接受和承诺治疗在改善精神病患者社会功能中的作用:系统性审查
Desirèe Latella1, Giulia Marafioti1, Caterina Formica1
1Giulia Marafioti, Psy, IRCCS Centro Neurolesi Bonino-Pulejo, S.S. 113 Via Palermo, C.da Casazza, 98124 Messina, Italy.
Healthcare (Basel, Switzerland)
|July 12, 2025
概括
接受和承诺疗法 (ACT) 在患有精神疾病的成年人中改善心理健康方面表现有前途. 然而,目前的证据受限于小型研究和方法上的弱点,需要进一步研究.
科学领域:
- 精神病学和行为科学
- 临床心理学 临床心理学
- 基于证据的干预措施
背景情况:
- 接受和承诺治疗 (ACT) 是一种旨在增强心理灵活性的心理干预.
- ACT涉及对思想/情绪,正念和基于价值的行动的接受,与改善心理健康和社会功能有关.
- 现有证据表明,ACT在各种精神疾病中的有效性.
研究的目的:
- 系统地审查有关ACT干预精神病患者成年人的现有证据.
- 评估ACT在减少精神病症状方面的有效性.
- 评估ACT对社会功能和人际关系的影响.
主要方法:
- 在主要数据库 (PubMed,科学网,科克兰图书馆,Embase) 进行了全面的文献搜索,从2014年到2024年.
- 在开放科学框架 (OSF;注册ID:2ZAGT) 上注册的审查协议.
- 纳入标准用于确定关于精神疾病ACT干预措施的相关研究.
主要成果:
- 十七项研究符合纳入标准,但证据基础是分散的,每个诊断的研究有限.
- 方法上的限制是普遍存在的,包括小样本大小,缺乏随机化/盲目化,偏见的高风险和主观结果.
- 尽管有局限性,ACT在PTSD,失眠,精神病和自闭症谱系障碍等疾病中显示出好处,减少避免和增强正念.
结论:
- 目前的文献基础不足以提供强有力的证据证明ACT在改善精神疾病成年人的社会功能方面的有效性.
- 显著的方法缺陷和缺乏高质量的受控试验限制了可以得出的结论.
- 迫切需要进行大规模,经过良好控制的研究,以确定ACT在这个人群中的有效性.
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