对情绪障碍的跨诊断性认知行为疗法的系统审查和元分析
Carmen Schaeuffele1, Laura E Meine2,3, Ava Schulz4,5
1Department of Education and Psychology, Freie Universitaet Berlin, Berlin, Germany. carmen.schaeuffele@fu-berlin.de.
Nature human behaviour
|January 16, 2024
概括
跨诊断性认知行为心理治疗 (TD-CBT) 有效地治疗情绪障碍,如抑郁和焦虑. 这一元分析证实了TD-CBT的存在.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 临床心理学 临床心理学
- 基于证据的实践.
背景情况:
- 情绪障碍对全球健康构成重大负担.
- 跨诊断性认知行为心理治疗 (TD-CBT) 为治疗各种情绪障碍提供了一种统一的方法.
- 以前的研究表明潜在的疗效,但需要在不同格式进行全面的综合.
研究的目的:
- 系统地审查和元分析TD-CBT对情绪障碍的短期和长期疗效.
- 为了比较个人,团体和基于互联网的交付格式的TD-CBT疗效.
- 评估TD-CBT与各种控制条件和疾病特异性疗法进行对比.
主要方法:
- 在主要数据库 (PubMed,MEDLINE,PsycINFO,Google Scholar,medRxiv,OSF Preprints) 进行了系统的文献搜索,查找2000年1月至2023年6月期间发表的随机对照试验.
- 两位独立审查员选了研究,提取了数据,并使用Cochrane偏差风险工具2.0.0评估了偏差风险.
- 随机效应模型被用来计算绝对和相对疗效,检查从治疗前到24个月后续的结果.
主要成果:
- 分析包括了53项研究,共6705名参与者.
- 与对照条件相比,TD-CBT对抑郁症 (g=0.74) 和焦虑症 (g=0.77) 显示出显著的大效应.
- TD-CBT的效果与疾病特异性CBT的效果相似,并且优于其他抑郁症活性治疗方法,在各种输送格式中具有相似的疗效,持续效果长达12个月.
结论:
- 这一全面的元分析提供了强有力的证据,支持TD-CBT作为情绪障碍的有效治疗方法.
- 在个人,团体和基于互联网的环境中,TD-CBT是有效的,提供了一种多功能治疗选择.
- 研究结果支持将TD-CBT整合到临床实践中,用于管理抑郁和焦虑.
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