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The effectiveness of using cognitive behavioral therapy and internet-based cognitive behavioral therapy interventions on relapse prevention and severity of symptoms among patients diagnosed with major depressive disorder: a systematic review of randomized controlled trials

Rabia H. Haddad (Department of Community Health Nursing, School of Nursing, The University of Jordan, Amman, Jordan)
Bushra Kh. Alhusamiah (Department of Community Health Nursing, School of Nursing, The University of Jordan, Amman, Jordan and Nursing Department, King Hussein Cancer Center, Amman, Jordan)
Razan H. Haddad (Assistant Professor at the Department of Pharmaceutical Sciences, Faculty of Pharmacy, Jadara University, Irbid, Jordan)
Mo’tasem M. Aldaieflih (Department of Community Health Nursing, School of Nursing, The University of Jordan, Amman, Jordan)
Khalid Yaseen (Department of Community Health Nursing, School of Nursing, The University of Jordan, Amman, Jordan)
Younis H. Abuhashish (The Jordanian Ministry of Health, Amman, Jordan)
Ayman M. Hamdan-Mansour (Professor at the Department of Community Health Nursing, School of Nursing, The University of Jordan, Amman, Jordan)
Jafar A. Alshraideh (Department of Clinical Nursing, School of Nursing, The University of Jordan, Amman, Jordan)

Mental Health and Social Inclusion

ISSN: 2042-8308

Article publication date: 24 April 2024

Issue publication date: 3 December 2024

176

Abstract

Purpose

This study aims to evaluate and summarize the effectiveness of cognitive behavioral therapy (CBT) and internet-based CBT (ICBT) interventions on relapse prevention and severity of symptoms among individuals with major depressive disorder (MDD). CBT is one of the most used and suggested interventions to manage MDD, whereas ICBT is a novel effective proposed approach.

Design/methodology/approach

The review was conducted following the preferred reporting items for systematic review and meta-analysis protocol. A comprehensive and extensive search was performed to identify and evaluate the relevant studies about the effectiveness of CBT and ICBT on relapse prevention and severity of symptoms among patients with MDD.

Findings

A total of eight research studies met the inclusion criteria and were included in this systematic review. RCT studies were conducted to assess and evaluate the effectiveness of CBT and ICBT on relapse prevention and severity of symptoms among patients with MDD. It has been found that CBT is a well-supported and evidently based effective psychotherapy for managing depressive symptoms and reducing the relapse and readmission rate among patients diagnosed with MDD. The ICBT demonstrated greater improvements in depressive symptoms during major depressive episodes among patients with MDDS. The ICBT program had good acceptability and satisfaction among participants in different countries.

Research limitations/implications

Despite the significant findings from this systematic review, certain limitations should be acknowledged. First, it is important to note that all the studies included in this review were exclusively conducted in the English language, potentially limiting the generalizability of the findings to non-English speaking populations. Second, the number of research studies incorporated in this systematic review was relatively limited, which may have resulted in a narrower scope of analysis. Finally, a few studies within the selected research had small sample sizes, which could potentially impact the precision and reliability of the overall conclusions drawn from this review. The authors recommend that nurses working in psychiatric units should use CBT interventions with patients with MDD.

Practical implications

This paper, a review of the literature gives an overview of CBT and ICBT interventions to reduce the severity of depressive symptoms and prevent patients’ relapse and rehospitalization and shows that CBT interventions are effective on relapse prevention among patients with MDD. In addition, there is still no standardized protocol to apply the CBT intervention in the scope of reducing the severity of depressive symptoms and preventing depression relapse among patients with major depressive disorder. Further research is needed to confirm the findings of this review. Future research is also needed to find out the most effective form and contents of CBT and ICBT interventions for MDD.

Social implications

CBT is a psychological intervention that has been recommended by the literature for the treatment of major depressive disorder (MDD). It is a widely recognized and accepted approach that combines cognitive and behavioral techniques to assist individuals overcome their depressive symptoms and improve their overall mental well-being. This would speculate that effectiveness associated with several aspects and combinations of different approaches in CBT interventions and the impact of different delivery models are essential for clinical practice and appropriate selection of the interventional combinations.

Originality/value

This systematic review focuses on the various studies that explore the effectiveness of face-to-face CBT and ICBT in reducing depressive symptoms among patients with major depressive disorder. These studies were conducted in different countries such as Iran, Australia, Pennsylvania and the USA.

Keywords

Citation

Haddad, R.H., Alhusamiah, B.K., Haddad, R.H., Aldaieflih, M.M., Yaseen, K., Abuhashish, Y.H., Hamdan-Mansour, A.M. and Alshraideh, J.A. (2024), "The effectiveness of using cognitive behavioral therapy and internet-based cognitive behavioral therapy interventions on relapse prevention and severity of symptoms among patients diagnosed with major depressive disorder: a systematic review of randomized controlled trials", Mental Health and Social Inclusion, Vol. 28 No. 6, pp. 1274-1291. https://doi.org/10.1108/MHSI-03-2024-0045

Publisher

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Emerald Publishing Limited

Copyright © 2024, Emerald Publishing Limited

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