心理治疗长期悲伤障碍的成年人:一个系统的审查和网络元分析
Fengwei Hao1, Fanghui Qiu2, Zhide Liang2
1School of Physical Education and Sports Exercise, South China Normal University, Guangzhou 510006, China.
Asian journal of psychiatry
|July 6, 2024
概括
大多数心理治疗方法都有效治疗长期悲伤障碍 (PGD). 认知行为疗法 (CBT) 显示了最高的可接受性,而第三波CBT也有助于减少成年人的抑郁症,PTSD和焦虑症状.
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
- 心理健康 心理健康
背景情况:
- 长期悲伤障碍 (PGD) 是一种新发现的疾病,其特点是严重的,持续的悲伤.
- 推用于PGD的心理治疗,但最佳的第一线治疗需要澄清.
- 本系统性审查和网络元分析旨在确定成人PGD的最佳心理治疗方法.
研究的目的:
- 为了比较不同心理治疗对长期悲伤障碍 (PGD) 的疗效.
- 确定治疗PGD成年人的最佳心理治疗方式.
- 为了为PGD治疗的临床决策提供信息.
主要方法:
- 在7个数据库中进行了全面的文献搜索,直到2023年3月.
- 使用频率主义框架和随机效应模型进行了对对和网络元分析.
- 包括55项研究,包括10,330名参与者,评估了11项心理干预措施.
主要成果:
- 与等候名单相比,行为疗法,第三波CBT,家庭疗法,精神动力疗法和认知疗法在减少悲伤症状方面有效.
- 认知行为疗法 (CBT) 显示了最高的可接受性.
- 第三波CBT显著减少了包括抑郁,PTSD和焦虑在内的二次结果.
结论:
- 大多数心理干预措施对PGD是有效的.
- 认知行为疗法 (CBT) 为PGD治疗提供了最高的可接受性.
- 第三波CBT可能为抑郁症,创伤后应激障碍和焦虑症等并发性疾病提供额外的好处,这需要进一步进行高质量的研究.
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