对于精神病患者的社交网络干预措施的有效性:系统性审查和元分析
L T A Swinkels1, M Hoeve2, J F Ter Harmsel1
1Department of Forensic Outpatient Care, Inforsa Forensic Mental Healthcare, Vlaardingenlaan 5, 1059 GL, Amsterdam, Netherlands; Department of Child and Adolescent Psychiatry and Psychosocial Care, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, Netherlands.
Clinical psychology review
|July 27, 2023
概括
社交网络干预措施在改善社会支持,治疗坚持和减少精神病患者中物质使用方面显示出小到中等的有效性. 这些发现强调了社会联系在心理健康护理中的重要性.
科学领域:
- 心理健康研究 心理健康研究
- 社会精神病学是一种社会精神病学.
- 基于证据的实践.
背景情况:
- 加强社交网络是精神病患者心理健康治疗的一个关键目标.
- 社交网络干预措施 (SNI) 的有效性需要在这个人群中进行强有力的评估.
研究的目的:
- 对精神病患者的社交网络干预措施的有效性进行系统的审查和元分析.
- 为了比较社会网络干预与对照组的社会和心理健康结果.
- 确定影响干预有效性的潜在调节者.
主要方法:
- 在2022年12月21日之前发表的研究的系统审查和元分析.
- 在主要数据库中进行的搜索:PubMed,EMBASE.com,PsycInfo,Scopus和IBSS.
- 三级随机效应模型用于计算Cohen的d复合结果;异质性通过调节者进行评估.
主要成果:
- 在分析中包括了33项研究.
- 观察到社交网络干预对社会支持 (d=0.159),一般功能 (d=0.127) 和治疗坚持 (d=0.332) 的小到中等的积极影响.
- 干预措施还显示了减少物质使用 (d=0.097) 和改善戒断率 (d=0.254) 的显著影响.
结论:
- 国家精神卫生组织有效地加强了对精神病患者的积极社会网络和支持系统.
- 这些干预措施对一般功能,治疗坚持和物质使用模式产生积极影响.
- 这些发现支持将SNI整合到精神病患者的常规心理健康护理中,潜在的好处受到样本特征 (如性别分布) 的调节.
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