基于互联网的认知行为治疗对癌症患者的有效性:随机对照试验的系统审查和元分析
Shuanghan Yu1, Yantong Liu, Minglu Cao
1Author Affiliations: School of Nursing, Jilin University, Changchun, Jilin Province, China.
Cancer nursing
|August 8, 2023
概括
基于互联网的认知行为疗法 (ICBT) 显著改善了癌症患者的心理痛苦,焦虑和抑郁. 与自我指导的方法相比,治疗师指导的ICBT在心理痛苦和生活质量方面提供了更好的好处.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 数字健康数字健康
背景情况:
- 基于互联网的认知行为疗法 (ICBT) 是癌症患者的新兴治疗方法.
- 它的有效性和患者特异性结果,特别是治疗师指导与自我指导的方法,需要进一步研究.
研究的目的:
- 评估ICBT对癌症患者心理,身体和日常生活结果的影响.
- 为了比较治疗师指导与自我指导ICBT的疗效.
主要方法:
- 对20项涉及3,249名参与者的研究进行了全面的元分析.
- 搜索包括主要的电子数据库,截至2022年10月.
- 使用GRADE标准评估证据质量,使用RevMan 5.4和Stata 15.0.0分析数据.
主要成果:
- 干预后ICBT在心理困扰,生活质量 (QOL),焦虑和抑郁症方面显示出统计学上显著的改善.
- 这些对心理困扰,焦虑和抑郁的积极影响在随访期间持续存在.
- 与自我指导的ICBT相比,治疗师指导的ICBT对心理困扰和QOL的疗效更大.
结论:
- ICBT是一种有效的干预措施,可以改善癌症患者的症状管理.
- 它显著提高了心理健康和质量生活,治疗师的指导产生了更好的结果.
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