心理治疗对不确定性不容忍的影响:系统性审查和元分析
John Näsling1,2, Elisabeth Åström3, Lars Jacobsson1,2,4
1Department of Health, Education and Technology, Luleå University of Technology, Luleå, Sweden.
Clinical psychology & psychotherapy
|July 22, 2024
概括
心理治疗在使用被动对照,但不使用主动对照时,对减少不确定性不耐受 (IU) 有很大的影响. 需要进一步的研究,以了解如何可靠地实现IU的变化.
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:
- 不确定性不耐受 (IU) 是一种与精神病理学和治疗结果相关的处置特征.
- 对不确定性的负面反应会影响情感,认知和行为水平.
- 了解UI在心理健康中的作用对于有效的干预至关重要.
研究的目的:
- 系统地审查和分析心理治疗对不确定性不耐受 (IU) 的影响.
- 检查不同对照条件对IU心理治疗结果的影响.
- 确定影响IU心理治疗有效性的调节者.
主要方法:
- 系统性文献审查和对22项涉及1491名参与者的研究进行元分析.
- 用被动对照条件进行研究的分析.
- 分析使用活性对照条件的研究.
- 主持人分析以探索影响效果大小的因素.
主要成果:
- 在被动对照研究中,在IU上进行心理治疗时发现了很大的聚合效应大小 (g = -0.94),尽管异质性是显著的.
- 在具有活性对照条件的研究中,对IU的聚合影响并不显著.
- 临床环境招募和研究质量调节了效果大小,特别是在被动和主动对照组中.
结论:
- 通过心理治疗实现可靠的IU变化仍然具有挑战性.
- 在被动对照研究中导致IU减少的活性成分需要进一步调查.
- 心理治疗对IU的有效性可能取决于使用的对照组和研究质量.
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