基于接受和承诺治疗的干预措施,以减少儿童和青少年的压力:随机对照试验的系统审查和元分析
Franziska Binder1, Rea Mehl2, Franz Resch2
1Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Heidelberg, Germany, franziska.binder@med.uni-heidelberg.de.
Psychopathology
|December 21, 2023
概括
接受和承诺疗法 (ACT) 有效地减少了年轻人的压力. 这项对八项研究的元分析发现,与对照组相比,ACT干预措施显著降低了儿童,青少年和年轻成年人的压力水平.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 行为科学 行为科学
背景情况:
- 接受和承诺疗法 (ACT) 对各种心理和体质投诉有希望.
- 对青少年心理健康的ACT干预措施越来越感兴趣.
- 需要对ACT在减少年轻人群压力的有效性进行证据综合.
研究的目的:
- 系统地审查和元分析基于ACT的干预措施在减少儿童,青少年和年轻人的压力方面的有效性.
- 将ACT干预与对照条件进行比较.
- 评估ACT对青少年与压力有关的结果的影响.
主要方法:
- 随机对照试验 (RCT) 和准随机对照试验 (qRCT) 的系统审查和元分析.
- 搜索了主要的数据库 (PubMed,PsychInfo,Cochrane,CINAHL,Web of Science) 在2023年7月之前.
- 包括包括0-18岁参与者的研究,将ACT与对照条件进行比较.
主要成果:
- 包含976名参与者的8项研究被纳入了元分析.
- 在不同环境 (基于学校,个人) 和不同类型的预防 (普遍,指示) 中实施的ACT干预措施显示出显著的主要效果.
- 与对照条件相比,基于ACT的干预措施导致了更大的压力减轻 (Hedges' g = -0.20).
结论:
- ACT在减少年轻人的压力方面表现出有效性.
- 方法上的局限性,包括小样本规模和研究异质性,需要进一步研究.
- 发表偏见可能会影响整体研究结果,因此需要谨慎解释.
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