基于互联网的正念干预对癌症患者焦虑和抑郁症状的影响:元分析
Shizhen Wang1, Wangjie Xia1, Jian Zhang2
1The First Affiliated Hospital of Soochow University, Suzhou 215006, China; School of Nursing, Medical College of Soochow University, Suzhou 215006, China.
基于互联网的正念干预措施有效地减少了癌症患者的焦虑和抑郁. 同步的在线治疗,较短的会议 (不到45分钟) 和8周内的计划显示出最好的结果.
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:
- 癌症患者经常经历严重的焦虑和抑郁.
- 基于正念的干预措施在管理心理痛苦方面表现有前途.
- 基于互联网的交付提供了可访问的心理健康支持.
研究的目的:
- 对癌症患者的焦虑和抑郁症进行基于互联网的正念干预措施的疗效进行元分析.
- 确定最佳的干预参数,以实现最大的有效性.
主要方法:
- 系统搜索8个随机对照试验 (RCT) 数据库,直到2023年8月.
- 数据提取和偏差风险评估由两个独立审稿人进行.
- 使用 Stata 16 的元分析,包括敏感性和出版偏差分析.
主要成果:
- 包括10个与1314名患者的RCT.
- 基于互联网的正念显著减少了焦虑 (SMD=-0.38) 和抑郁 (SMD=-0.36).
- 在8周以下的干预, <45分钟的会议和同步治疗师指导是最有效的.
结论:
- 基于互联网的正念干预措施对于缓解癌症患者的焦虑和抑郁是有效的.
- 同步的在线治疗师互动,更短的会议持续时间和程序长度提高了有效性.
- 需要进一步进行高质量的研究来证实中长期影响.
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