Psychological interventions for reducing depressive symptoms in rheumatoid arthritis patients: a systematic review and network meta-analysis.

IF 2.3 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Lijuan Zhang, Weiyi Zhu, Shiguang Liu
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引用次数: 0

Abstract

Depression has long been recognized as the most common mental disorders of rheumatoid arthritis (RA) patients. This study aimed to compare and rank the efficacy of different psychological interventions for reducing depressive symptoms among RA patients. The PubMed, Embase, PsycINFO, the Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang databases, and grey literature were searched between inception and 1 June 2023. Pairs of reviewers screened studies, abstracted aggregate-level data, and appraised risk of bias with the Cochrane risk of bias tool. The study was conducted using the STATA software version 14.0. A total of 23 randomized controlled trials, involving 1885 participants and 16 interventions were included in our analyses. In this network meta-analysis, two interventions were associated with a greater reduction in symptoms of depression compared with treatment as usual care group: mindfulness-based cognitive therapy (MBCT) and combined psychological interventions (CP). Although most psychological interventions showed non-significant effects, the surface under the cumulative ranking curve (SUCRA) values revealed that the best psychological intervention for depression was MBCT (99.9%), followed by CP (85.6%). MBCT may be the most recommended intervention against the depression among RA patients according to our network meta-analysis results. Considering the methodological limitations of the included studies, more high-quality and large-sample RCTs are needed to confirm this result in the future.

减轻类风湿关节炎患者抑郁症状的心理干预:系统综述和网络荟萃分析
抑郁症一直被认为是类风湿性关节炎(RA)患者最常见的精神障碍。本研究旨在比较和排名不同的心理干预措施对减轻RA患者抑郁症状的疗效。检索了PubMed、Embase、PsycINFO、Cochrane图书馆、中国知网、万方数据库和灰色文献,检索时间为建站至2023年6月1日。成对的审稿人筛选研究,提取总体水平的数据,并使用Cochrane偏倚风险工具评估偏倚风险。本研究采用STATA软件14.0版本进行。我们的分析共纳入了23项随机对照试验,涉及1885名受试者和16项干预措施。在这项网络荟萃分析中,与常规治疗组相比,两种干预措施与抑郁症症状的更大减轻有关:基于正念的认知治疗(MBCT)和联合心理干预(CP)。虽然大多数心理干预效果不显著,但累积排序曲线下曲面(SUCRA)值显示MBCT对抑郁症的干预效果最好(99.9%),其次是CP(85.6%)。根据我们的网络荟萃分析结果,MBCT可能是RA患者中最推荐的抑郁症干预措施。考虑到纳入研究的方法学局限性,未来需要更多高质量和大样本的随机对照试验来证实这一结果。
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来源期刊
Psychology Health & Medicine
Psychology Health & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.20
自引率
0.00%
发文量
200
审稿时长
6-12 weeks
期刊介绍: Psychology, Health & Medicine is a multidisciplinary journal highlighting human factors in health. The journal provides a peer reviewed forum to report on issues of psychology and health in practice. This key publication reaches an international audience, highlighting the variation and similarities within different settings and exploring multiple health and illness issues from theoretical, practical and management perspectives. It provides a critical forum to examine the wide range of applied health and illness issues and how they incorporate psychological knowledge, understanding, theory and intervention. The journal reflects the growing recognition of psychosocial issues as they affect health planning, medical care, disease reaction, intervention, quality of life, adjustment adaptation and management. For many years theoretical research was very distant from applied understanding. The emerging movement in health psychology, changes in medical care provision and training, and consumer awareness of health issues all contribute to a growing need for applied research. This journal focuses on practical applications of theory, research and experience and provides a bridge between academic knowledge, illness experience, wellbeing and health care practice.
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