针对焦虑症和抑郁症的互联网普及型和定制型跨诊断干预措施的疗效：随机对照试验的系统回顾和荟萃分析。

IF 4.2 2区医学 Q1 PSYCHIATRY

Psychiatry Research Pub Date : 2025-02-01 DOI:10.1016/j.psychres.2024.116324

JiaLi Liu , ChaoYang Li , YuFei Qiu , YiQing Yu , LiJuan Zeng , Man Wu , YangYang Han , Fen Yang

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引用次数: 0

摘要

背景：互联网传递的跨诊断心理干预是治疗焦虑和抑郁的有希望的方法。本研究旨在回顾和综合与基于互联网的跨诊断干预减少焦虑和抑郁的有效性相关的证据，并比较通用干预和定制干预的效果。方法：系统检索截至2024年3月28日的PubMed、EMBASE、Cochrane Library、Web of Science、PsychINFO、Medline和CINAHL数据库。两位研究人员根据共识做出了选择。本研究进行了随机效应荟萃分析，比较了接受基于互联网的跨诊断治疗的患者与对照组，并检查了对抑郁、焦虑和生活质量的影响。这项荟萃分析比较了互联网提供的通用和定制的跨诊断对焦虑和抑郁的影响。结果：共纳入42项试验，4982名受试者。与对照组相比，互联网传递的跨诊断干预减少了焦虑和抑郁症状（g = -0.617, 95% CI: -0.699至-0.535），焦虑（g = -0.580, 95% CI: -0.690至-0.470），抑郁（g = -0.650, 95% CI: -0.770至-0.530）。在改善焦虑和抑郁方面，互联网提供的通用转诊治疗比量身定制的转诊更有效。互联网提供的跨诊断干预对生活质量也有积极影响(g = 0.310；95% CI: 0.130 ~ 0.490)。结论：本荟萃分析表明，基于互联网的跨诊断干预对治疗焦虑和抑郁是有效的，并且还可以改善生活质量。通用互联网提供的跨诊断干预优于量身定制的干预。未来的研究应该调查变化的机制，并为这些干预措施制定结果措施。

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Efficacy of internet-delivered universal and tailored transdiagnostic interventions for anxiety and depression: A systematic review and meta-analysis of randomized controlled trials

Background

Internet-delivered transdiagnostic psychological interventions are promising approaches for the treatment of anxiety and depression. This study aimed to review and synthesize evidence related to the effectiveness of Internet-based transdiagnostic interventions for reducing anxiety and depression, and to compare the effects of universal versus tailored interventions.

Methods

A Systematic review search was conducted on the PubMed, EMBASE, Cochrane Library, Web of Science, PsychINFO, Medline, and CINAHL databases as of 28 March 2024. Two researchers made their choices based on consensus. This study performed a random-effects meta-analysis comparing patients receiving Internet-based transdiagnostic therapy with a control group, and examined the effects on depression, anxiety, and quality of life. This meta-analysis compared the effect of Internet-delivered universal and tailored transdiagnostic on anxiety and depression.

Results

42 trials were identified with a total of 4982 participants. Compared with the control group, the Internet-delivered transdiagnostic intervention reduced anxiety and depression symptoms (g = −0.617, 95 % CI: −0.699 to −0.535), anxiety (g = −0.580, 95 % CI: −0.690 to −0.470), depression (g = −0.650, 95 % CI: −0.770 to −0.530). The Internet-delivered universal transdiagnostic treatment was more effective than tailored transdiagnostic in improving anxiety and depression. Internet-delivered transdiagnostic interventions also had a positive impact on quality of life (g = 0.310; 95 % CI: 0.130 to 0.490).

Conclusions

This meta-analysis demonstrates that Internet-based transdiagnostic interventions are effective for treating anxiety and depression, and can also improve quality of life. The universal Internet-delivered transdiagnostic intervention is better than the tailored intervention. Future studies should investigate the mechanisms of change and develop outcome measures for these interventions.

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来源期刊

Psychiatry Research 医学-精神病学

CiteScore

17.40

自引率

1.80%

发文量

527

审稿时长

57 days

期刊介绍： Psychiatry Research offers swift publication of comprehensive research reports and reviews within the field of psychiatry. The scope of the journal encompasses: Biochemical, physiological, neuroanatomic, genetic, neurocognitive, and psychosocial determinants of psychiatric disorders. Diagnostic assessments of psychiatric disorders. Evaluations that pursue hypotheses about the cause or causes of psychiatric diseases. Evaluations of pharmacologic and non-pharmacologic psychiatric treatments. Basic neuroscience studies related to animal or neurochemical models for psychiatric disorders. Methodological advances, such as instrumentation, clinical scales, and assays directly applicable to psychiatric research.