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A Comment on "A Systematic Review and Meta-Analysis of Transdiagnostic Cognitive Behavioural Therapies for Emotional Disorders"

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  • Bartoš, František
  • Godmann, Henrik R.

Abstract

Schaeuffele et al. (2024) examined the effect of Transdiagnostic Cognitive Behavioural Psychotherapy (TD-CBT) on emotional disorders through a meta-analysis of 53 studies involving 6,705 participants. Their main findings indicated that TD-CBT has larger treatment effects on depression, g = 0.74, 95% CI (0.57, 0.92), p ﹤ 0.001, and anxiety, g = 0.77, 95% CI (0.56, 0.97), p ﹤ 0.001, than controls. We replicated the data extraction of summary information from a subsample of the original studies with only minor deviations and we successfully computationally reproduced the main claims of the paper using the original data. However, robustness analyses adjusting for publication bias led to substantially different conclusions. In contrast to the original authors, we found weak evidence for the absence of the overall treatment effect of TD-CBT on both depression and anxiety in most of the specified models. Although additional sensitivity analyses could not completely rule out that the observed differences are partially results of small-study effects, further examination of between-study heterogeneity did not reveal consistent evidence of the benefit of TD-CBT when compared to any of the comparisons groups.

Suggested Citation

  • Bartoš, František & Godmann, Henrik R., 2025. "A Comment on "A Systematic Review and Meta-Analysis of Transdiagnostic Cognitive Behavioural Therapies for Emotional Disorders"," I4R Discussion Paper Series 213, The Institute for Replication (I4R).
    • Handle: RePEc:zbw:i4rdps:213
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    References listed on IDEAS

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    1. Amanda Kvarven & Eirik Strømland & Magnus Johannesson, 2020. "Comparing meta-analyses and preregistered multiple-laboratory replication projects," Nature Human Behaviour, Nature, vol. 4(4), pages 423-434, April.
    2. Jack Vevea & Larry Hedges, 1995. "A general linear model for estimating effect size in the presence of publication bias," Psychometrika, Springer;The Psychometric Society, vol. 60(3), pages 419-435, September.
    3. Abel Brodeur & Anna Dreber & Fernando Hoces de la Guardia & Edward Miguel, 2024. "Reproduction and replication at scale," Nature Human Behaviour, Nature, vol. 8(1), pages 2-3, January.
    4. Sanghyun Hong & W. Robert Reed, 2020. "Using Monte Carlo Experiments to Select Meta-Analytic Estimators," Working Papers in Economics 20/10, University of Canterbury, Department of Economics and Finance.
    5. Carmen Schaeuffele & Laura E. Meine & Ava Schulz & Maxi C. Weber & Angela Moser & Christina Paersch & Dominique Recher & Johanna Boettcher & Babette Renneberg & Christoph Flückiger & Birgit Kleim, 2024. "A systematic review and meta-analysis of transdiagnostic cognitive behavioural therapies for emotional disorders," Nature Human Behaviour, Nature, vol. 8(3), pages 493-509, March.
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    Keywords

    Depression; Anxiety; Publication Bias; Bayesian; Heterogeneity;
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