jun; Vol. 31 (3), pp. e2985.
DOI: 10.1002/cpp.2985
Abstrakt: Background: Taking patient preference into consideration has received increased attention in the last decades. We conducted a meta-analysis to estimate the effects of patient preference on clinical outcome, satisfaction and adherence regarding treatment of depression and anxiety.
Methods: Pubmed, Embase, PsycINFO and Scopus were searched for (cluster) randomized controlled trials. Twenty-six randomized controlled clinical trials were included, comprising 3670 participants, examining the effect of patient preference regarding treatment of anxiety and depression on clinical outcome, satisfaction and/or adherence.
Results: No effect of patient preference was found on clinical outcome [d = 0.06, 95% CI = (-0.03, 0.15), p = 0.16, n = 23 studies]. A small effect of patient preference was found on treatment satisfaction [d = 0.33, 95% CI = (0.08, 0.59), p = 0.01, n = 6 studies] and on treatment adherence [OR = 1.55, 95% CI = (1.28, 1.87), p < 0.001, n = 22 studies].
Limitations: Patient preference is a heterogeneous concept, future studies should strive to equalize operationalization of preference. Subgroup analyses within this study should be interpreted with caution because the amount of studies per analysed subgroup was generally low. Most studies included in this meta-analysis focused on patients with depression. The small number of studies (n = 6) on satisfaction, prevents us from drawing firm conclusions.
Conclusions: While this meta-analysis did not find a positive effect of considering patient preference on clinical outcome, it was associated with slightly better treatment satisfaction and adherence. Accommodating preference of patients with anxiety and depression can improve treatment.
Trial Registration: PROSPERO: CRD42020172556.
(© 2024 The Authors. Clinical Psychology & Psychotherapy published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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