对癌症患者抑郁症的不同认知行为疗法交付格式的比较有效性:随机对照试验的网络元分析
Liyang Duan1, Shu Zhang1, Qianwen Yan1
1West China School of Nursing, Sichuan University/Department of Nursing, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Psycho-oncology
|January 19, 2025
概括
面对面的群体认知行为疗法 (CBT) 是最有效的改善癌症患者的抑郁症. 基于应用程序和基于互联网的个人CBT也显示出显著的好处,提供各种各样的护理选择.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 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) 对癌症患者的抑郁症有效.
- 存在各种CBT交付格式,但最佳选择尚不清楚.
- 这项研究解决了需要比较不同的CBT交付方法的需求.
研究的目的:
- 对癌症患者抑郁症的CBT干预措施不同交付格式的疗效进行比较.
- 为此群体确定最有效的CBT交付格式.
主要方法:
- 34个随机对照试验的网络元分析.
- 搜索了六个主要的数据库 (PubMed,科学网络,Embase,CINAHL,Cochrane,PsycINFO) 到2024年5月.
- 独立审查,数据提取和两名审查员对偏见风险的评估.
主要成果:
- 面对面的群体CBT,基于应用程序的个人CBT和基于互联网的个人CBT比不活跃的对照有效得多.
- 面对面的CBT组显示出最高的疗效 (SMD = -0.88).
- 排名概率将面对面的团体CBT (0.86),基于应用程序的个人CBT (0.74),以及基于互联网的个人CBT (0.57) 确定为前三种格式.
结论:
- 这个网络元分析为不同的CBT交付格式提供了疗效排名.
- 面对面的团体CBT似乎是减少癌症患者抑郁症的最有效形式.
- 这些发现支持基于证据的临床决策和癌症护理的未来研究.
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