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The Effect of Psychological Counseling Carried Out According to the Cognitive Behavioral Approach on Depression and Anxiety: A Meta-Analysis

Sena Karakus*, Sedat Kanadl?**

*-** Mersin University, Turkey.

Periodicity:April - June'2023
DOI : https://doi.org/10.26634/jpsy.16.4.19325

Abstract

The effect size of psychological counseling based on the Cognitive Behavioral Therapy (CBT) approach on depression and anxiety, was conducted using a meta-analysis method. According to the defined criteria, eight primary studies on anxiety and 21 on depression are included in the meta-analysis. The effect sizes based on a random-effects model are also determined. The mean effect size was -0.936 (95% CI [-1.215, -0.657]) for anxiety and -0.844 (95% CI [-1.065, - 0.624]) for depression. Accordingly, CBT can have a large effect on reducing the level of depression and anxiety in participants. As a result of the moderator analysis, the effect sizes relating to depression did not significantly differ according to the type of test and experimental design. The number of sessions was a non-significant predictor of depression, but the experimental group size was a significant predictor of CBT's effect size on depression. As for the moderator analysis in the anxiety variable, the effect sizes relating to anxiety did not significantly differ by age group, types of publication, counseling, experimental design, test, and anxiety. Also, the number of sessions and experimental group size were not significant predictors of anxiety. According to these results, CBT is effective in reducing the depression and anxiety levels of individuals.

Keywords

Cognitive Behavioral Therapy, Depression, Anxiety, Effect of Psychological Counseling, Meta-Analysis, Effect Sizes, Random-Effects Model.

How to Cite this Article?

Karakus, S., and Kanadlı, S. (2023). The Effect of Psychological Counseling Carried Out According to the Cognitive Behavioral Approach on Depression and Anxiety: A Meta-Analysis. i-manager’s Journal on Educational Psychology, 16(4), 41-59. https://doi.org/10.26634/jpsy.16.4.19325

References

[1]. Abramson, J. H. (1994). Making Sense of Data. Oxford University Press.

[2]. Acaray, A., & Günsel, A. (2017). Motivasyon, duygusal emek, duygusal uyumsuzluk ve etkileşim yoğunluğu arasındaki ilişkinin incelenmesi: bir kamu kurumu çalışanları üzerinde araştırma. Sosyal Bilimler Araştırma Dergisi, 6(4), 83-98.

[3]. Akın, A., Demirci, İ., & Arslan, S. (2012). Revised Test Anxiety Scale: The validity and reliability study. Educational Sciences and Practice, 11(21), 103-118.

[4]. Alloy, L. B., Abramson, L. Y., & Francis, E. L. (1999). Do negative cognitive styles confer vulnerability to depression?. Current Directions in Psychological Science, 8(4), 128-132.

[5]. American Psychiatric Association (APA). (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-V). 5th Edition, American Psychiatric Publishing, Washington DC.

[6]. Artan, Ö. Ü. T., & Alsancak, A. G. F. (2018). Group therapy practice wıth depression: An experimental study. Journal of Social and Humanities Sciences Research (JSHSR), 5(24), 1822-1828.

[7]. Avşar, V. (2019). The Effect of Individual Counseling Based on Cognitive Behavior Therapy on Social Anxiety, Self-Efficacy, and Psychological Well-Being. (Doctoral thesis, Ankara University, Turkey).

[8]. Aydın, A. (2006). Evaluation of the Effectiveness of a Cognitive-Behavioral Therapy Program for Alleviating the Symptoms of Social Anxiety in Adolescents. (Doctoral thesis, Ege University, Turkey).

[9]. Balcı, A. (2006). Research, Methods Techniques and Principles in Social Sciences. Pegem A Yayıncılık.

[10]. Balk, E. M., Earley, A., Patel, K., Trikalinos, T. A., & Dahabreh, I. J. (2013). Empirical Assessment of Within- Arm Correlation Imputation in Trials of Continuous Outcomes. AHRQ Publication, US.

