| 郝梦晗,李志远,黄国平.认知行为治疗对延长哀伤障碍患者效果的Meta分析[J].四川精神卫生杂志,2024,37(3):289-294.Hao Menghan,Li Zhiyuan,Huang Guoping,Intervention efficacy of cognitive behavioral therapy on prolonged grief disorder： a Meta-analysis[J].SICHUAN MENTAL HEALTH,2024,37(3):289-294 |
| 认知行为治疗对延长哀伤障碍患者效果的Meta分析 |
| Intervention efficacy of cognitive behavioral therapy on prolonged grief disorder： a Meta-analysis |
| 投稿时间：2023-10-28 |
| DOI：10.11886/scjsws20231028001 |
| 中文关键词: 认知行为治疗 延长哀伤障碍 Meta分析 |
| 英文关键词:Cognitive behavioral therapy Prolonged grief disorder Meta-analysis |
| 基金项目: |
|
| 摘要点击次数: |
| 全文下载次数: |
| 中文摘要: |
| 背景 延长哀伤障碍（PGD）严重影响患者的工作和生活质量。既往研究探讨了认知行为治疗（CBT）对PGD的干预效果，但由于干预的频率、时间和具体内容不同，CBT对PGD干预效果的结论存在争议。目的 通过Meta分析，探讨CBT对PGD的干预效果，为临床治疗提供参考。方法 于2022年10月22日，以维普、中国生物医学文献数据库、万方、中国知网、Embase、Cochrane Library、PubMed、Web of Science为数据源进行检索，收集CBT治疗PGD的随机对照试验（RCTs）。结局指标包括哀伤、抑郁、焦虑或躯体化症状。采用RevMan 5.3进行Meta分析。结果 共纳入7篇文献，包括528例PGD患者。Meta分析结果显示，干预后，研究组哀伤症状（SMD=-0.78，95% CI：-1.27~-0.29）、抑郁症状（SMD=-0.45，95% CI：-0.73~-0.17）以及焦虑症状评分（SMD=-0.38，95% CI：-0.59~-0.18）均低于对照组，差异均有统计学意义，但两组躯体化症状评分比较，差异无统计学意义（SMD=-0.01，95% CI：-0.26~0.25）。结论 CBT可能有助于改善PGD患者的哀伤、抑郁及焦虑症状，但对躯体化症状的改善效果欠佳。 |
| 英文摘要: |
| Background Prolonged grief disorder （PGD） has serious impact on the quality of patients' work and life. Previous relevant studies have explored the intervention effect of cognitive behavioral therapy（CBT） on PGD， but their conclusions remain controversial due to differences in frequency， time and content of intervention.Objective To explore the intervention effects of CBT on the PGD through Meta-analysis， so as to provide references for clinical treatment.Methods On October 22， 2022， the database of VIP， China Biomedical Literature Database， Wanfang， CNKI， Embase， Cochrane Library， PubMed and Web of Science were searched systematically， and randomized controlled trials （RCTs） of CBT in treating PGD was collected. Outcome indicators include sadness， depression， anxiety and somatization symptoms. RevMan 5.3 was used for Meta-analysis.Results A total of 7 articles were included with a total sample size of 528 cases. Meta-analysis results showed that the study group had lower scores than the control group for grief （SMD=-0.78，95% CI：-1.27~-0.29）， depression （SMD=-0.45，95% CI：-0.73~-0.17） and anxiety symptom （SMD=-0.38，95% CI：-0.59~-0.18） with statistically significant differences. However， the difference of scores for somatization symptom between two groups was not significant （SMD=-0.01，95% CI：-0.26~0.25）.Conclusion CBT may contribute to improving the symptoms of grief， depression and anxiety in PGD patients but unsatisfactory efficacy on somatization symptom. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |