协作评估作为治疗精神疾病的干预措施:系统性审查
Oliver Rumle Hovmand1,2,3, Jasmin Rejaye Gryesten1,4, Ole Jakob Storebø4,5
1Psychiatric Research Unit, Region Zealand Mental Health Services, Slagelse, Denmark.
Nordic journal of psychiatry
|July 1, 2024
概括
作为治疗干预的心理评估没有显示出明确的临床益处. 目前的研究中存在偏见的高风险和证据的确定性非常低,限制了其有效性的结论.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 以前的元分析表明,心理评估作为一种干预措施的潜在治疗效果.
- 然而,这些研究具有不具体的纳入标准,需要进一步严格调查.
研究的目的:
- 系统地审查随机对照试验 (RCT),评估心理评估作为治疗干预措施.
- 评估这种方法的临床有效性和证据的确定性.
主要方法:
- 在PRISMA声明之后进行了系统审查,搜索了四个相关RCT的数据库.
- 两位审查员独立选择了研究,提取了数据,并使用偏差风险工具评估了研究质量.
- 使用GRADE方法对证据的强度进行分级.
主要成果:
- 包括两个RCT,两者都涉及患有人格障碍的门诊患者.
- 一项研究将治疗评估 (TA) 加上手动辅助认知行为治疗 (MACT) 与单独使用MACT进行了比较,没有发现症状上有显著差异,但TA+MACT对自杀倾向可能有好处.
- 另一项研究将TA与以目标为重点的预治疗干预进行了比较,该研究没有对症状产生影响,但可能会改善患者的预期寿命.
- 这两项试验都表现出高偏差风险和证据确定性非常低.
结论:
- 目前的证据不支持心理评估作为治疗干预的临床有效性.
- 包含的研究中存在高偏差风险和证据确定性非常低,因此无法得出明确的结论.
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