The efficacy of cognitive behavioral therapy (CBT) in managing depression among nurses: A systematic review

IF 1.7 Q3 PSYCHIATRY

Journal of Behavioral and Cognitive Therapy Pub Date : 2025-02-01 DOI:10.1016/j.jbct.2024.100520

Ja’far M. Alkhawaldeh , Majd T. Mrayyan , Dalal Yehia , Noha M Al-Shdayfat , Huda A. Anshasi , Ola A. Kutah , Osama Alkouri , Mahmoud A. Khawaldeh , Majdi M. Alzoubi , Raya Alhusban , Mohammad Khalaf Alkhawaldeh , Abdullah Algunmeeyn , Ahmad Aqel , Amani F. Shhadeh , Mamdouh El-hneiti

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Abstract

Background

Depression rates among nurses are alarmingly high, largely attributed to their demanding workload and stressful work environment. This has fueled ongoing discussions about the effectiveness of cognitive-behavioral therapy (CBT) in managing depression in this population.

Objective

This systematic review aims to evaluate the effectiveness of CBT in reducing depression among nurses.

Methods

A systematic search was conducted across eight databases to identify randomized controlled trials (RCTs) published in English between 2008 and 2022. The inclusion criteria were critically assessed by two independent reviewers, and the validity of the RCTs was evaluated using the Consolidated Standards of Reporting Trials (CONSORT) guidelines. Additionally, the Risk of Bias in Non-Randomized Studies of Interventions (ROBINS-2) method was employed by two authors to assess the potential for bias in the selected studies. The review adhered to the PRISMA reporting guidelines.

Results

Eight RCTs relevant to the research question were identified. Among these, five trials demonstrated that CBT effectively reduces depression among nurses. However, methodological inconsistencies, small sample sizes, and variations in intervention characteristics were noted across studies.

Conclusions

Existing evidence supports the effectiveness of CBT in managing depression among nurses. Nevertheless, limitations such as methodological biases and heterogeneity underscore the need for more robust and well-designed RCTs to confirm these findings.

Study Registration: PROSPERO Protocol ID: CRD42023449904.

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认知行为疗法（CBT）管理护士抑郁的效果：一项系统综述

护士的抑郁率高得惊人，这在很大程度上归因于她们繁重的工作量和紧张的工作环境。这引发了关于认知行为疗法（CBT）在这一人群中治疗抑郁症有效性的持续讨论。目的评价CBT治疗护士抑郁的效果。方法系统检索2008 - 2022年间发表的英文随机对照试验（rct）。纳入标准由两名独立审稿人进行严格评估，随机对照试验的有效性采用联合试验报告标准（CONSORT）指南进行评估。此外，两位作者采用了非随机干预研究的偏倚风险（ROBINS-2）方法来评估所选研究的潜在偏倚。审查遵循PRISMA报告准则。结果共筛选到8个与研究问题相关的随机对照试验。其中，有5项试验表明CBT能有效减少护士抑郁。然而，研究中存在方法不一致、样本量小以及干预特征的差异。结论现有证据支持CBT治疗护士抑郁的有效性。然而，方法偏差和异质性等局限性强调了需要更稳健和设计良好的随机对照试验来证实这些发现。研究注册：PROSPERO协议ID: CRD42023449904。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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