对于强迫症障碍的认知行为疗法的有效性和可接受性:网络元分析
Yingying Wang1, Clara Miguel1, Marketa Ciharova1
1Department of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
The British journal of psychiatry : the journal of mental science
|November 5, 2025
概括
对于强迫症 (OCD) 的大多数认知行为疗法 (CBT) 格式是个人治疗的有效替代方案. 无指导的自助表现出适度的效果,可以帮助那些进入障碍的人.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 行为科学 行为科学
背景情况:
- 有限的比较数据存在于各种认知行为疗法 (CBT) 交付格式在治疗强迫症 (OCD).
- 了解不同格式的有效性和可接受性对于优化强迫症治疗至关重要.
研究的目的:
- 为了比较各种CBT传递格式对强迫症 (OCD) 的有效性和可接受性.
- 为强迫症患者选择适当的CBT格式提供基于证据的指导.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析,比较强迫症的CBT交付格式.
- 包括61个RCT与3710名参与者.
- 进行了对对和网络元分析,以计算标准平均差异 (SMD) 的有效性和相对风险的可接受性.
主要成果:
- 与对照组相比,所有评估的CBT格式都显示出显著的有效性.
- 个人,远程分娩和家庭参与的格式比团体CBT更有效.
- 大多数格式比未经指导的自助更可接受,这种自助方式显示出中等的有效性.
结论:
- 不同的CBT交付格式是对强迫症传统个人治疗的可行的替代方案.
- 无指导的自助,尽管效率较低,但为面临治疗获取挑战的个人提供了有价值的选择.
- 进一步的研究可能会探索优化未经指导的自助干预措施,以获得更广泛的覆盖范围.
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