关怀丧亲的人:一个系统的审查
Sangeeta Ahluwalia1, Julia Bandini2, Margaret Maglione3
1RAND Health, Santa Monica, California (S.A., K.O.).
Annals of internal medicine
|February 2, 2026
概括
心理治疗有效地治疗悲伤障碍,悲伤,和悲伤的成年人的抑郁症. 对于其他干预措施的证据,尤其是针对儿童的干预措施,仍然有限,这凸显了需要更多的研究.
科学领域:
- 心理健康 心理健康
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 丧亲是普遍的经历,往往使临床医生对有效的干预措施不确定.
- 了解医疗保健干预措施对丧亲的影响至关重要.
研究的目的:
- 综合各种医疗保健干预措施对悲伤的儿童和成人的影响.
- 评估不同丧亲支持策略的证据基础.
主要方法:
- 对八个数据库进行了全面的搜索,并补充了审查,指导方针和专家意见.
- 随机对照试验 (RCT) 将干预与常规护理进行比较,由双独立审查员选择.
- 评估了偏差风险,并使用随机效应元分析进行了效应估计.
主要成果:
- 169个RCT评估了包括心理治疗,支持小组,药物治疗和艺术治疗在内的干预措施.
- 中等证据强度 (SoE) 支持心理治疗改善成人悲伤障碍,悲伤和抑郁症状.
- 低 SoE 建议专家协助的支持小组和加强的提供者联系可能有利于抑郁症症状.
结论:
- 心理治疗为悲伤的成年人提供了显著的好处,改善了关键的结果.
- 专家协助的支持小组和加强的提供者联系显示出改善抑郁症症状的潜力.
- 其他干预措施的证据,特别是针对儿童和各种结果的证据是有限的.
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