[11]. Beck, A. T. (Ed.). (1979). Cognitive Therapy of Depression. Guilford press.

[12]. Beck, A. T., Emery, G., & Greenberg, R. L. (2005). Anxiety disorders and phobias: A cognitive perspective. Basic books.

[13]. Beck, A.T., & Weishaar, M. (1989). Cognitive therapy: Comprehensive Handbook of Cognitive Therapy. Plenum Press.

[14]. Begg, C. B., & Mazumdar, M. (1994). Operating characteristics of a rank correlation test for publication bias. Biometrics, 1088-1101.

[15]. Beltman, M. W., Voshaar, R. C. O., & Speckens, A. E. (2010). Cognitive–behavioural therapy for depression in people with a somatic disease: Meta-analysis of randomised controlled trials. The British Journal of Psychiatry, 197(1), 11-19.

[16]. Bengisoy, A., Özdemir, M. B., Erkivanç, F., Şahin, S., & İskifoğlu, T. Ç. (2019). Bilişsel davranışcı terapi kullanılarak yapılan araştırma makalelerinin içerik analizi 1997-2018. Turkish Psychological Counseling and Guidance Journal, 9(54), 745-793.

[17]. Birgin. B. (2019). The effectiveness of Cognitive Behavioral Therapy in reducing performance anxiety in elite Turkish athletes. (Master thesis, Boğaziçi University).

[18]. Borenstein, M., & Rothstein, H. (2005). Comprehensive meta-analysis (Version 2.2. 023) [Computer software]. Biostat.

[19]. Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2013). Meta-analize giriş. (S. Dinçer, Çev.) Anı Yayıncılık.

[20]. Bozanoglu, I. (2005). The effect of a group guidance program based on cognitive-behavioral approach on motivation, self-esteem, achievement and test anxiety levels. Journal of Faculty of Educational Sciences, 38(1), 17-42.

[21]. Butler, A. C., Chapman, J. E., Forman, E. M., & Beck, A. T. (2006). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26(1), 17-31.

[22]. Çakıcı, D. (2015). Test anxiety levels of foreign language learners. International Periodical for the Languages, Literature and History of Turkish or Turkic, 10(7), 243-258.

[23]. Çakır, S. (2010). The effect of'overcoming social anxiety program', which is based on the cognitive behaviorist approach, on high school students' level of social anxiety. Unpublished master's thesis, Uludağ University Social Sciences Institute, Bursa.

[24]. Çakmak, Ö., & Hevedanlı, M. (2005). The examination of concern levels of biology student's class by various variables. Electronic Journal of Social Sciences, 4(14), 115-127.

[25]. Can, G. (2016). The Effects of Cognitive-Behavioral Model-Based and Psychoeducation Assisted Exercise on Depression, Anxiety and Self efficacy in Alcohol-Use Disorders. (Doctoral dissertation), Atatürk University, Turkey.

[26]. Card, N. A. (2012). Applied Meta-Analysis for Social Science Research. Guilford Press.

[27]. Carpenter, J. K., Andrews, L. A., Witcraft, S. M., Powers, M. B., Smits, J. A., & Hofmann, S. G. (2018). Cognitive behavioral therapy for anxiety and related disorders: A meta analysis of randomized placebo controlled trials. Depression and Anxiety, 35(6), 502-514.

[28]. Clark, D. M., & Wells, A. (1995). Social Phobia: Diagnosis, Assessment, and Treatment. Guilford Press.

[29]. Cooper, H. (2010). Research Synthesis and Meta- Analysis. Thousand Oaks: SAGE Publication.

[30]. Cooper, H., Hedges, L. V., & Valentine, J. C. (Eds.). (2019). The Handbook of Research Synthesis and Meta- Analysis. Russell Sage Foundation.

[31]. Cuijpers, P., Berking, M., Andersson, G., Quigley, L., Kleiboer, A., & Dobson, K. S. (2013). A meta-analysis of cognitive-behavioural therapy for adult depression, alone and in comparison with other treatments. The Canadian Journal of Psychiatry, 58(7), 376-385.

