认知行为治疗对晚期癌症患者焦虑和抑郁症状的影响:元分析
Wangjie Xia1, Yanping Zheng2, Daoxia Guo3
1The First Affiliated Hospital of Soochow University, Suzhou 215006, China; School of Nursing, Medical College of Soochow University, Suzhou 215006, China.
General hospital psychiatry
|January 27, 2024
概括
认知行为疗法 (CBT) 在晚期癌症患者中显著降低了焦虑和抑郁症状. 短期干预 (2-8周) 显示中等效果,但需要进一步研究交付方法.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 基于证据的医学 基于证据的医学
背景情况:
- 晚期癌症诊断往往导致严重的焦虑和抑郁症状.
- 有效的心理干预对于改善这些患者的生活质量至关重要.
研究的目的:
- 系统评估认知行为疗法 (CBT) 在缓解晚期癌症患者焦虑和抑郁症状方面的疗效.
主要方法:
- 在主要数据库 (Embase,PubMed,Web of Science等) 进行了全面的系统文献搜索. 在2023年5月之前.
- 包括随机对照试验 (RCT),将CBT与晚期癌症患者的对照组进行比较.
- 使用Cochrane风险偏差工具评估了研究质量,并使用RevMan 5.4软件进行了元分析.
主要成果:
- 分析了15个涉及1597名患者的RCT.
- 在晚期癌症患者中,CBT在减少焦虑症状 (SMD = -0.55) 和抑郁症状 (SMD = -0.38) 上表现出显著的影响.
- 对于持续2-8周的干预措施,特别注意了积极的影响.
结论:
- 认知行为疗法 (CBT) 提供了一种适度有效的干预措施,用于管理晚期癌症患者的焦虑和抑郁.
- 持续2-8周的干预似乎是最有益的.
- 需要进一步的研究来比较在线与面对面的交付以及自我指导与治疗师指导的方法.
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