Juan Antonio Moriana, Mario Galvez-Lara, Jorge Corpas
Evidence-based psychological treatments is regarded as the best practice for treatment of mental health morbidities. The study analyses RCTs, reviews, meta-analysis, guides and reviews from 4 different organisations in relation to mental health disorders and the level of agreement among organisations associated evidence-based psychological treatments.
The main objective of the study is to analyse best practice for the treatment of mental health disorders.
The authors used ICC (Intra-Class Correlation) statistic for assessing IRR (Inter-rater reliability) to assess the level of agreement among organization for each diagnosis. Higher ICC suggests higher IRR. ICC 1 indicates perfect agreement. -1 Suggest strong disagreement.
|Mental health Illness||Most Used Treatments||ICC|
|1||Generalised Anxiety Disorder||CBT||0.889|
|3||Social Anxiety Disorder||CBT||0.435|
|4||Specific Phobias||Exposure Therapy||0.816|
|5||Anorexia Nervosa||FBT, CBT||0.741|
|6||Bulimia Nervosa||CBT, IPT||0.819|
|7||Binge Eating Disorder||CBT||0.396|
|8||Post Traumatic Stress Disorder||EMDR||0.435|
|9||Adjustment Disorder||CBT, MBCT||-1|
|11||Obsessive Compulsive Disorder||CBT||0.809|
|12||Bipolar Disorder||FBT, IPSRT||0.075|
|17||Hypochondriasis||CBT, CT, psycoeducation||-1.39|
|18||Body Dysmorphic Disorder||CBT|
The study compare evidence provided by for leading International organisations on different psychological treatments for the principal adults mental disorders. From the main findings, it should be highlighted that there is no consensus regarding the evidence presented to support the effectiveness of psychological treatments for most mental disorders in adults. The therapies based on CBT models are those that have shown higher level of evidence. In addition, although there are plethora of treatments for many of the disorders mentioned above, not all offer the same quality of evidence to support them. As a result, we need to contribute to improving the quality of Randomized Controlled Trials (RCTs) through more independent studies that promote and contemplate reproducibility as a much more important criterion than evisaged so far.