心理干预方法对治疗精神分裂症患者积极和消极症状的有效性:系统性审查和网络元分析
Jay Kumar Ranjan1, Saishree1, Amrita Choudhary2
1Dept. of Psychology, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
Indian journal of psychological medicine
|December 1, 2025
概括
这项研究评估了针对精神分裂症症状的心理干预措施. 像MCT+,SST,CBT和CRT这样的认知疗法有效地管理了积极和消极的症状,而VRT则针对幻觉.
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
- 基于证据的医学基于证据的医学.
背景情况:
- 精神分裂症管理缺乏针对特定症状亚型的最佳心理干预的研究.
- 对积极症状 (PS),消极症状 (NS),幻觉和妄想需要有效的治疗策略.
研究的目的:
- 评估各种心理干预措施在精神分裂症症状特异性治疗中的有效性.
- 为了比较不同治疗策略与常规治疗 (TAU) 的有效性.
主要方法:
- 按照PRISMA指南进行系统审查和网络元分析 (NMA).
- 搜索了六个数据库,截至2023年11月,包括100个随机试验和7036名精神分裂症患者.
- 使用R软件 (4.2.1版本) 分析数据,使用"metafor"和"netmeta"软件包.
主要成果:
- 超认知训练 (MCT+),社会技能训练 (SST),认知行为疗法 (CBT) 和认知补救疗法 (CRT) 对PS和NS都有效.
- 虚拟现实疗法 (VRT) 显示出对幻觉和整体PS的疗效.
- MCT+和CBT对妄想是有效的.
结论:
- 大多数心理治疗比TAU更有效.
- 接受和承诺治疗 (ACT) 和支持性心理治疗 (ST) 是例外,与TAU相比,它们的有效性较低.
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