在成年人抑郁症状的自我指导干预的有效性:一个系统的审查和元分析
Lingyao Tong1, Olga-Maria Panagiotopoulou1, Pim Cuijpers2
1Department of Clinical, Neuro & Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
EBioMedicine
|June 14, 2024
概括
针对成人抑郁症的自我指导干预措施显示中等效果,特别是基于计算机的程序. 然而,许多研究具有高偏差风险,可接受性低于对照条件.
科学领域:
- 心理健康研究 心理健康研究
- 临床心理学 临床心理学
- 数字治疗学数字治疗学
背景情况:
- 关于成人抑郁症自我指导干预的证据尽管可获得,但仍然没有确定性.
- 本次元分析评估了这些干预措施在各种格式和支持水平的有效性和可接受性.
研究的目的:
- 系统地审查和综合有关成人抑郁症自我指导干预措施的有效性和可接受性的证据.
- 确定影响治疗效果的因素,如治疗形式和支持水平.
主要方法:
- 在主要数据库 (PubMed,PsycINFO,Embase,Cochrane图书馆) 进行系统搜索,截至2024年1月.
- 包括92个随机对照试验 (16,706名参与者),比较自我指导干预与对照条件.
- 使用随机效应模型进行元分析,以确定抑郁症严重程度的影响大小,并评估偏差风险.
主要成果:
- 自主导的干预措施在治疗后 (g=0.53) 和随访时 (g=0.32) 显示出适度的有效性.
- 计算机交付的干预措施和初始人体查的干预措施显示了最大的效果大小.
- 与对照条件相比,接受度较低 (RR=0.92),大多数研究具有中度至高偏差风险.
结论:
- 虽然可能因偏见而被高估,但自我引导的干预措施对成人抑郁症提供了适度的有效性.
- 在不同的支持级别和在线功能中,有效性是一致的,但接受性仍然是一个问题.
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