[32]. Demir, V. (2018). Effectiveness of Cognitive Behavioral Approach-Based Group Therapy Program on depressive symptoms and hopelessness in visually impaired individuals. Turkish Journal of Social Research, 22(1), 85-104.

[33]. Demir, V., & Ilgaz, H. H. (2019). Group therapy for reduction of depression, anxiety and stress symptom levels. Türkiye Bütüncül Psikoterapi Dergisi, 2(4), 1-16.

[34]. Demirci, İ., & Erden, S. (2016). Bilişsel davranışçı yaklaşıma dayalı grupla psikolojik danışma uygulamasının 8. sınıf öğrencilerinin sınav kaygısına etkisi. Marmara Üniversitesi Atatürk Eğitim Fakültesi Eğitim Bilimleri Dergisi, 43(43), 67-83.

[35]. Den Boer, J. A. (1997). Social phobia: epidemiology, recognition, and treatment. BMJ, 315(7111), 796-800.

[36]. Dobson, K. S. (1989). A meta-analysis of the efficacy of cognitive therapy for depression. Journal of Consulting and Clinical Psychology, 57(3), 414–419.

[37]. Duval, S., & Tweedie, R. (2000). Trim and fill: A simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics, 56(2), 455–463.

[38]. Elmaci, F. (2008). Effects of Cognıtıve Behavıoral Group Counselıng on fears of adolescents. Doctoral thesis, Ankara University, Turkey.

[39]. Enrique, A., Eilert, N., Wogan, R., Earley, C., Duffy, D., Palacios, J., ... & Richards, D. (2021). Are changes in beliefs about rumination and in emotion regulation skills mediators of the effects of internet-delivered cognitivebehavioral therapy for depression and anxiety? Results from a randomized controlled trial. Cognitive Therapy and Research, 45(4), 805-816.

[40]. Frederiksen, K. P., Stavestrand, S. H., Venemyr, S. K., Sirevåg, K., & Hovland, A. (2021). Physical exercise as an add-on treatment to cognitive behavioural therapy for anxiety: A systematic review. Behavioural and Cognitive Psychotherapy, 49(5), 626-640.

[41]. Genç, H., & Kutlu, M. The Effect of a Psychoeducation Program to Reduce Examination Anxiety for Eighth Grade Students. Inonu University Journal of the Graduate School of Education, 5(9), 21-30.

[42]. Hartley, S., Dagneaux, S., Londe, V., Liane, M. T., Aussert, F., des Francs, C. C., & Royant-Parola, S. (2016). Self-referral to group cognitive behavioural therapy: Is it effective for treating chronic insomnia?. L'encéphale, 42(5), 395-401.

[43]. Hedges, L. V. (1980). Unbiased estimation of effect size. Evaluation in Education: An International Review Series, 4, 25-27.

[44]. Higgins, J. P., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003). Measuring inconsistency in meta-analyses. Bmj, 327(7414), 557-560.

[45]. Hofmann, S. G., & Smits, J. A. (2008). Cognitivebehavioral therapy for adult anxiety disorders: A metaanalysis of randomized placebo-controlled trials. The Journal of Clinical Psychiatry, 69(4), 621–632.

[46]. Hofmann, S. G., Wu, J. Q., & Boettcher, H. (2014). Effect of cognitive-behavioral therapy for anxiety disorders on quality of life: A meta-analysis. Journal of Consulting and Clinical Psychology, 82(3), 375.

[47]. Hüseyin, Ö. N. C. Ü. (2002). Psikolojik danışma müdahalesi olarak küçük grupla psikolojik danışma. Gazi Üniversitesi Gazi Eğitim Fakültesi Dergisi, 22(2), 85-102.

[48]. Hynninen, M. J., Bjerke, N., Pallesen, S., Bakke, P. S., & Nordhus, I. H. (2010). A randomized controlled trial of cognitive behavioral therapy for anxiety and depression in COPD. Respiratory Medicine, 104(7), 986-994.

