评估冒险疗法在焦虑相关障碍中的有效性:一项荟萃分析

IF 2.3 3区 心理学 Q2 PSYCHOLOGY, APPLIED
J. Reece McLain, G. Michael Russo, Cian L. Brown, Sarah McKenzie, H. Michael Crowson
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引用次数: 0

摘要

进行了一项荟萃分析,以评估冒险疗法(AT)治疗有焦虑相关障碍症状的个体的有效性。本研究报告了综合文献检索的结果,包括15个数据库/存储库和7个关键期刊特定检索。使用标准化平均差(SMD)对研究进行评估,并使用漏斗图、故障安全N和修剪和填充分析评估偏倚风险。12项研究共包含21个效应量,评估了AT在减轻焦虑相关障碍症状方面的有效性(N = 2083),得出平均效应量SMD = - 0.56 (CI95 = - 0.72, - 0.39;Pi95 = - 1.25, 0.14)。这项荟萃分析提供了证据,表明AT在减轻焦虑相关障碍相关症状方面的有效性。支持AT作为一种基于证据的实践,可以为立法和保险政策、规划的资金机制以及咨询师培训和资格认证提供信息。我们的研究结果表明,AT项目在减少焦虑相关障碍症状方面是有效的,并强调需要增加立法和保险政策的支持,以增加客户的可及性,增加跨客户设置的AT项目的资金机制,以及提供更正式的咨询师培训和资格认证。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating the Effectiveness of Adventure Therapy in Anxiety-Related Disorders: A Meta-Analysis

A meta-analysis was conducted to assess the effectiveness of adventure therapy (AT) in the treatment of individuals with symptoms of anxiety-related disorders. This study reports findings from a comprehensive literature search, including 15 databases/repositories and seven key journal-specific searches. Studies were evaluated using standardized mean difference (SMD) and were assessed for risk of bias using funnel plot, fail-safe N, and trim and fill analysis. Twelve studies, containing a total of 21 effect sizes, were evaluated to determine the effectiveness of AT in decreasing symptoms of anxiety-related disorders (N = 2083), yielding a mean effect size of SMD = −0.56 (CI95 = −0.72, −0.39; PI95 = −1.25, 0.14). This meta-analysis provides evidence suggesting the effectiveness of AT in reducing symptoms associated with anxiety-related disorders. Support for AT as an evidence-based practice informs legislative and insurance policies, funding mechanisms for programming, and counselor training and credentialing. Our findings suggest that AT programs are effective in reducing anxiety-related disorder symptoms and underscore the need for increased support from legislative and insurance policies to increase client accessibility, an increase in funding mechanisms for AT programs across client settings, and the provision of more formal counselor training and credentialing.

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来源期刊
CiteScore
5.40
自引率
13.00%
发文量
35
期刊介绍: Journal of Counseling & Development publishes practice, theory, and research articles across 18 different specialty areas and work settings. Sections include research, assessment and diagnosis, theory and practice, and trends.
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