Cognitive behavioural therapy versus other interventions on mental health in people with sensory impairments: A systematic review and meta-analysis

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research Pub Date : 2025-02-01 DOI:10.1016/j.jpsychores.2024.111998

M. Trott , A. Koblitz , S. Pardhan

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引用次数: 0

Abstract

Background

Sensory impairments can negatively affect people's quality of life and daily functioning, including anxiety and depression symptoms. Cognitive behavioural therapy (CBT) could be an effective intervention to alleviate these, however its effectiveness compared to other interventions have not been examined. The aim of this review was to examine the effectiveness of CBT versus other interventions on anxiety and depression symptoms in people with hearing, visual, and other sensory impairments.

Methods

This systematic review and meta-analysis of randomised controlled trials (RCTs) was conducted using a pre-registered protocol (Prospero ID:CRD42023425953). Searches were conducted in across six databases from inception through October 2024. Random-effects meta-analyses were performed.

Results

Of 18 included studies, interventions for tinnitus yielded a significant effect favouring intervention on anxiety (Hedge's g = 0.5;95 %CI0.3–0.9) and depression symptoms (Hedge's g = 0.4; 95 %CI 0.1–0.6). Interventions for people with hearing loss not related to tinnitus yielded a significant effect favouring intervention on anxiety symptoms (Hedge's g = 0.6;95 %CI 0.2–1.1), but not in depression symptoms (Hedge's g = 0.3;95 %CI -0.0;0.6). When sub-grouped, no significant differences between CBT and other interventions were found. Interventions for people with vision impairment yielded a non-significant difference in depression symptoms (Hedge's g = 0.4;95 %CI -0.0;0.7), with no studies found examining anxiety symptoms.

Conclusion

No significant differences were found when comparing CBT versus other interventions in hearing loss. The effectiveness of CBT for people with visual impairment was less clear due to a small number of studies. Future studies should consider other types of sensory impairments.

查看原文本刊更多论文

认知行为疗法与其他干预措施对感觉障碍患者心理健康的影响：系统回顾和荟萃分析。

背景：感觉障碍会对人们的生活质量和日常功能产生负面影响，包括焦虑和抑郁症状。认知行为疗法（CBT）可能是一种有效的干预措施，但与其他干预措施相比，其有效性尚未得到检验。本综述的目的是检查CBT与其他干预措施相比对听力、视觉和其他感觉障碍患者焦虑和抑郁症状的有效性。方法：采用预先注册的方案（Prospero ID:CRD42023425953）对随机对照试验（rct）进行系统评价和荟萃分析。从开始到2024年10月，在六个数据库中进行了搜索。进行随机效应荟萃分析。结果：在纳入的18项研究中，对耳鸣的干预对焦虑（Hedge’s g = 0.5; 95% CI0.3-0.9）和抑郁症状(Hedge’s g = 0.4；95% ci 0.1-0.6)。对与耳鸣无关的听力损失患者进行干预，对焦虑症状的干预效果显著（Hedge’s g = 0.6; 95% CI 0.2-1.1），但对抑郁症状的干预效果不显著（Hedge’s g = 0.3; 95% CI -0.0;0.6）。当进行分组时，发现CBT与其他干预措施之间没有显著差异。对视力受损人群的干预在抑郁症状方面没有显著差异（Hedge’s g = 0.4; 95% CI -0.0;0.7），没有研究发现检查焦虑症状。结论：CBT与其他干预措施对听力损失的影响无显著差异。由于研究较少，CBT对视力障碍患者的有效性尚不清楚。未来的研究应该考虑其他类型的感觉障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychosomatic Research 医学-精神病学

CiteScore

7.40

自引率

6.40%

发文量

314

审稿时长

6.2 weeks

期刊介绍： The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.