解决问题的干预措施和青少年和年轻人的抑郁症:系统审查解决问题的干预措施在预防或治疗抑郁症的有效性
Kristina Metz1, Jane Lewis2, Jade Mitchell2
1Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States of America.
PloS one
|August 29, 2023
概括
解决问题 (PS) 的干预措施在预防和治疗青少年和年轻成年人的抑郁症方面显示出混合的结果. 对于临床抑郁症的纯PS显示出希望,但证据对于预防或综合治疗不一致.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 心理学 心理学 心理学
- 基于证据的实践.
背景情况:
- 解决问题 (PS) 是基于证据的抑郁症治疗中公认的治疗技术.
- 了解PS对青少年和年轻人 (AYA) 抑郁症的疗效至关重要.
研究的目的:
- 系统地审查PS在预防和治疗AYA中抑郁症的有效性方面的证据.
- 探索PS干预对谁以及如何在这个人口群体中起作用.
主要方法:
- 2000-2022年从PsycINFO,Medline和Cochrane图书馆发表的研究的系统审查.
- 纳入标准:PS干预,抑郁症治疗/预防,AYA (13-25岁),抑郁症结局报告.
- 使用Cochrane偏差风险2.0评估的偏差风险;由于异质性的叙事综合.
主要成果:
- 25项研究符合纳入标准;干预措施差异很大.
- 十一项研究显示,抑郁症状减少;两项研究显示,自杀倾向减少.
- 对PS技能调解或缓解抑郁症结果的证据有限.
结论:
- 对于PS在预防和治疗AYA抑郁症方面存在混合的证据.
- 对于临床抑郁症的纯PS干预措施得到了最强烈的支持.
- 预防,亚临床治疗和综合干预的不一致结果需要进一步研究诸如偏见和忠诚度等因素.
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