减少创伤后创伤后应激障碍,抑郁或焦虑症状的非药物干预:系统性审查和元分析
Justin Solarczyk1, Matt Ciminero, Sheila Sprague
1From the University of California (J.S., S.M.), San Francisco; Baptist Health Orthopaedic Care Institute (M.C.); McMaster University (S.S.); and Cleveland Clinic (H.A.V.).
非药物干预,包括认知行为疗法 (CBT),有效地治疗焦虑,抑郁和PTSD在身体创伤幸存者. 数字干预措施在改善获得心理治疗的机会方面表现有前途.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 创伤恢复 创伤恢复
- 数字健康干预措施 数字健康干预措施
背景情况:
- 身体创伤伤害对获得面对面的心理治疗构成重大障碍.
- 新的数字干预措施为克服这些访问障碍提供了变革性的潜力.
- 焦虑,抑郁和创伤后应激障碍 (PTSD) 在从身体创伤中恢复过来的平民中很常见.
研究的目的:
- 综合来自随机对照试验 (RCT) 关于预防或治疗身体创伤幸存者的焦虑,抑郁或PTSD的非药物干预的证据.
- 评估各种非药理学方法的疗效,包括认知行为疗法 (CBT) 和数字治疗.
- 为了评估身体伤害的一年内的结果.
主要方法:
- 在2023年12月28日之前发表的英语RCT的系统审查和元分析.
- 搜索了多个数据库,包括PubMed,Embase,科学网,PsychINFO,Cochrane和谷歌学者.
- 包括经过PTSD,抑郁症或焦虑症评估的身体伤害的成年患者 (18+);双重审查者进行了数据提取和资格查.
主要成果:
- 非药物干预显著减少了PTSD (SMD -0.71),抑郁症 (SMD -0.42) 和焦虑症 (SMD -0.69) 的症状.
- 认知行为疗法 (CBT) 在减少PTSD (SMD-1.10),抑郁症 (SMD-0.87) 和焦虑方面表现出显著的有效性.
- 非CBT干预措施显著降低了焦虑 (SMD -0.40),但协作护理,非CBT和数字治疗对PTSD和抑郁症没有达到显著意义.
结论:
- 认知行为疗法 (CBT) 有效治疗PTSD,抑郁症和身体创伤后的焦虑症.
- 非CBT干预措施显示出有效性,特别是在这个人群中减少焦虑.
- 这些发现支持在身体创伤幸存者的康复过程中使用心理干预.
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