Effectiveness of cognitive-behavioral therapy on resilience of adults: A systematic review and meta-analysis

IF 1.7 Q3 PSYCHIATRY
Tatiana Matheus Pinto, Vinicius Marangoni Noro Veiga, Elizeu Coutinho Macedo
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引用次数: 0

Abstract

Resilience is the ability to adapt and thrive to adversities, traumas, threats, or significant sources of stress. Given that resilience is associated with internal and environmental factors, it could be enhanced through interventions that promote such factors. Psychotherapy may work as an intervention that favors resilience. There is evidence that cognitive-behavioral therapy (CBT) is effective for treating several problems in diverse populations. Therefore, CBT could be the most indicated therapeutic approach to enhance resilience among individuals. This systematic review aimed to investigate the effectiveness of CBT interventions on adults’ resilience. The study was registered at PROSPERO (CRD42022353059) and followed the PRISMA guidelines. Searches were carried out in PsycNet, PubMed, Scopus, and Embase databases. Forty-three studies were included. Most studies carried out exclusively CBT-based and its procedures mainly involved cognitive restructuring. Interventions ranged from 3 to 48 sessions lasting 45 to 150 min. The meta-analyses indicated evidence of CBT effectiveness in promoting resilience in post-intervention (SMD = 0.73 [95% CI: 0.2–1.25], p = 0.007) and evidence that CBT sustains enhanced resilience in follow-up (SMD = 1.17 [95% CI: 0.01–2.34], p = 0.05). Our findings support the statement that CBT may lead to several beneficial outcomes, including resilience.

认知行为疗法对成年人复原力的影响:系统回顾和荟萃分析
复原力是指适应逆境、创伤、威胁或重大压力来源并茁壮成长的能力。鉴于复原力与内部和环境因素有关,可以通过促进这些因素的干预措施来增强复原力。心理治疗可以作为一种有利于复原力的干预措施。有证据表明,认知行为疗法(CBT)可有效治疗不同人群的若干问题。因此,认知行为疗法可能是增强个人复原力的最有效治疗方法。本系统性综述旨在调查 CBT 干预措施对成年人抗逆力的有效性。该研究已在 PROSPERO(CRD42022353059)上注册,并遵循了 PRISMA 指南。在 PsycNet、PubMed、Scopus 和 Embase 数据库中进行了检索。共纳入 43 项研究。大多数研究完全以 CBT 为基础,其程序主要涉及认知重组。干预时间从 3 到 48 个疗程不等,持续时间从 45 到 150 分钟不等。荟萃分析表明,有证据表明 CBT 在干预后能有效促进复原力(SMD = 0.73 [95% CI: 0.2-1.25],p = 0.007),并有证据表明 CBT 在随访中能持续增强复原力(SMD = 1.17 [95% CI: 0.01-2.34],p = 0.05)。我们的研究结果支持 CBT 可带来多种有益结果(包括复原力)的说法。
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来源期刊
Journal of Behavioral and Cognitive Therapy
Journal of Behavioral and Cognitive Therapy Psychology-Clinical Psychology
CiteScore
3.30
自引率
0.00%
发文量
38
审稿时长
60 days
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