长期神经疾病的第三波治疗:评价证据状态和质量的系统综述

IF 1.1 4区 医学 Q4 CLINICAL NEUROLOGY
P. Robinson, A. Russell, Leon Dysch
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引用次数: 9

摘要

背景:患有长期神经系统疾病的成年人可能面临包括焦虑和抑郁在内的复杂挑战。新兴研究表明,第三波方法(心理治疗的第三次发展)在对这些困难进行转诊断工作中的效用。目的:本系统综述旨在总结和评估已发表的使用第三波疗法(如同情聚焦疗法)的实证研究的质量;接受与承诺疗法;以及基于正念的认知疗法或基于正念的减压疗法。方法:按照PRISMA指南进行综述,筛选了437篇摘要,检索了24篇全文,发现19篇研究符合纳入标准。7个随机研究中有6个具有不明确或高偏倚风险,而大多数非随机研究被认为是中等质量。结果:总体而言,研究报告了统计上显著的情绪困扰减少。在使用模型特定过程测量的13项研究中,有10项发现在跨诊断因素方面有统计学上显著的改善。讨论:研究结果表明,第三波疗法有望解决神经系统疾病的诊断困难。在质量评价过程中强调了所列研究的一些方法和概念问题。临床意义包括考虑干预时间和使用结果测量。通过考虑行为治疗发展的渐进阶段来讨论研究的意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Third-Wave Therapies for Long-Term Neurological Conditions: A Systematic Review to Evaluate the Status and Quality of Evidence
Background: Adults with long-term neurological conditions can face complex challenges including anxiety and depression. Emerging research suggests the utility of third-wave approaches (the third development of psychotherapies) in working transdiagnostically with these difficulties. Aims: This systematic review sought to summarise and appraise the quality of published empirical studies using third-wave therapies such as Compassion Focused Therapy; Acceptance and Commitment Therapy; and Mindfulness-Based Cognitive Therapy or Mindfulness-Based Stress Reduction. Method: Review procedures followed PRISMA guidelines, with 437 abstracts screened, 24 full-text articles retrieved and 19 studies found to meet inclusion criteria. Six out of seven randomised studies had unclear or high risk of bias, whilst the majority of non-randomised studies were considered moderate quality. Results: Overall, studies reported a statistically significant reduction in emotional distress. Of the 13 studies that used model-specific process measures, 10 found statistically significant improvements in transdiagnostic factors. Discussion: The findings indicate that third-wave therapies show promise in addressing transdiagnostic difficulties within neurological conditions. A number of methodological and conceptual issues for the included studies were highlighted during the quality appraisal process. Clinical implications include consideration of intervention length and use of outcome measures. Research implications are discussed by considering the progressive stages of development for behavioural treatments.
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来源期刊
Brain Impairment
Brain Impairment CLINICAL NEUROLOGY-NEUROSCIENCES
CiteScore
1.10
自引率
0.00%
发文量
30
审稿时长
>12 weeks
期刊介绍: The journal addresses topics related to the aetiology, epidemiology, treatment and outcomes of brain impairment with a particular focus on the implications for functional status, participation, rehabilitation and quality of life. Disciplines reflect a broad multidisciplinary scope and include neuroscience, neurology, neuropsychology, psychiatry, clinical psychology, occupational therapy, physiotherapy, speech pathology, social work, and nursing. Submissions are welcome across the full range of conditions that affect brain function (stroke, tumour, progressive neurological illnesses, dementia, traumatic brain injury, epilepsy, etc.) throughout the lifespan.
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