Negative effects in randomized controlled trials of psychotherapies and psychological interventions: A systematic review.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2025-01-01 Epub Date: 2024-01-24 DOI:10.1080/10503307.2024.2301972

Kirsi Honkalampi, Henna-Riikka Urhonen, Marianna Virtanen

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Abstract

Background: Psychotherapy is a key evidence-based method for the treatment of mental disorders. However, little research has been published on the negative effects of psychotherapies. Aims: We examined this issue through a systematic literature review of previous systematic reviews on randomized controlled trials (RCTs). Methods: We focused on previous reviews and meta-analyses on 1) RCTs examining the effectiveness of psychotherapies and 2) previous reviews and meta-analyses specifically focusing on the negative effects of psychotherapy. We included publications published in PubMed and the Cochrane Databases from the year 2000 or later. Results: Of the 1,430 relevant publications, only a small proportion (30%) mentioned negative outcomes, mostly withdrawal. Only 57 of the extracted original studies monitored potential negative effects, and only three small-scale studies indicated negative effects. Conclusions: The systematic monitoring of negative effects in psychotherapy has not been given the same attention as has been given to the benefits of therapy.

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心理疗法和心理干预随机对照试验中的负面效应：系统回顾。

背景：心理疗法是治疗精神障碍的重要循证方法。然而，有关心理疗法负面影响的研究却鲜有发表。目的：我们通过对以往随机对照试验（RCT）的系统性文献综述，对这一问题进行了研究。研究方法我们重点研究了以往关于以下内容的综述和荟萃分析：1）研究心理疗法有效性的随机对照试验；2）以往专门针对心理疗法负面影响的综述和荟萃分析。我们收录了 2000 年或之后发表在 PubMed 和 Cochrane 数据库中的出版物。研究结果在 1430 篇相关出版物中，只有一小部分（30%）提到了负面结果，其中大部分是戒断。在摘录的原始研究中，只有 57 项研究监测到了潜在的负面影响，只有三项小规模研究指出了负面影响。结论对心理治疗负面效果的系统监测并没有像对治疗益处的监测那样受到重视。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.