{"title":"接纳与承诺疗法对减轻老年人抑郁和焦虑的效果：系统回顾与元分析》。","authors":"Yali Sun, Zixiao Tian, Yongfang Ma, Qiuyue Zhu, Ruichang Zheng, Yan Guan, Xiaojie Zhang","doi":"10.1111/jpm.13138","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To assess the effectiveness of acceptance and commitment therapy (ACT) in reducing depressive and anxiety symptoms in older adults.</p><p><strong>Design: </strong>A systematic review and meta-analysis.</p><p><strong>Methods: </strong>Nine databases were searched for publications up to 2 April 2024, using combinations of search terms related to depression, anxiety, ACT, older adults and randomised controlled trials (RCTs). Two researchers were selected according to inclusion and exclusion criteria, data extraction and methodological quality evaluation, and Stata 16.0 software was used for meta-analysis.</p><p><strong>Results: </strong>Seven articles were included in a systematic review and six were in a meta-analysis. The results indicated that, compared to the control group, ACT had a small but significant effect in reducing depressive symptom (SMD = -0.22, 95% CI, -0.38 to -0.06, p < 0.001; 576 older adults; low-quality evidence), while it showed a small, non-significant effect on reducing anxiety symptoms (SMD = -0.29, 95% CI, -0.73 to 0.15, p = 0.194; 576 older adults; very low-quality evidence). Subgroup analysis based on the different control conditions may have some enlightenment on the sources of heterogeneity.</p><p><strong>Conclusion: </strong>ACT can be an important component of future psychotherapy for older adults, as it may alleviate depressive symptoms. However, high-quality studies with large samples, multiple centres and long follow-up durations should be performed to further reliably assess the treatment effects of depressive symptoms and explore potential benefits for anxiety symptoms.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of Acceptance and Commitment Therapy on Reducing Depression and Anxiety in Older Adults: A Systematic Review and Meta-Analysis.\",\"authors\":\"Yali Sun, Zixiao Tian, Yongfang Ma, Qiuyue Zhu, Ruichang Zheng, Yan Guan, Xiaojie Zhang\",\"doi\":\"10.1111/jpm.13138\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To assess the effectiveness of acceptance and commitment therapy (ACT) in reducing depressive and anxiety symptoms in older adults.</p><p><strong>Design: </strong>A systematic review and meta-analysis.</p><p><strong>Methods: </strong>Nine databases were searched for publications up to 2 April 2024, using combinations of search terms related to depression, anxiety, ACT, older adults and randomised controlled trials (RCTs). Two researchers were selected according to inclusion and exclusion criteria, data extraction and methodological quality evaluation, and Stata 16.0 software was used for meta-analysis.</p><p><strong>Results: </strong>Seven articles were included in a systematic review and six were in a meta-analysis. The results indicated that, compared to the control group, ACT had a small but significant effect in reducing depressive symptom (SMD = -0.22, 95% CI, -0.38 to -0.06, p < 0.001; 576 older adults; low-quality evidence), while it showed a small, non-significant effect on reducing anxiety symptoms (SMD = -0.29, 95% CI, -0.73 to 0.15, p = 0.194; 576 older adults; very low-quality evidence). Subgroup analysis based on the different control conditions may have some enlightenment on the sources of heterogeneity.</p><p><strong>Conclusion: </strong>ACT can be an important component of future psychotherapy for older adults, as it may alleviate depressive symptoms. However, high-quality studies with large samples, multiple centres and long follow-up durations should be performed to further reliably assess the treatment effects of depressive symptoms and explore potential benefits for anxiety symptoms.</p>\",\"PeriodicalId\":50076,\"journal\":{\"name\":\"Journal of Psychiatric and Mental Health Nursing\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2024-11-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Psychiatric and Mental Health Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/jpm.13138\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Psychiatric and Mental Health Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jpm.13138","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Effectiveness of Acceptance and Commitment Therapy on Reducing Depression and Anxiety in Older Adults: A Systematic Review and Meta-Analysis.
Objective: To assess the effectiveness of acceptance and commitment therapy (ACT) in reducing depressive and anxiety symptoms in older adults.
Design: A systematic review and meta-analysis.
Methods: Nine databases were searched for publications up to 2 April 2024, using combinations of search terms related to depression, anxiety, ACT, older adults and randomised controlled trials (RCTs). Two researchers were selected according to inclusion and exclusion criteria, data extraction and methodological quality evaluation, and Stata 16.0 software was used for meta-analysis.
Results: Seven articles were included in a systematic review and six were in a meta-analysis. The results indicated that, compared to the control group, ACT had a small but significant effect in reducing depressive symptom (SMD = -0.22, 95% CI, -0.38 to -0.06, p < 0.001; 576 older adults; low-quality evidence), while it showed a small, non-significant effect on reducing anxiety symptoms (SMD = -0.29, 95% CI, -0.73 to 0.15, p = 0.194; 576 older adults; very low-quality evidence). Subgroup analysis based on the different control conditions may have some enlightenment on the sources of heterogeneity.
Conclusion: ACT can be an important component of future psychotherapy for older adults, as it may alleviate depressive symptoms. However, high-quality studies with large samples, multiple centres and long follow-up durations should be performed to further reliably assess the treatment effects of depressive symptoms and explore potential benefits for anxiety symptoms.
期刊介绍：
The Journal of Psychiatric and Mental Health Nursing is an international journal which publishes research and scholarly papers that advance the development of policy, practice, research and education in all aspects of mental health nursing. We publish rigorously conducted research, literature reviews, essays and debates, and consumer practitioner narratives; all of which add new knowledge and advance practice globally.
All papers must have clear implications for mental health nursing either solely or part of multidisciplinary practice. Papers are welcomed which draw on single or multiple research and academic disciplines. We give space to practitioner and consumer perspectives and ensure research published in the journal can be understood by a wide audience. We encourage critical debate and exchange of ideas and therefore welcome letters to the editor and essays and debates in mental health.
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