基于互联网的认知行为疗法用于乳腺癌幸存者的焦虑和抑郁症:一个元分析
Deqi Zhang1, Hongyan Bi2, Wenxin Zhao3
1College of Rehabilitation Medicine, Shandong University of Traditional Chinese Medicine, Jinan, 250355, Shandong, China.
Journal of cancer survivorship : research and practice
|December 10, 2024
概括
基于互联网的认知行为疗法 (I-CBT) 显著减少了乳腺癌幸存者的焦虑和抑郁. 自主引导,8-12周的计划,每周一次会议显示出更大的有效性,提供灵活的心理健康支持.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 数字健康数字健康
背景情况:
- 乳腺癌 (BC) 幸存者经常经历焦虑和抑郁.
- 基于互联网的认知行为疗法 (I-CBT) 提供了一个可访问的干预模式.
- 在这群人群中评估I-CBT的疗效对于改善幸存者护理至关重要.
研究的目的:
- 系统地评估I-CBT对乳腺癌幸存者的焦虑和抑郁症的影响.
- 确定与更高治疗效率相关的特定I-CBT程序特征.
主要方法:
- 在2024年7月20日之前,在八个中英文数据库进行系统的文献搜索.
- 包括随机对照试验 (RCT) 评估BC幸存者的I-CBT.
- 使用RevMan 5.4软件进行元分析,通过Cochrane ROB 2.0.0进行质量评估.
主要成果:
- 分析了7项涉及1016名BC幸存者的RCT.
- 通过I-CBT,焦虑 (SMD = -0.14) 和抑郁 (SMD = -0.19) 都显著减少.
- 小组分析表明,自我引导的I-CBT,8-12周的持续时间和每周一次的会议特别有效.
结论:
- I-CBT是一种有效的干预措施,用于管理乳腺癌幸存者的焦虑和抑郁.
- 建议进行自主指导,8-12周的I-CBT计划,每周进行一次会议,以提高有效性.
- 需要进一步的研究来证实长期有效性和最佳交付模式.
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