不同干预措施对儿童和青少年焦虑障碍的影响:系统审查和贝叶斯网络元分析
Longhui Li1, Qiner Li1, Jingyi Wang1
1Capital University of Physical Education and Sports, Beijing, 100191, China.
BMC psychiatry
|August 26, 2025
概括
接受与承诺疗法 (ACT) 在治疗儿童焦虑方面表现有前途, 然而,由于目前儿童焦虑干预的证据有限,需要进一步进行高质量的研究.
科学领域:
- 精神病学
- 儿童和青少年心理健康
- 基于证据的干预
背景情况:
- 焦虑症在儿童和青少年中普遍存在,COVID-19后的发病率增加.
- 这是一个重大的公共卫生挑战,需要有效的干预措施.
- 找出最佳的治疗方法对这一脆弱群体至关重要.
研究的目的:
- 评估儿童和青少年焦虑障碍的各种干预措施的有效性.
- 找出最有效的治疗方法来减轻焦虑的影响.
主要方法:
- 在五个主要数据库中对随机对照试验 (RCT) 进行了系统搜索.
- 使用R Studio进行贝叶斯网络元分析.
- 使用GRADE方法来评估证据的质量.
主要成果:
- 分析了30个与1, 711名参与者的RCT.
- 接受和承诺治疗 (ACT) 显示出最高的有效性 (MD = - 3. 83).
- 认知行为治疗 (CBT) 是第二有效的 (MD = -3.64).
结论:
- 在儿童焦虑症治疗中,ACT似乎最有效,其次是认知治疗.
- 由于证据质量低,异质性和不准确性,研究结果需要谨慎解释.
- 未来的研究应该探索组合疗法,并进行大规模,高质量的RCT.
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