Li Dong, Li Li, Yunlian Wu, Xiaoling Zhao, Hui Zhong, Xi Cheng, Lixia Liu, Changxia Cheng, Mingqiu Ouyang, Liande Tao
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引用次数: 0
摘要
背景：士气低落是慢性病患者的一个重要心理健康问题，会对身体症状负担和生活质量产生很大影响。本综述旨在评估慢性病患者士气低落干预措施的有效性：方法：系统检索了 PubMed、Scopus、Embase 和 Web of Science。方法：系统地搜索了 PubMus、Embopus 和 Web Science，然后系统地审查了有关为慢性病患者提供干预措施的研究，其中包括有关士气低落的定量数据：结果：共收录了 14 项研究，其中大部分研究将士气低落视为次要结果。干预措施包括以证据为基础的意义为中心的心理疗法、尊严疗法、迷幻药辅助心理疗法等。十项研究采用了随机对照设计。其中六项研究调查了以证据为基础的意义为中心疗法，四项研究调查了尊严疗法，表明这些干预类型得到了最好的实证支持。大多数研究显示，这些干预对慢性病患者的意志消沉有明显影响：本系统综述为减少慢性病患者士气低落的潜在心理干预措施提供了见解。为了更清楚地评估其有效性，需要进行随机对照设计和充分的样本研究，并将士气低落作为主要结果。
A Systematic Review of Interventions for Demoralization in Patients with Chronic Diseases.
Background: Demoralization, a significant mental health concern in patients with chronic diseases, can have a large impact on physical symptom burden and quality of life. The present review aimed to evaluate the effectiveness of interventions for demoralization among patients with chronic diseases.
Method: PubMed, Scopus, Embase, and Web of Science were systematically searched. Research on providing interventions to patients with chronic diseases that included quantitative data on demoralization was then systematically reviewed.
Results: Fourteen studies were included, most of which considered demoralization as a secondary outcome. Interventions included evidence-based meaning-centered psychotherapy, dignity therapy, psilocybin-assisted psychotherapy, and others. Ten studies used randomized controlled designs. Six of these investigated evidence-based meaning-centered therapy, and four investigated dignity therapy, showing the best empirical support for these intervention types. Most studies showed significant impacts on demoralization in patients with chronic diseases.
Conclusion: This systematic review provides insights into potential psychological interventions for reducing demoralization in patients with chronic diseases. Randomized controlled designs and adequately powered samples, with demoralization as the primary outcome, are needed to more clearly evaluate its effectiveness.
期刊介绍：
The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.
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