[49]. Kapci, E. G., Uslu, R. İ., Sukhodolsky, D., Atalan Ergin, D. & Çokamay, G. (2012). Cognitive-Behavioral Therapy for anxiety in elementary school students. Journal of Cognitive Behavioral Psychotherapy and Research, 1(2), 121-126.

[50]. Karaburç, G., & Tunç, E. (2017). Sınav kaygısını azaltmaya yönelik bilişsel-davranışçı yaklaşıma dayalı grup rehberliği programının etkisinin incelenmesi. Erzincan Üniversitesi Eğitim Fakültesi Dergisi, 19(1), 199-213.

[51]. Karyotaki, E., Efthimiou, O., Miguel, C., Bermpohl, F. M., Furukawa, T. A., Cuijpers, P., ... & Forsell, Y. (2021). Internet-based cognitive behavioral therapy for depression: A systematic review and individual patient data network meta-analysis. JAMA Psychiatry, 78(4), 361-371.

[52]. Kaval, N. O., & Sütcü, S. T. (2016). Çocuk ve ergenlerde sosyal anksiyete bozukluğunun tedavisinde bilişsel-davranışçı grup terapisinin etkililiği: Sistematik bir gözden geçirme. Psikiyatride Güncel Yaklaşımlar, 8(1), 3-22.

[53]. Kendall, P. C., Chansky, T. E., Kane, M.T., Kim, R. S., Kortlander, E., Conan, K. R., Sessa, F. M., & Siqueland, L. (1992). Anxiety Disorders in Youth: Cognitive Behavioral Interventions. Pergamon Press.

[54]. Kul, A. (2019). Çocuklara yönelik bilişsel davranişçi yaklaşima dayali kaygiyla başa çikma programinin ilkokul dördüncü sinif öğrencilerinin kaygi düzeylerine etkisi, Gaziantep Üniversitesi.

[55]. Kurtoğlu, M. (2019). Bilişsel davranışçı grup terapisi'nin (BDGT) sosyal anksiyete bozukluğu (SAB) olan üniversite öğrencilerinde anksiyete, ruminasyon ve özşefkat düzeyleri üzerindeki etkisi, Hasan Kalyoncu University, Turkey.

[56]. Levy, H. C., O'Bryan, E. M., & Tolin, D. F. (2021). A meta-analysis of relapse rates in cognitive-Behavioral therapy for anxiety disorders. Journal of Anxiety Disorders, 81, 102407.

[57]. Li, J. M., Zhang, Y., Su, W. J., Liu, L. L., Gong, H., Peng, W., & Jiang, C. L. (2018). Cognitive behavioral therapy for treatment-resistant depression: A systematic review and meta-analysis. Psychiatry Research, 268, 243-250.

[58]. Lipsey, M. W., & Wilson, D. B. (2001). Practical Meta- Analysis. SAGE Publications, Inc.

[59]. Lv, J., Zhang, X., Ou, S., Gu, S., Su, Z., Tong, S., ... & Chi, L. (2016). Influence of cognitive behavioral therapy on mood and quality of life after stent implantation in young and middle-aged patients with coronary heart disease. International Heart Journal, 57(2), 167-172.

[60]. Mercan, Ç. S., & Yavuzer, H. (2007). Bilişseldavranişçi yaklaşimla bütünleştirilmiş sosyal beceri eğitiminin ergenlerin sosyal kaygi düzeyine etkisi. Elektronik Sosyal Bilimler Dergisi, 16(63), 1187-1202.

[61]. Öngider, N. (2013). Bilişsel davranışçı terapinin boşanma sonrasında kadınların depresyon, anksiyete ve yalnızlık semptomlarında etkinliği: Bir pilot çalışma. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi, 2(3), 147-155.

[62]. Öngider, N., & Baykara, B. (2015). Anksiyete tanısı almış çocuklar üzerinde bilişsel davranışçı grup terapisinin etkililiği. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi, 1, 26-37.

[63]. Özcan, Ö., & Çelik, G. G. (2017). Bilişsel davranışçı terapi. Türkiye Klinikleri, 3(2), 115-120.

