The NICE Depression Guidelines and the recovery model: is there an evidence base for IAPT?. Susan McPherson Chris Evans Phil Richardson. Layard – happiness Social/economic costs of depression Recovery model Quality of life/work. NICE Depression 2004 Efficacy of treatment depression
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Layard – happiness there an evidence base for IAPT?
Social/economic costs of depression
Quality of life/work
NICE Depression 2004
Efficacy of treatment depression
BDI, HRSDBackground: IAPT
Is a symptom oriented systematic review the appropriate evidence base for mounting a programme carrying significant investment (£170 million over 3 years) with the expectation that the investment would be returned through savings in disability benefits?
To re-examine the studies reviewed by NICE in the systematic review of psychological treatments for depression (NICE 2004) to identify what information it provides about the effectiveness of psychological treatments in terms of quality of life and functioning indicators
Trials of psychological treatment for depression included in NICE review
Excluded: 3x German language 1x unpublished
Trials using non-symptom measures
Trials using QOL/functioning measures
Trials reporting QOL/F outcomes
(2/12 studies present analysis of 2 measures >>> 14 effects reviews)
1significance not tested but DP did not have treatment effect, PS did
1One effect showed CBT to be inferior rather than equivalent