加强对强迫症和焦虑症的认知行为疗法:系统审查和元分析的协议
Jonathan Torbecke1, Till Langhammer2, Lisa Mewes1
1Department of Psychology, Humboldt University of Berlin, Berlin, Germany.
BMJ open
|November 1, 2024
概括
本系统性审查评估了强迫症和焦虑症患者的认知行为疗法 (CBT) 的非药物增强策略. 它旨在确定这些策略是否能改善治疗结果并降低学率.
科学领域:
- 精神病学和行为科学
- 临床心理学 临床心理学
- 基于证据的医学基于证据的医学.
背景情况:
- 认知行为疗法 (CBT) 是对强迫症 (OCD) 和焦虑症 (ADs) 的一线治疗.
- 很大一部分患者对CBT没有完全的反应,或停止治疗.
- 需要增强策略来提高CBT的疗效,减少患者和社会负担.
研究的目的:
- 系统地审查和元分析CBT在强迫症和ADS中非药物增强策略的疗效.
- 评估这些策略对减轻症状,治疗反应率和学率的影响.
- 批判性地评估标准CBT以外的强有力的有益影响的证据.
主要方法:
- 在多个数据库 (PubMed,Embase,PsycArticles等) 进行全面的文献搜索. 没有日期或语言限制.
- 仅包括随机对照试验 (RCT),由两名审查员进行独立查和数据提取.
- 主要结局:症状严重程度和反应率;次要结局:退学率. 将进行叙述性审查,子组和元回归分析.
主要成果:
- 该审查将综合包括RCT在内的关于非药物增强策略有效性的研究结果.
- 后分析将量化对症状减少和反应率的影响.
- 分析还将检查学率,并确定治疗效果的潜在调节者.
结论:
- 这项研究将对强迫症和ADs中非药物CBT增强的证据进行批判性概述.
- 调查结果将为临床实践提供有关这些策略有用性的信息.
- 证据的整体质量将使用GRADE系统进行评估.
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