针对泛性焦虑症的CBT治疗输送格式:随机对照试验的系统审查和网络元分析
Shiyu Liu1, Hongqi Xiao1, Yingxu Duan1
1Mental Health Center, West China Hospital of Sichuan University, Sichuan Clinical Medical Research Center for Mental Disorders, Chengdu, 610041, China.
Translational psychiatry
|June 12, 2025
概括
个人或团体进行的认知行为疗法 (CBT) 对泛性焦虑障碍 (GAD) 有效. 远程CBT可能效率较低,尽管所有格式均可接受.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 临床试验 临床试验
背景情况:
- 通用焦虑症 (GAD) 是一种普遍存在的心理健康状况.
- 认知行为疗法 (CBT) 是对GAD的常见治疗方法.
- 有不同的CBT传递格式,包括个人,团体和远程选项.
研究的目的:
- 为了比较各种CBT输送格式对GAD的有效性和可接受性.
- 综合来自GADCBT随机临床试验 (RCT) 的证据.
主要方法:
- 在主要数据库 (MEDLINE,Embase,PsycINFO,Web of Science) 进行了系统的搜索,直到2023年9月.
- 包括对GAD进行CBT的随机临床试验 (RCT).
- 使用随机效应模型进行了对对和网络元分析.
主要成果:
- 有52项涉及4361名患者的试验符合纳入标准.
- 个人CBT与远程CBT,通常治疗和等待列表相比,表现出更高的疗效.
- 群体CBT比等待列表更有效,而远程CBT与通常治疗或等待列表相比没有显著的优势.
- 证据质量通常很低或不清楚.
结论:
- 群体CBT格式可以被认为是个人CBT的有效替代品,以缓解GAD症状.
- 远程CBT在治疗GAD症状方面可能不那么有效.
- 在CBT交付格式之间,可接受性没有显著差异.
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