针对精神病患者的认知行为自助干预:系统综述。

IF 5.9 2区 医学 Q1 PSYCHIATRY
Emily Kruger, Laura Hall, Anton P Martinez, Richard P Bentall
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引用次数: 0

摘要

尽管认知行为疗法(CBT)是一种备受推崇的治疗精神病的方法,但人们对针对精神病的认知行为疗法(CBT)自助的有效性却知之甚少。因此,有关针对精神病的认知行为疗法自助的研究越来越多,需要对文献进行全面回顾。我们按照已发布的协议进行了系统性的文献综述,该协议可在以下网址找到:https://www.crd.york.ac.uk/prospero/export_record_pdf.php。我们在 Scopus、PubMed、PsycInfo 和 Web of Science 上进行了搜索,以确定相关文献,探讨针对精神病患者的基于 CBT 的自助干预。使用 PICO 搜索策略工具生成搜索条件。对所有论文进行了叙述性综合,并对论文质量进行了评估。十项研究被纳入综述。七篇论文找到了可信的证据,证明基于 CBT 的自助疗法在减少精神病特征方面的有效性。在所有研究中,常见的次要结果包括抑郁、整体心理健康和日常功能,所有这些结果在自助干预后都有显著改善,同时也有证据支持自助干预对抑郁、焦虑、整体健康和功能的次要益处。由于方法上的缺陷,长期结果尚不明确。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cognitive behavioral self-help interventions for individuals experiencing psychosis: a systematic review.

Little is known about the effectiveness of cognitive behavioral therapy (CBT) specific self-help for psychosis, given that CBT is a highly recommended treatment for psychosis. Thus, research has grown regarding CBT-specific self-help for psychosis, warranting an overall review of the literature. A systematic literature review was conducted, following a published protocol which can be found at: https://www.crd.york.ac.uk/prospero/export_record_pdf.php. A search was conducted across Scopus, PubMed, PsycInfo, and Web of Science to identify relevant literature, exploring CBT-based self-help interventions for individuals experiencing psychosis. The PICO search strategy tool was used to generate search terms. A narrative synthesis was conducted of all papers, and papers were appraised for quality. Ten studies were included in the review. Seven papers found credible evidence to support the effectiveness of CBT-based self-help in reducing features of psychosis. Across the studies, common secondary outcomes included depression, overall psychological well-being, and daily functioning, all of which were also found to significantly improve following self-help intervention, as well as evidence to support its secondary benefit for depression, anxiety, overall well-being, and functioning. Due to methodological shortcomings, long-term outcomes are unclear.

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来源期刊
Psychological Medicine
Psychological Medicine 医学-精神病学
CiteScore
11.30
自引率
4.30%
发文量
711
审稿时长
3-6 weeks
期刊介绍: Now in its fifth decade of publication, Psychological Medicine is a leading international journal in the fields of psychiatry, related aspects of psychology and basic sciences. From 2014, there are 16 issues a year, each featuring original articles reporting key research being undertaken worldwide, together with shorter editorials by distinguished scholars and an important book review section. The journal''s success is clearly demonstrated by a consistently high impact factor.
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