[64]. Özer, Ö. & Yalçın, İ. (2020). Bilişsel-davranışçı terapiye dayalı psiko-eğitim programının üniversite öğrencilerinin sosyal anksiyete düzeylerine etkisi. Uluslararası Karamanoğlu Mehmetbey Eğitim Araştırmaları Dergisi, 2(2), 161-168.

[65]. Pınar, Ö. N. E. R., Türkçapar, H., & Özden, Ş. Ü. (2008). Çocuk ve ergenlerde bilişsel davranışcı terapi: anksiyete bozuklukları. Kriz Dergisi, 16(1), 11-18.

[66]. Pizga, A., Kordoutis, P., Tsikrika, S., Vasileiadis, I., Nanas, S., & Karatzanos, E. (2021). Effects of cognitive behavioral therapy on depression, anxiety, sleep and quality of life for patients with heart failure and coronary heart disease: A systematic review of clinical trials 2010–2020. Health & Research Journal, 7(3), 123-141.

[67]. Protogerou, C., & Hagger, M. S (2020). Quality assessment for survey studies in psychology (Q-SSP). Methods in Psychology, 3, 1-14.

[68]. Reavell, J., Hopkinson, M., Clarkesmith, D., & Lane, D. A. (2018). Effectiveness of cognitive behavioral therapy for depression and anxiety in patients with cardiovascular disease: a systematic review and meta-analysis. Psychosomatic Medicine, 80(8), 742–753.

[69]. Reinecke, M. A., Ryan, N. E., & DuBOIS, D. L. (1998). Cognitive-behavioral therapy of depression and depressive symptoms during adolescence: A review and meta-analysis. Journal of the American Academy of Child & Adolescent Psychiatry, 37(1), 26-34.

[70]. Rizeanu, R., & Bratua, M. (n.d). The efficiency of Cognitive-Behavioral Therapy in the treatment of depression. American Research Journal of Addiction and Rehabilitation, 1(1), 1-5.

[71]. Rosenthal, R. (1979). The file drawer problem and tolerance for null results. Psychological Bulletin, 86(3), 638.

[72]. Santoft, F., Axelsson, E., Öst, L. G., Hedman-Lagerlöf, M., Fust, J., & Hedman-Lagerlöf, E. (2019). Cognitive behaviour therapy for depression in primary care: Systematic review and meta-analysis. Psychological Medicine, 49(8), 1266-1274.

[73]. Sapmaz, F. (2011). Bilişsel davranışçı yaklaşıma dayalı grupla psikolojik danışmanın sosyal anksiyete, reddedilme duyarlılığı ve kişilerarası duyarlılık üzerine etkisi (Doktora tezi), Sakarya Üniversitesi.

[74]. Satterfield, J. M., & Crabb, R. (2010). Cognitivebehavioral therapy for depression in an older gay man: A clinical case study. Cognitive and Behavioral Practice, 17(1), 45-55.

[75]. Saunders, B.D., & Trapp, R.G. (1994). Basic & Clinical Biostatistics. McGraw-Hill.

[76]. Schure, M. B., Lindow, J. C., Greist, J. H., Nakonezny, P. A., Bailey, S. J., Bryan, W. L., & Byerly, M. J. (2019). Use of a fully automated internet-based cognitive behavior therapy intervention in a community population of adults with depression symptoms: randomized controlled trial. Journal of Medical Internet Research, 21(11), e14754.

[77]. Sezer, S. (2010). Bilişsel davranışçı yaklaşımla bütünleştirilen hobiterapi uygulamasının bir eğitim kurumunun örgüt depresyonu üzerindeki etkisi. Balıkesir Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 13(23), 36-50.

[78]. Singer, A. R., Addington, D. E., Dobson, K. S., & Wright, C. (2014). A pilot study of cognitive behavior therapy for depression in early psychosis. Cognitive and Behavioral Practice, 21(3), 323-334.

[79]. Sterne, J. A., & Egger, M. (2005). Regression methods to detect publication and other bias in meta analysis. Publication Bias in Meta Analysis: Prevention, Assessment and Adjustments, 99-110.

