Counselling in primary care : a systematic review of the evidence

Brettle, A ORCID:, Hill, A and Jenkins, P 2008, 'Counselling in primary care : a systematic review of the evidence' , Counselling and Psychotherapy Research, 8 (4) , pp. 207-214.

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Primary objective: To undertake a systematic review which aimed to locate, appraise and synthesise evidence to obtain a reliable overview of the clinical effectiveness, cost-effectiveness and user perspectives regarding counselling in primary care. Main results: Evidence from 26 studies was presented as a narrative synthesis and demonstrated that counselling is effective in the short term, is as effective as CBT with typical heterogeneous primary care populations and more effective than routine primary care for the treatment of non-specific generic psychological problems, anxiety and depression. Counselling may reduce levels of referrals to psychiatric services, but does not appear to reduce medication, the number of GP consultations or overall costs. Patients are highly satisfied with the counselling they have received in primary care and prefer counselling to medication for depression. Conclusions and implications for future research: This review demonstrates the value of counselling as a valid choice for primary care patients and as a broadly effective therapeutic intervention for a wide range of generic psychological conditions presenting in the primary care setting. More rigorous clinical and cost-effectiveness trials are needed together with surveys of more typical users of primary care services.

Item Type: Article
Themes: Subjects / Themes > H Social Sciences > H Social Sciences (General)
Subjects outside of the University Themes
Schools: Schools > School of Health and Society > Centre for Applied Research in Health, Welfare and Policy
Journal or Publication Title: Counselling and Psychotherapy Research
Publisher: Routledge Taylor & Francis
Refereed: Yes
ISSN: 1473-3145
Related URLs:
Depositing User: AJ Brettle
Date Deposited: 04 Jan 2011 15:09
Last Modified: 15 Feb 2022 15:49

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