对接受和承诺治疗抑郁症的跨文化增量效应元分析:针对抑郁症是否重要?
Nicholas C Borgogna1, Tyler Owen2, Samuel D Spencer3
1Department of Psychology, University of Alabama at Birmingham, Birmingham, USA.
Cognitive behaviour therapy
|March 5, 2026
概括
接受和承诺疗法 (ACT) 显著减少抑郁症症状,无论是直接针对还是作为次要特征. 它对其他疗法的优越性是温和的,并受到各种因素的影响.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 接受和承诺治疗 (ACT) 是一种跨诊断性心理治疗.
- ACT在减少抑郁症症状方面的有效性需要进一步调查,特别是当抑郁症是主要目标而不是次要目标时.
研究的目的:
- 为了确定ACT干预措施对减少抑郁症状的增量效应.
- 评估ACT的影响,当抑郁症是主要目标,而不是其他条件的次要特征时.
主要方法:
- 对控制试验进行系统审查和元分析,评估ACT干预措施与抑郁症结果措施.
- 分析了263项涉及21830名参与者的研究数据.
主要成果:
- 在ACT干预中,抑郁症症状的总体显著减少 (g = 0.88).
- 当ACT针对抑郁症而不是被动对照时,观察到强烈的效应 (g = 1.10),当抑郁症是次要结果时,观察到中度效应 (g = 0.61),以及对积极对照的弱效应 (g = 0.35).
- 研究质量和地理位置影响了效果大小,研究质量更高,美国/加拿大的研究显示效果较弱.
结论:
- ACT与显著的抑郁症症状减少有关,不管抑郁症是否是主要焦点.
- 与其他干预措施相比,ACT的增量好处是温和的,并且取决于环境.
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