Single-Session Interventions for Mental Health Problems and Service Engagement: Umbrella Review of Systematic Reviews and Meta-Analyses

IF 17.8 1区心理学 Q1 PSYCHOLOGY

Annual Review of Clinical Psychology Pub Date : 2025-01-28 DOI:10.1146/annurev-clinpsy-081423-025033

Jessica L. Schleider, Juan Pablo Zapata, Andy Rapoport, Annie Wescott, Arka Ghosh, Benji Kaveladze, Erica Szkody, Isaac L. Ahuvia

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引用次数: 0

Abstract

Most people with mental health needs cannot access treatment; among those who do, many access services only once. Accordingly, single-session interventions (SSIs) may help bridge the treatment gap. We conducted the first umbrella review synthesizing research on SSIs for mental health problems and service engagement in youth and adults. Our search yielded 24 systematic reviews of SSIs, which included 415 unique trials. Twenty reviews (83.33%) reported significant, positive effects of SSIs for one or more outcomes (anxiety, depression, externalizing problems, eating problems, substance use, treatment engagement or uptake). Across 12 reviews that meta-analytically examined SSIs’ effectiveness relative to controls, SSIs showed a positive effect across outcomes and age groups (standardized mean difference = −0.25, I 2 = 43.17%). Per AMSTAR 2 (A Measurement Tool to Assess Systematic Reviews), some methodological concerns emerged across reviews, such as low rates of preregistration. Overall, findings support the clinical utility of SSIs for certain psychological problems and populations. Implementation research is needed to integrate effective SSIs into systems of care.

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心理健康问题和服务参与的单次干预：系统综述和元分析的综合综述

大多数有精神卫生需求的人无法获得治疗；在那些获得服务的人中，许多人只获得一次服务。因此，单次干预（ssi）可能有助于弥合治疗差距。我们进行了第一次综合综述，综合了青少年和成人心理健康问题和服务参与的ssi研究。我们检索了24篇关于ssi的系统综述，其中包括415个独特的试验。20篇综述（83.33%）报告了ssi对一个或多个结果（焦虑、抑郁、外化问题、饮食问题、物质使用、治疗参与或接受）的显著积极影响。在12篇综述中，荟萃分析了ssi相对于对照组的有效性，ssi在结果和年龄组中都显示出积极的影响（标准化平均差异= - 0.25,i2 = 43.17%）。根据AMSTAR 2（评估系统评价的测量工具），在评价中出现了一些方法上的问题，例如低预注册率。总的来说，研究结果支持ssi在某些心理问题和人群中的临床应用。需要开展实施研究，以便将有效的ssi纳入护理系统。

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

Annual Review of Clinical Psychology 医学-心理学

CiteScore

31.50

自引率

0.50%

发文量

期刊介绍： The Annual Review of Clinical Psychology is a publication that has been available since 2005. It offers comprehensive reviews on significant developments in the field of clinical psychology and psychiatry. The journal covers various aspects including research, theory, and the application of psychological principles to address recognized disorders such as schizophrenia, mood, anxiety, childhood, substance use, cognitive, and personality disorders. Additionally, the articles also touch upon broader issues that cut across the field, such as diagnosis, treatment, social policy, and cross-cultural and legal issues. Recently, the current volume of this journal has transitioned from a gated access model to an open access format through the Annual Reviews' Subscribe to Open program. All articles published in this volume are now available under a Creative Commons Attribution License (CC BY), allowing for widespread distribution and use. The journal is also abstracted and indexed in various databases including Scopus, Science Citation Index Expanded, MEDLINE, EMBASE, CINAHL, PsycINFO, and Academic Search, among others.