[80]. Stjerneklar, S., Hougaard, E., McLellan, L. F., & Thastum, M. (2019). A randomized controlled trial examining the efficacy of an internet-based cognitive behavioral therapy program for adolescents with anxiety disorders. PloS One, 14(9), e0222485.

[81]. Thalheimer, W., & Cook, S. (2002). How to Calculate Effect Size from Published Research: A Simplified Spreadsheet.

[82]. Türk, F., & Hamamcı, Z. (2016). Bilişsel-davranışçı yaklaşıma dayalı olarak uygulanan öfke kontrolü programlarının etkililiğinin değerlendirilmesi: Bir metaanaliz çalışması. Uluslararası Sosyal Araştırmalar Dergisi, 9(43), 1522-1531.

[83]. Türk, F., & Katmer, A. N. (2019). A Study on the Effectiveness of Coping with Test Anxiety Program Based on Cognitive-Behavioral Approach. International Journal of Evaluation and Research in Education, 8(4), 666-675.

[84]. Türkçapar, H. (2012). Bilişsel terapi. Ankara: HYB Yayıncılık.

[85]. Türkçapar, M. H., & Sargın, A. E. (2012). Bilişsel davranışçı psikoterapiler: tarihçe ve gelişim. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi, 1(1), 7-14.

[86]. Ung, D., Selles, R., Small, B. J., & Storch, E. A. (2015). A systematic review and meta-analysis of cognitivebehavioral therapy for anxiety in youth with highfunctioning autism spectrum disorders. Child Psychiatry & Human Development, 46, 533-547.

[87]. Viechtbauer, W. (2010). Conducting meta-analyses in R with the metafor package. Journal of Statistical Software, 36(3), 1-48.

[88]. Viechtbauer, W., & Cheung, M. W. L. (2010). Outlier and influence diagnostics for meta analysis. Research Synthesis Methods, 1(2), 112-125.

[89]. Voltan-Acar, N. (2001). Grupla psikolojik danışma ilke ve teknikleri. Nobel Yayın Dağıtım.

[90]. Williams, M. T., Johnston, K. N., & Paquet, C. (2020). Cognitive behavioral therapy for people with chronic obstructive pulmonar y disease: Rapid review. International Journal of Chronic Obstructive Pulmonary Disease, 903-919.

[91]. Wuthrich, V. M., Meuldijk, D., Jagiello, T., Robles, A. G., Jones, M. P., & Cuijpers, P. (2021). Efficacy and effectiveness of psychological interventions on co occurring mood and anxiety disorders in older adults: A systematic review and meta analysis. International Journal of Geriatric Psychiatry, 36(6), 858-872.

[92]. Yapan, S., Murat, M., & Yavuz, K. F. (2021). Kabul ve kararlılık terapisi ve bilişsel davranışçı terapi temelli psikoeğitim programlarının sınav kaygısına etkisi (Doktora tezi). Gaziantep, Gaziantep Üniversitesi.

[93]. Yavuzer, Y., Gündoğdu, R., & Dikici, A. (2010). Yaratıcı drama temelli grup rehberliği ve bilişsel-davranışçı yaklaşıma dayalı grupla psikolojik danışmanın ergenlerin kaygı düzeylerine etkileri. e-Journal of New World Sciences Academy, 5(3), 1026-1040.

[94]. Yıldız, M., & Aslan, M. (n.d). Üniversite öğrencilerinde bilişsel davranışçı grupla psikolojik danışmanın depresif belirtilere etkisi. Ihlara Eğitim Araştırmaları Dergisi, 2(1), 38-48.

[95]. Zhang, Q., Yang, X., Song, H., & Jin, Y. (2020). Cognitive behavioral therapy for depression and anxiety of Parkinson's disease: A systematic review and metaanalysis. Complementary Therapies in Clinical Practice, 39, 1-6.

The Effect of Psychological Counseling Carried Out According to the Cognitive Behavioral Approach on Depression and Anxiety: A Meta-Analysis

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