心理治疗和心理干预的随机对照试验中的负面影响:系统性审查
Kirsi Honkalampi1, Henna-Riikka Urhonen1, Marianna Virtanen1
1School of Educational Sciences and Psychology, University of Eastern Finland, Joensuu, Finland.
概括
心理治疗研究很少详细说明负面影响,很少有研究监测不良结果. 本次审查强调了需要在心理健康治疗中更加关注潜在的危害与益处.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 基于证据的实践.
背景情况:
- 心理治疗是精神障碍的主要基于证据的治疗方法.
- 对心理治疗负面影响的研究是有限的.
- 了解不良结果对于全面的患者护理至关重要.
研究的目的:
- 系统地审查现有的关于心理治疗负面影响的文献.
- 评估心理治疗研究中报告的负面结果的程度.
- 确定随机对照试验 (RCT) 中不良影响监测的差距.
主要方法:
- 对先前的系统综述和元分析进行系统的文献综述.
- 在PubMed和Cochrane数据库中搜索2000年以后的出版物.
- 包括关于心理治疗有效性的研究和专门针对负面影响的研究.
主要成果:
- 在接受审查的出版物中,很少有 (30%) 提到负面结果,主要是退出.
- 只有57项原始研究监测了潜在的负面影响.
- 很少有研究 (3个小规模) 报告了实际的负面影响.
结论:
- 在心理治疗中对负面影响的系统监测是不发达的.
- 目前的研究优先考虑治疗效益,而不是潜在的危害.
- 需要进一步的研究,以确保对心理治疗结果的全面评估.
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