对强迫症的接受和承诺治疗:跨文化系统审查和元分析
Carla P Loureiro1, Samara Dos Santos-Ribeiro1, Maria E Moreira-de-Oliveira1
1Obsessive, Compulsive, and Anxiety Spectrum Research Program. Institute of Psychiatry, Federal University of Rio de Janeiro, Av. Venceslau Brás, 71 - Botafogo, Rio de Janeiro, RJ, 22290-140, Brazil.
Journal of psychiatric research
|February 20, 2026
概括
接受和承诺疗法 (ACT) 在全球范围内对强迫症 (OCD) 有中等效果. 虽然最初在东方环境中看起来更强大,但进一步的研究表明,在西方和东方环境中效果相似,突出ACT.
科学领域:
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
- 跨文化精神病学 跨文化精神病学
背景情况:
- 接受和承诺疗法 (ACT) 显示出治疗强迫症 (OCD) 的潜力.
- 对ACT治疗强迫症的跨文化适用性和全球有效性需要进一步研究.
- 现有的研究缺乏对ACT在不同文化环境中的有效性进行全面分析.
研究的目的:
- 系统地审查和元分析ACT在治疗强迫症治疗中的全球疗效.
- 评估ACT在不同文化背景 (西方与东方) 的有效性.
- 评估ACT的表现与各种对照组 (不活跃,药物治疗,心理治疗) 相比.
主要方法:
- 在多个数据库 (MEDLINE,Scopus,Web of Science,PsycINFO,Google Scholar,ClinicalTrials.gov) 进行系统的文献搜索.
- 包括九项符合特定标准的随机对照试验 (RCT).
- 根据对照类型和文化背景进行分组分析 (西部:美国,丹麦;东部:伊朗,韩国).
主要成果:
- ACT显示了适度的效果大小,使其优于非活性和药物治疗对照对强迫症症状的减少.
- 当将ACT与其他心理疗法进行比较时,没有发现有效性的显著差异.
- 最初的跨文化比较表明,东方研究的有效性更高,但对比类型的敏感性分析发现,东方和西方背景之间没有显著差异.
结论:
- 似乎ACT是一种文化适应性的强迫症治疗方法.
- 目前的证据基础受到高质量的RCT稀缺性的限制,特别是在东方文化环境中.
- 需要在西方环境中进行进一步的受控研究,以巩固ACT在不同人群中的有效性和适用性.
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