成人个体弹性干预：符合prisma标准的meta分析

IF 3.7 2区医学 Q1 PSYCHIATRY

Journal of psychiatric research Pub Date : 2025-06-18 DOI:10.1016/j.jpsychires.2025.06.021

Ru-Wen Liao , Wan-Chung Hu , Chan-Yen Kuo , Wan-Ling Hsu , I-Shiang Tzeng

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引用次数: 0

摘要

心理弹性干预措施因其促进对压力、逆境和创伤的适应性反应而具有增强心理健康结果的潜力而受到越来越多的关注。这些方法在COVID-19大流行等大规模危机期间尤其适用。目的评价心理干预对提高个体心理弹性的效果。此外，该研究旨在探讨关键亚组之间干预结果的差异，包括与COVID-19大流行相关的干预方式和实施时间。方法对EMBASE、EBSCO、APA PsycINFO、PubMed、SpringerLink和Web of Science等6个电子数据库进行综合文献检索，以确定评估提高心理弹性疗法有效性的对照试验或随机对照试验（rct）。符合纳入标准的试验采用随机效应荟萃分析进行综合，以95%的置信区间计算合并标准化平均差异（SMDs）。结果在排除了4项可能存在发表偏倚的研究后，最终meta分析纳入了16项rct。评估的干预措施分为：(1)认知行为疗法（CBT），(2)基于正念的干预措施，(3)CBT和正念结合的干预措施。总体而言，以韧性为重点的干预显示出统计学上显著的积极效果(SMD = 1.54, P <；0.001)，亚组分析表明CBT更有效(SMD = 1.92, P <；0.001)，高于其他干预措施。此外，在COVID-19大流行期间实施的干预措施显示出更大的效果(SMD = 2.13, P <；0.001)，与大流行前实施的相比。研究结果表明，CBT、正念和联合干预对增强心理弹性是有效的，其中CBT似乎特别有益。在压力加剧期间，例如在大流行病期间，恢复力干预措施可能特别有效。

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Adult individual resilience interventions: A PRISMA-compliant meta-analysis

Background

Psychological resilience interventions have garnered growing attention because of their potential to enhance mental health outcomes by facilitating adaptive responses to stress, adversity, and trauma. These approaches are especially pertinent during large-scale crises, such as the COVID-19 pandemic.

Aim

This study aimed to evaluate the effectiveness of psychological interventions designed to enhance individual resilience. Additionally, it aimed to explore differences in intervention outcomes across key subgroups, including intervention modality and implementation timing relative to the COVID-19 pandemic.

Methods

A comprehensive literature search was conducted across six electronic databases, including EMBASE, EBSCO, APA PsycINFO, PubMed, SpringerLink, and Web of Science, to identify controlled trials or randomized controlled trials (RCTs) that assessed the effectiveness of therapies proposed to increase psychological resilience. Trials that met the inclusion criteria were synthesized using a random-effects meta-analysis to calculate pooled standardized mean differences (SMDs) with 95 % confidence intervals.

Results

After excluding four studies owing to potential publication bias, 16 RCTs were included in the final meta-analysis. The interventions assessed were categorized as: (1) cognitive behavioral therapy (CBT), (2) mindfulness-based interventions, and (3) combined CBT and mindfulness approaches. Overall, resilience-focused interventions showed a statistically significant positive effect (SMD = 1.54, P < 0.001), with subgroup analyses indicating that CBT was more effective (SMD = 1.92, P < 0.001) than the other interventions. Additionally, interventions administered during the COVID-19 pandemic demonstrated a greater effect (SMD = 2.13, P < 0.001) compared to those implemented before the pandemic.

Conclusions

The findings suggest that CBT, mindfulness-based, and combined interventions are efficacious in enhancing psychological resilience, with CBT appearing particularly beneficial. Resilience interventions may be especially impactful during periods of heightened stress, such as during pandemics.

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来源期刊

Journal of psychiatric research 医学-精神病学

CiteScore

7.30

自引率

2.10%

发文量

622

审稿时长

130 days

期刊介绍： Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;