The effectiveness of social network interventions for psychiatric patients: A systematic review and meta-analysis

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical Psychology Review Pub Date : 2023-08-01 DOI:10.1016/j.cpr.2023.102321

L.T.A. Swinkels , M. Hoeve , J.F. ter Harmsel , L.J. Schoonmade , J.J.M. Dekker , A. Popma , T.M. van der Pol

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Abstract

Strengthening social networks is an important goal in mental health treatment. This study aimed to determine the effectiveness of social network interventions for psychiatric patients. A systematic review and meta-analysis was conducted comparing these interventions with control groups on social and mental health-related outcomes in psychiatric patients. PubMed, EMBASE.com, PsycInfo, Scopus, and IBSS were searched for studies until December 21, 2022. Three-level random effects models were used to obtain Cohen's d mean estimates on composite outcomes of social network and secondary mental health outcomes. Heterogeneity was examined with potential moderators. Thirty-three studies were included. Small-to-moderate effects of social network interventions were detected on positive social network (d = 0.115, p = 0.022) and support (d = 0.159; p = 0.007), general functioning (d = 0.127, p = 0.046), mental health treatment adherence (d = 0.332, p = 0.003), days substance use (d = 0.097, p = 0.004), and abstinence (d = 0.254, p = 0.004). Estimates of psychiatric functioning were higher in samples with more females. The quality of evidence was moderate-to-low. This evidence suggests that social network interventions can improve positive social networks, general functioning, mental health treatment adherence, and substance use in psychiatric patients receiving usual care.

PROSPERO ID: CRD42019131959.

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社会网络干预对精神病患者的有效性：一项系统综述和荟萃分析。

加强社交网络是心理健康治疗的一个重要目标。本研究旨在确定社会网络干预对精神病患者的有效性。进行了一项系统综述和荟萃分析，将这些干预措施与对照组在精神病患者的社会和心理健康结果方面进行了比较。PubMed、EMBASE.com、PsycInfo、Scopus和IBSS在2022年12月21日之前一直在搜索研究。使用三级随机效应模型来获得Cohen对社会网络和次要心理健康结果的复合结果的d均值估计。用潜在的调节因子检测异质性。包括三十三项研究。社会网络干预对积极的社会网络（d=0.115，p=0.022）和支持（d=0.159；p=0.007）、一般功能（d=0.127，p=0.046）、心理健康治疗依从性（d=0.332，p=0.003）、药物使用天数（d=0.097，p=0.004），和禁欲（d=0.254，p=0.004）。女性较多的样本对精神功能的估计更高。证据的质量从中等到低。这一证据表明，社会网络干预可以改善接受常规护理的精神病患者的积极社会网络、总体功能、心理健康治疗依从性和药物使用。PROSPERO ID:CRD42019131959。

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来源期刊

Clinical Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

23.10

自引率

1.60%

发文量

期刊介绍： Clinical Psychology Review serves as a platform for substantial reviews addressing pertinent topics in clinical psychology. Encompassing a spectrum of issues, from psychopathology to behavior therapy, cognition to cognitive therapies, behavioral medicine to community mental health, assessment, and child development, the journal seeks cutting-edge papers that significantly contribute to advancing the science and/or practice of clinical psychology. While maintaining a primary focus on topics directly related to clinical psychology, the journal occasionally features reviews on psychophysiology, learning therapy, experimental psychopathology, and social psychology, provided they demonstrate a clear connection to research or practice in clinical psychology. Integrative literature reviews and summaries of innovative ongoing clinical research programs find a place within its pages. However, reports on individual research studies and theoretical treatises or clinical guides lacking an empirical base are deemed inappropriate for publication.