针对抑郁和负面情绪的以患者为中心的群体心理治疗:系统性审查和元分析
Yang-Yang Yin1, Zhen-Zhen Wan1, Bo Wang2
1Department of Hand & Foot and Reconstructive Microsurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
Frontiers in psychiatry
|July 22, 2025
概括
以患者为中心的群体心理治疗 (PCGP) 有效地减少了抑郁症状,并改善了成年人的功能结果. 这种辅助疗法提供了一种有价值的方法,特别是在资源有限的环境中.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 临床心理学 临床心理学
- 基于证据的实践.
背景情况:
- 抑郁症是一种严重的全球健康负担,由COVID-19流行病加剧.
- 传统的抑郁症治疗面临挑战,包括高复发率和有限的可访问性.
- 需要对抑郁症进行有效和易于获得的治疗干预措施.
研究的目的:
- 评估以患者为中心的群体心理治疗 (PCGP) 在减少抑郁症状方面的有效性.
- 评估PCGP对抑郁症患者功能结果的影响.
- 确定PCGP有效性的潜在调节者,并提供基于证据的建议.
主要方法:
- 在主要数据库中按照PRISMA指南进行了系统的文献搜索.
- 包括七项随机对照试验 (RCT) 和一项临床研究,共1,989名参与者.
- 使用RevMan 5.4进行随机效应元分析,以计算风险比率和标准化平均差异,并使用I2统计数据评估异质性.
主要成果:
- PCGP对整体治疗有效性表现出显著的积极影响 (RR = 1.10,p = 0.03).
- 观察到抑郁症状显著减少 (PANSS得分,SMD = -1.96,p < 0.001) 和功能结局的改善 (PSP得分,SMD = 1.96,p < 0.001).
- 负面情绪症状也有所改善 (SMD = -4.28,p = 0.03),尽管异质性很高 (I2 = 99.0%).
结论:
- 以患者为中心的群体心理治疗 (PCGP) 是一种有效的第一线抑郁症辅助疗法.
- PCGP既解决症状缓解和功能恢复,使其适合不同的患者群体.
- 这些发现支持PCGP的实用性,特别是在资源有限的环境中,用于管理抑郁症.
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