叙事疗法对躯体疾病成人抑郁症状的疗效：系统回顾和荟萃分析

IF 5.3 1区心理学 Q1 PSYCHOLOGY, CLINICAL

International Journal of Clinical and Health Psychology Pub Date : 2024-10-01 DOI:10.1016/j.ijchp.2024.100520

Guannan Hu , Bingyue Han , Hayley Gains , Yong Jia

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引用次数: 0

摘要

背景抑郁症是一种常见的精神疾病，也是自杀的主要风险因素。叙事疗法旨在通过讲故事来重塑信念。尽管有证据表明叙事疗法是有效的，但缺乏针对特定成人群体的评估。这项荟萃分析评估了叙事疗法对患有躯体疾病的成年人抑郁症状的影响。方法 2024 年 4 月，对 PubMed、Web of Science（所有数据库）、Cochrane Library、CINAHL、CNKI 和 CBMdisc 进行了全面检索。研究选择和数据提取由两名研究人员独立完成。利用 Cochrane 工具和 GRADEPro GDT 工具确定纳入研究的偏倚风险和方法学质量。结果结果显示，叙事疗法对躯体障碍成人的抑郁症状有显著效果（SMD=-1.64；95% CI，-1.95 至-1.32；p<.001；4879 名参与者；低质量证据）。讨论这项荟萃分析发现，叙事疗法似乎对患有躯体障碍的成年人的抑郁症状有显著效果。然而，这项研究受到了中国研究居多和证据质量较低的限制。未来的研究需要证实这些发现。

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Effectiveness of narrative therapy for depressive symptoms in adults with somatic disorders: A systematic review and meta-analysis

Background

Depression is a common mental health condition and a main risk factor for suicide. Narrative therapy aims to reframe beliefs through storytelling. Despite evidence of effectiveness, there is a lack of evaluation for specific adult populations. This meta-analysis evaluated the effect of narrative therapy on depressive symptoms in adults with somatic disorders. Only 2 of the included studies examined patients with depression, highlighting the need for further research on this specific population.

Methods

A comprehensive search of PubMed, Web of Science (all databases), the Cochrane Library, CINAHL, CNKI, and CBMdisc was conducted in April 2024. Study selection and data extraction were conducted by two researchers independently. The Cochrane tool and GRADEPro GDT tool were utilised to determine risk of bias and methodological quality of included studies. Stata17.0 was used for statistical analysis.

Results

The results showed that narrative therapy had a significant effect on depressive symptoms in adults with somatic disorders (SMD=-1.64; 95% CI, -1.95 to -1.32; p<.001; 4,879 participants; low-quality evidence). Sensitivity analysis showed that the results were robust and reliable.

Discussion

This meta-analysis found that narrative therapy appears to have a significant effect on depressive symptoms in adults with somatic disorders. However, the study is limited by a predominance of Chinese studies and low quality of evidence. Future research is needed to confirm these findings.

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来源期刊

International Journal of Clinical and Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

10.70

自引率

5.70%

发文量

审稿时长

33 days

期刊介绍： The International Journal of Clinical and Health Psychology is dedicated to publishing manuscripts with a strong emphasis on both basic and applied research, encompassing experimental, clinical, and theoretical contributions that advance the fields of Clinical and Health Psychology. With a focus on four core domains—clinical psychology and psychotherapy, psychopathology, health psychology, and clinical neurosciences—the IJCHP seeks to provide a comprehensive platform for scholarly discourse and innovation. The journal accepts Original Articles (empirical studies) and Review Articles. Manuscripts submitted to IJCHP should be original and not previously published or under consideration elsewhere. All signing authors must unanimously agree on the submitted version of the manuscript. By submitting their work, authors agree to transfer their copyrights to the Journal for the duration of the editorial process.