- Author:
Rainier C. Moreno-Lacalle
- Publication Type:Journal Article
- MeSH: Human; Male; Female; Publication Bias; Depression; Mental Health; Goals; Depressive Disorder; Publications; Publishing; Health Education
- From: Philippine Journal of Nursing 2016;86(2):36-43
- CountryPhilippines
- Language:English
-
Abstract:
BACKGROUND/OBJECTIVE: Depression is a global mental health problem. Therefore,mental health professionals need to develop interventions that are evidence-based and cost-effective. One of the psychosocial interventions is psychoeducation. However, a recent Google search on the effect of psychoeducation for depression suggests conflicting results calling for an analysis of studies to establish psychoeducation effectiveness.The goal of the meta-analysis is to examine randomized controlled trials (RCTs) overall effectiveness of psychoeducation for depression.
METHODS: EBSCOhost, PsychINFO, and Science Direct databases were searched using the keywords 'psychoeducation,' 'group psychoeducation,' 'mental health education,' 'depression,' 'depressive disorder,' and 'dysthymia' with year restriction of 2010-2016. In this meta-analysis, the effect size (using Hedges' g value), Q statistics, and I2 were calculated under the random effects model aided by CMA v.3.To test for publication bias, trim-and-fill analysis, and fail-safe N were computed too.
RESULTS: A total of 1,560 patients from 11 studies were included in this analysis.Post-intervention results had Hedges' g-value of -0.293 (95% CI= -0.552--0.035) of psychoeducation for depression meaning low effect. Although notably, the overall effect size leans towards psychoeducation. The p-value is significant at .05 level,favoring psychoeducation (p=0.026). The studies were also found to be highly 2 heterogeneous (Q(10) = 55.467, p<.05, I 2 =81.971) under the random effects model, suggesting high inconsistency on the studies included in this meta-analysis. In testing for publication bias, the imputed effect size using trim-and-fill approach was -0.38558 (95% CI= -0.64926- -0.12189) while the result of fail-safe N suggested that 48 nil or null results would be needed to increase the p-value associated with the average effect above an alpha level of 0.05.
CONCLUSIONS: This meta-analysis may suggest that psychoeducation has low effect on depression. Longer and more interactive approach can be done to ensure its long-term and maximal effectiveness. Publication bias is unlikely in this meta-analysis. The findings provide valuable information for future psychoeducation to improve content, design, quality, and process that will benefit patients with depression. - Full text:9 pjn.pdf