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Review ArticleClinical Review

The Effectiveness of Problem-Solving Therapy for Primary Care Patients' Depressive and/or Anxiety Disorders: A Systematic Review and Meta-Analysis

Anao Zhang, Sunyoung Park, John E. Sullivan and Shijie Jing
The Journal of the American Board of Family Medicine January 2018, 31 (1) 139-150; DOI: https://doi.org/10.3122/jabfm.2018.01.170270
Anao Zhang
the Steve Hicks School of Social Work, University of Texas at Austin, Austin, TX (AZ, JES); Quantitative Methods Program, College of Education, The University of Texas at Austin, Austin, TX (SP); School of Social Development, East China University of Political Science and Law, Shanghai, China (SJ).
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Sunyoung Park
the Steve Hicks School of Social Work, University of Texas at Austin, Austin, TX (AZ, JES); Quantitative Methods Program, College of Education, The University of Texas at Austin, Austin, TX (SP); School of Social Development, East China University of Political Science and Law, Shanghai, China (SJ).
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John E. Sullivan
the Steve Hicks School of Social Work, University of Texas at Austin, Austin, TX (AZ, JES); Quantitative Methods Program, College of Education, The University of Texas at Austin, Austin, TX (SP); School of Social Development, East China University of Political Science and Law, Shanghai, China (SJ).
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Shijie Jing
the Steve Hicks School of Social Work, University of Texas at Austin, Austin, TX (AZ, JES); Quantitative Methods Program, College of Education, The University of Texas at Austin, Austin, TX (SP); School of Social Development, East China University of Political Science and Law, Shanghai, China (SJ).
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Abstract

Background: There is increasing demand for managing depressive and/or anxiety disorders among primary care patients. Problem-solving therapy (PST) is a brief evidence- and strength-based psychotherapy that has received increasing support for its effectiveness in managing depression and anxiety among primary care patients.

Methods: We conducted a systematic review and meta-analysis of clinical trials examining PST for patients with depression and/or anxiety in primary care as identified by searches for published literature across 6 databases and manual searching. A weighted average of treatment effect size estimates per study was used for meta-analysis and moderator analysis.

Results: From an initial pool of 153 primary studies, 11 studies (with 2072 participants) met inclusion criteria for synthesis. PST reported an overall significant treatment effect for primary care depression and/or anxiety (d = 0.673; P < .001). Participants' age and sex moderated treatment effects. Physician-involved PST in primary care, despite a significantly smaller treatment effect size than mental health provider only PST, reported an overall statistically significant effect (d = 0.35; P = .029).

Conclusions: Results from the study supported PST's effectiveness for primary care depression and/or anxiety. Our preliminary results also indicated that physician-involved PST offers meaningful improvements for primary care patients' depression and/or anxiety.

  • Anxiety Disorders
  • Depressive Disorder
  • Mental Health
  • Primary Health Care
  • Problem Solving
  • Psychotherapy
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The Journal of the American Board of Family     Medicine: 31 (1)
The Journal of the American Board of Family Medicine
Vol. 31, Issue 1
January-February 2018
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The Effectiveness of Problem-Solving Therapy for Primary Care Patients' Depressive and/or Anxiety Disorders: A Systematic Review and Meta-Analysis
Anao Zhang, Sunyoung Park, John E. Sullivan, Shijie Jing
The Journal of the American Board of Family Medicine Jan 2018, 31 (1) 139-150; DOI: 10.3122/jabfm.2018.01.170270

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The Effectiveness of Problem-Solving Therapy for Primary Care Patients' Depressive and/or Anxiety Disorders: A Systematic Review and Meta-Analysis
Anao Zhang, Sunyoung Park, John E. Sullivan, Shijie Jing
The Journal of the American Board of Family Medicine Jan 2018, 31 (1) 139-150; DOI: 10.3122/jabfm.2018.01.170270
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Keywords

  • Anxiety Disorders
  • Depressive Disorder
  • Mental Health
  • Primary Health Care
  • Problem Solving
  • Psychotherapy

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