{"title":"接受与承诺疗法对改善军人心理健康的影响：一项综合综述与荟萃分析。","authors":"Jun-Qiao Wang, Xin-Zhe Wang, Wen-Xiao Wang","doi":"10.5498/wjp.v15.i3.100959","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Military personnel frequently face unique psychological challenges due to high-stress environments, which increase the risk of mental health issues like anxiety and depression. Acceptance and commitment therapy (ACT) has shown potential in addressing these issues by enhancing psychological flexibility and resilience.</p><p><strong>Aim: </strong>To systematically evaluate the effectiveness of ACT in improving the mental health of military personnel. Through a scoping review and meta-analysis, we quantitatively assess the impact of ACT on psychological outcomes, guiding future research and clinical practice.</p><p><strong>Methods: </strong>Relevant literature was searched systematically from database inception to June 30, 2023, across multiple databases, including PubMed, Web of Science, Cochrane Library, and Embase. The Joanna Briggs Institute's (JBI) scoping review guidelines were used as the methodological framework. Meta-analysis was performed using a random-effects model, and publication bias was assessed through Egger's regression test and Begg's funnel plot.</p><p><strong>Results: </strong>Twenty-six studies were included, highlighting the application of ACT in addressing PTSD, chronic pain, anxiety, and depression among military personnel. The meta-analysis of eight studies demonstrated a significant positive effect of ACT on mental health, with a pooled mean difference of -4.99 (95%CI: -6.53 to -3.45). 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引用次数: 0
摘要
背景：由于高压力环境，军事人员经常面临独特的心理挑战，这增加了焦虑和抑郁等心理健康问题的风险。接受和承诺疗法（ACT）通过增强心理灵活性和弹性，在解决这些问题方面显示出潜力。目的：系统评价ACT在改善军人心理健康方面的效果。通过范围回顾和荟萃分析，我们定量评估ACT对心理结果的影响，指导未来的研究和临床实践。方法：系统检索PubMed、Web of Science、Cochrane Library、Embase等多个数据库自建库至2023年6月30日的相关文献。乔安娜布里格斯研究所（JBI）的范围审查指南被用作方法框架。采用随机效应模型进行meta分析，通过Egger’s回归检验和Begg’s漏斗图评估发表偏倚。结果：纳入26项研究，重点介绍了ACT在军人创伤后应激障碍、慢性疼痛、焦虑和抑郁中的应用。8项研究的荟萃分析表明，ACT对心理健康有显著的积极影响，合并平均差异为-4.99 （95%CI: -6.53至-3.45）。尽管异质性很高（I²= 63%），但敏感性分析证实了研究结果的稳健性。结论：本研究强调了ACT作为改善军人心理健康的有效干预手段的潜力。未来的研究应该集中在大规模、多中心的随机对照试验上，以进一步验证这些发现，特别是在不同的军事人群中。
Acceptance and commitment therapy for enhancing mental health in military personnel: A comprehensive review and meta-analysis.
Background: Military personnel frequently face unique psychological challenges due to high-stress environments, which increase the risk of mental health issues like anxiety and depression. Acceptance and commitment therapy (ACT) has shown potential in addressing these issues by enhancing psychological flexibility and resilience.
Aim: To systematically evaluate the effectiveness of ACT in improving the mental health of military personnel. Through a scoping review and meta-analysis, we quantitatively assess the impact of ACT on psychological outcomes, guiding future research and clinical practice.
Methods: Relevant literature was searched systematically from database inception to June 30, 2023, across multiple databases, including PubMed, Web of Science, Cochrane Library, and Embase. The Joanna Briggs Institute's (JBI) scoping review guidelines were used as the methodological framework. Meta-analysis was performed using a random-effects model, and publication bias was assessed through Egger's regression test and Begg's funnel plot.
Results: Twenty-six studies were included, highlighting the application of ACT in addressing PTSD, chronic pain, anxiety, and depression among military personnel. The meta-analysis of eight studies demonstrated a significant positive effect of ACT on mental health, with a pooled mean difference of -4.99 (95%CI: -6.53 to -3.45). Despite high heterogeneity (I² = 63%), sensitivity analyses confirmed the robustness of the findings.
Conclusion: This study underscores the potential of ACT as an effective intervention for improving the mental health of military personnel. Future research should focus on large-scale, multi-center RCTs to further validate these findings, particularly within diverse military populations.
期刊介绍：
The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.
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