Effect of acceptance and commitment therapy for depressive disorders: a meta-analysis.

IF 3.6 3区医学 Q1 PSYCHIATRY Annals of General Psychiatry Pub Date : 2023-09-07 DOI:10.1186/s12991-023-00462-1

Bing Zhao, Qian Wang, Liping Wang, Jie Chen, Tongtong Yin, Jingxuan Zhang, Xiaojing Cheng, Ruihua Hou

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Abstract

Objective: To systematically evaluate the effect of Acceptance and Commitment Therapy (ACT) on depressive disorders.

Methods: The electronic databases of Web of Science Core Collection, Pubmed, EMBASE, Cochrane Library, PsycInfo, CNKI, Wanfang and Weipu were used to select relevant publications. Screening, data extraction, and quality assessment were undertaken following PRISMA guidelines for preferred reporting of systematic reviews and meta-analysis. RevMan5.4 was used for meta-analysis.

Results: 11 studies with a total of 962 patients were included. Random-effects model analysis showed that ACT could effectively reduce the level of depressive symptoms in patients with depressive disorders (SMD = - 1.05, 95% CI: - 1.43-- 0.66, P < 0.00001), improve psychological flexibility (MD = 4.84, 95% CI: 2.70-6.97, P < 0.00001), and have good maintenance effect (SMD = - 0.70, 95% CI: - 1.15-- 0.25, P = 0.002). All differences were statistically significant.

Conclusions: ACT not only improves depressive symptoms and psychological flexibility, but also has a good maintenance effect, and it is particularly effective in Chinese patients. Large randomized controlled trials are needed to validate the findings from this meta-analysis.

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接受与承诺治疗对抑郁症的影响:一项荟萃分析。

目的:系统评价接受与承诺疗法(ACT)治疗抑郁症的效果。方法:采用Web of Science Core Collection、Pubmed、EMBASE、Cochrane Library、PsycInfo、CNKI、万方、唯普等电子数据库筛选相关文献。筛选、数据提取和质量评估遵循PRISMA系统评价和荟萃分析优先报告指南进行。采用RevMan5.4进行meta分析。结果:纳入11项研究，共962例患者。随机效应模型分析显示，ACT可有效降低抑郁症患者的抑郁症状水平(SMD = - 1.05, 95% CI: - 1.43—0.66,P)。结论:ACT不仅能改善抑郁症状和心理灵活性，而且具有良好的维持效果，尤其对中国患者有效。需要大型随机对照试验来验证该荟萃分析的结果。

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来源期刊

Annals of General Psychiatry PSYCHIATRY-

CiteScore

6.60

自引率

2.70%

发文量

审稿时长

>12 weeks

期刊介绍： Annals of General Psychiatry considers manuscripts on all aspects of psychiatry, including neuroscience and psychological medicine. Both basic and clinical neuroscience contributions are encouraged. Annals of General Psychiatry emphasizes a biopsychosocial approach to illness and health and strongly supports and follows the principles of evidence-based medicine. As an open access journal, Annals of General Psychiatry facilitates the worldwide distribution of high quality psychiatry and mental health research. The journal considers submissions on a wide range of topics including, but not limited to, psychopharmacology, forensic psychiatry, psychotic disorders, psychiatric genetics, and mood and anxiety disorders.