个性化在心理治疗中的有效性与没有或较少的个性化相比:元分析和系统审查
Susan J Harnas1, Kim F Francken1, Fabiola Müller1
1Department of Medical Psychology, Amsterdam University Medical Center Location University of Amsterdam.
Journal of consulting and clinical psychology
|August 14, 2025
概括
与标准护理相比,针对心理健康和体质症状的个性化心理治疗并不能显著改善结果. 需要进一步的研究来确定针对特定人群和条件的有效个性化策略.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 健康心理学 心理健康心理学
背景情况:
- 心理治疗中的个性化旨在根据个体患者的需求量身定制干预措施.
- 与非个性化方法相比,在治疗过程中个性化的有效性仍然不清楚.
研究的目的:
- 系统地审查和对个性化心理治疗与非个性化治疗有效性的证据进行元分析.
- 评估个性化对心理健康问题和持续的身体症状的影响.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查和元分析.
- 在主要的数据库 (APA PsycInfo,Cochrane图书馆,MEDLINE,EMBASE) 中进行了搜索.
- 评估了偏差风险,并进行了元分析 (包括三级和适度分析).
主要成果:
- 审查中包括了16项研究.
- 对症状 (SMD=0.07),戒烟 (OR=1.12),或治疗过程 (SMD=0.29) 的治疗结果没有发现显著差异.
- 治疗格式,个性化因素或个性化方面并没有缓和效果.
结论:
- 目前的中等质量的证据并不能强烈支持治疗内部个性化的优越性,而不是较少个性化的方法.
- 未来的研究应该专注于确定特定的个性化策略,为定义的人群和干预措施产生临床相关的效果.
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