青少年创伤后应激障碍的心身干预:系统性审查和网络元分析
Zhang Bianjiang1, Zhang Jianchun2, Shi Xiaoyu3,4
1College of Physical Education and Health, East China Normal University, Shanghai, 200241, China. 807689458@qq.com.
BMC psychiatry
|February 25, 2025
概括
以创伤为重点的认知行为疗法 (TF-CBT) 是对青少年PTSD最有效的心身干预. 冥想和等其他疗法显示出希望,但需要进一步研究才能获得确的证据.
科学领域:
- 精神病学是一个精神病学.
- 青少年健康 青少年健康
- 心理健康干预 心理健康干预
背景情况:
- 创伤后应激障碍 (PTSD) 显著影响青少年,可能导致长期损害.
- 虽然以创伤为重点的认知行为疗法 (TF-CBT) 已被认为是有效的,但对青少年PTSD其他心身干预措施的比较数据有限.
研究的目的:
- 进行网络元分析 (NMA),比较各种心身干预措施在缓解青少年PTSD症状方面的有效性.
- 根据定量证据对不同干预措施的有效性进行排名.
主要方法:
- 在主要数据库 (PubMed,Embase,Web of Science等) 进行系统的文献搜索. 对于随机对照试验 (RCT).
- 包括20项涉及2085名青少年的RCT,评估了五种不同的心身干预措施.
- 网络元分析 (NMA) 使用积累性排名曲线 (SUCRA) 下面的表面来排名干预的有效性.
主要成果:
- 与对照组相比,以创伤为重点的认知行为疗法 (TF-CBT) 显示了最显著的PTSD症状减少.
- 疗效排名是:TF-CBT (SUCRA=87.3%),冥想,CBT和与冥想和正念相结合 (SUCRA=32.3%).
- 由于证据有限,对PTSD症状变化的随访数据是不确定的.
结论:
- 五种心身干预措施在治疗青少年PTSD方面表现出有效性,其中TF-CBT是最有效的.
- 与冥想和正念相结合,呈现出有希望的结果,值得进一步研究.
- 需要进行额外的研究来确认这些干预措施的长期疗效和比较优势.
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