接受和承诺治疗对负面情绪,自动思维和心理灵活性对抑郁症及其可接受性的影响:元分析
Yanxiang Zou1, Ruxuan Wang1, Xiaochen Xiong2
1School of Nursing, Nanjing Medical University, Nanjing, China.
BMC psychiatry
|July 2, 2025
概括
接受和承诺疗法 (ACT) 在患有抑郁症的患者中显著改善了抑郁症,焦虑症和心理灵活性. 然而,它对自动思维和整体接受性的影响需要进一步的研究.
科学领域:
- 精神病学和行为科学
- 临床心理学 临床心理学
背景情况:
- 接受和承诺疗法 (ACT) 是用于抑郁症,但其对心理灵活性和自动思想的有效性是有争议的.
- 这一元分析解决了围绕ACT在抑郁症治疗中的益处的不确定性.
研究的目的:
- 评估ACT对抑郁症,焦虑症,自动思维和抑郁症患者心理灵活性的影响.
- 与对照条件相比,评估ACT的可接受性.
- 综合来自随机对照试验 (RCT) 的证据.
主要方法:
- 系统搜索9个数据库和灰色文献,截至2025年3月25日.
- 用随机效应模型对13项涉及1362名患者的RCT进行了元分析.
- 证据评估确定性的GRADE方法和出版偏差纠正的PET-PEESE方法.
主要成果:
- ACT显著降低了抑郁症 (SMD = -0.66) 和焦虑 (SMD = -0.43),并增加了心理灵活性 (SMD = 0.50).
- 这些改善在随访时得到维持.
- 没有发现对自动思维的显著影响 (SMD = -0.28),并且在ACT和对照组之间接受度没有显著差异.
- 面对面的ACT比基于互联网的ACT更有效.
结论:
- 在患有抑郁症的人中,ACT对抑郁症状,焦虑和心理灵活性有显著的益处.
- 证据的确定性范围从非常低到中等.
- 需要进一步的研究来澄清ACT对自动思维的影响及其可接受性.
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