Cognitive Behavioral Therapy for Depression Among Chinese Diabetes Patients: A Systematic Review and Meta-Analysis

IF 1.7 4区社会学 Q1 SOCIAL WORK Research on Social Work Practice Pub Date : 2023-05-02 DOI:10.1177/10497315231171374

Zhan Yu, Q. An, Jaclynn Hawkins, Anao Zhang

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Abstract

Objective: The purpose of this study was to evaluate the effectiveness of cognitive behavioral therapy (CBT) for Chinese diabetic patients suffering from depression. Method: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we researched seven electronic databases and two professional websites. Publication bias was assessed using funnel plot. Meta-analysis was conducted using meta-regression with robust variance estimation. Results: Final analysis included a total of 23 controlled trials containing 201 effect size estimates (including 5025 participants). Subgroup analyses indicated significant treatment effects for (1) depression outcomes, anxiety outcomes, psychological stress/distress outcomes, physiological outcomes, and general wellness outcomes, (2) studies with/without manuals, (3) studies using individual-based/group-based CBT, (4) studies in person/assisted with technology, and (5) studies providers with/without training. The treatment outcomes and intervention composition (CBT only versus CBT plus other approaches) were significant moderators. Conclusions: Findings of the study suggested CBT is a promising treatment option for depression among Chinese diabetes patients.

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认知行为疗法治疗中国糖尿病患者抑郁:系统回顾和荟萃分析

目的:评价认知行为疗法(CBT)对中国糖尿病合并抑郁症患者的治疗效果。方法:根据系统评价和荟萃分析的首选报告项目指南，研究了7个电子数据库和2个专业网站。采用漏斗图评估发表偏倚。采用稳健方差估计的元回归进行meta分析。结果:最终分析共纳入23项对照试验，包含201项效应量估计(包括5025名参与者)。亚组分析表明，以下方面的治疗效果显著:(1)抑郁结局、焦虑结局、心理压力/痛苦结局、生理结局和一般健康结局;(2)有/没有手册的研究;(3)使用基于个人/群体的CBT的研究;(4)亲自/技术辅助的研究;(5)有/没有培训的提供者的研究。治疗结果和干预组合(CBT单独与CBT加其他方法)是显著的调节因子。结论:本研究结果提示CBT是治疗中国糖尿病患者抑郁症的一种有前景的治疗选择。

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来源期刊

Research on Social Work Practice SOCIAL WORK-

CiteScore

3.50

自引率

11.10%

发文量

105

期刊介绍： Research on Social Work Practice, sponsored by the Society for Social Work and Research, is a disciplinary journal devoted to the publication of empirical research concerning the methods and outcomes of social work practice. Social work practice is broadly interpreted to refer to the application of intentionally designed social work intervention programs to problems of societal and/or interpersonal importance, including behavior analysis or psychotherapy involving individuals; case management; practice involving couples, families, and small groups; community practice education; and the development, implementation, and evaluation of social policies.