在多发性硬化症中治疗抑郁和焦虑的认知行为疗法的疗效:系统性审查和元分析
Abbie Lucien1, Heather Francis2, Wendy Wu1
1The School of Psychological Sciences, Macquarie University, NSW, Australia.
Multiple sclerosis and related disorders
|September 14, 2024
概括
认知行为疗法 (CBT) 有效地减少了患有多发性硬化症 (MS) 的成年人的抑郁和焦虑. 需要进一步的研究来完善这些心理干预措施,以获得更好的患者结果.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 临床医学 临床医学
背景情况:
- 患有多发性硬化症 (MS) 的成年人经常经历抑郁和焦虑,未满足的心理需求.
- 目前对多发性硬化患者的心理支持不足,凸显了医疗保健的关键差距.
研究的目的:
- 评估认知行为疗法 (CBT) 对MS成年人抑郁和焦虑的疗效.
- 根据干预和研究特征,确定CBT治疗效果的调节者.
主要方法:
- 在Medline,Embase,PsycINFO和Cochrane控制试验中央注册表中进行了系统的文献搜索,直到2024年8月.
- 进行了对15项涉及1508名参与者的随机对照试验的元分析.
主要成果:
- 认知认知疗法在减轻抑郁症状方面表现出中等显著效果大小 (g = 0.59) 和焦虑症状方面表现出小显著效果大小 (g = 0.38).
- 在非西方国家和样本规模较小的研究中,焦虑治疗效果更大.
- 根据国家或样本大小,没有发现抑郁症治疗效果的显著缓解.
结论:
- 认知认知疗法干预措施是有效的管理成年人MS的抑郁和焦虑.
- 未来的试验需要更大的样本和严格的方法来确认结果.
- 建议对量身定制的CBT干预措施进行进一步的研究,以优化MS患者的结果.
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