Meta-Analysis of the Effects of Peer-Administered Psychosocial Interventions on Symptoms of Depression.

Many community mental health centers have implemented peer treatment models that employ recovered former clients as cost-efficient adjunct providers. The effectiveness of these and other peer-administered interventions (PAIs) for treating depression symptoms has not been well-established. The curren...

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Publicado en:American Journal of Community Psychology Vol. 55; no. 3/4; pp. 455 - 472
Autores principales: Bryan, Amanda E. B., Arkowitz, Hal
Formato: Artículo
Publicado: Wiley-Blackwell Jun2015
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2015
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      pub: Wiley-Blackwell
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        10.1007/s10464-015-9718-y
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        atl: Meta-Analysis of the Effects of Peer-Administered Psychosocial Interventions on Symptoms of Depression.
      aug:
        au:
          Bryan, Amanda E. B.
          Arkowitz, Hal
        affil:
          Alcohol and Drug Abuse Institute, University of Washington, 1107 NE 45th St., Suite 120, 98105, Seattle WA, USA
          Psychology Department, University of Arizona, Tucson AZ, USA
      su:
        Mental depression
        Therapeutics
        Community mental health services
        Psychosocial factors
        Psychotherapy
        Paraprofessionals
        Meta-analysis
      sug:
        subj:
          Mental depression
          Therapeutics
          Community mental health services
          Psychosocial factors
          Psychotherapy
          Outpatient Mental Health and Substance Abuse Centers
          Residential Mental Health and Substance Abuse Facilities
          Other Individual and Family Services
          Paraprofessionals
          Meta-analysis
      keyword:
        Depression treatment
        Paraprofessional
        Peer-administered intervention
        Support group
        Depression treatment
        Paraprofessional
        Peer-administered intervention
        Support group
      ab: Many community mental health centers have implemented peer treatment models that employ recovered former clients as cost-efficient adjunct providers. The effectiveness of these and other peer-administered interventions (PAIs) for treating depression symptoms has not been well-established. The current study is a meta-analysis of PAIs' effects on depression symptoms. Twenty-three eligible studies were identified. Study characteristics were coded by multiple raters, random-effects models were used to compare mean effect sizes, and mixed-effects models were used to test for moderation. PAIs produced significant pre-post reductions in depression symptoms ( d = .5043 [95 % CI .3675-.6412]). In direct comparisons, PAIs performed as well as non-peer-administered interventions (.0848 [−.1455-.3151]), and significantly better than no-treatment conditions (.2011 [.0104-.3918]). PAIs that involved a professional in a secondary treatment role were significantly less effective than those that were purely peer-administered, and educational/skills-based PAIs produced better outcomes than those that were mainly supportive. Follow-up data, when available, indicated that PAIs' benefits were maintained. PAIs reduce depression symptoms and warrant further study. The clinical significance of PAIs' benefits, and whether they are better suited as stand-alone or adjunct treatments, remain to be established. Implications for the roles of mental health professionals are discussed.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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