心理干预对癌症患者自杀的影响:系统审查和网络元分析
Xinyue Zhang1, Dan Zhang2, Yuqi Liu1
1School of Nursing & Rehabilitation, Shandong University, Jinan, Shandong, China.
Psychology, health & medicine
|May 24, 2024
概括
根据网络元分析,同理心治疗是减少癌症患者自杀和死亡思想 (SDI) 和自杀行为最有效的心理干预. 综合心理干预也显示出显著的好处.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 基于证据的医学基于证据的医学.
背景情况:
- 癌症患者经常经历自杀和死亡思想 (SDI) 和自杀行为.
- 有各种各样的心理干预措施,但它们对这一群体的比较有效性尚未得到充分证实.
研究的目的:
- 确定最佳的心理干预措施,以减少癌症患者的SDI和自杀行为.
- 通过网络元分析来比较不同心理干预措施的有效性.
主要方法:
- 在七个数据库中进行了系统搜索,直到2022年4月8日.
- 对8项涉及1350名癌症患者的研究进行了对对和网络元分析.
- 使用标准化平均差异 (SMD) 和95%置信区间 (CI) 确定有效性,用于排名的是积累排名曲线 (SUCRA) 下的表面.
主要成果:
- 在评估的六种干预措施中,同理心疗法表现出最高的疗效 (SUCRA = 95.3%).
- 综合心理干预 (SUCRA = 77.6%) 和以意义为中心的治疗 (SUCRA = 40.7%) 也被排名.
- 通过对比调整的漏斗图,没有发现显著的出版偏差,敏感性分析证实了研究结果的稳定性.
结论:
- 共感疗法被认为是减少癌症患者自杀和死亡念头和自杀行为的最佳心理干预.
- 建议进一步进行高质量的多中心随机对照试验,以加强这些结论.
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