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Empathic accuracy in individuals with schizotypal personality traits. 精神分裂型人格特征患者的移情准确性。
IF 1.3 4区 心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-01 Epub Date: 2024-03-26 DOI: 10.1002/pchj.743
Ding-Ding Hu, Xiao-Dong Guo, Hong Zheng, Chao Yan, Simon S Y Lui, Yan-Yu Wang, Yi Wang, Raymond C K Chan

Empirical research using the Empathic Accuracy Task (EAT) has suggested that schizophrenia patients and people with schizotypal personality disorder exhibit lower empathic accuracy than healthy people. However, empathic accuracy in a subclinical sample with high levels of schizotypy has seldom been studied. Our study aimed to investigate empathy in a subclinical sample using the Chinese version of the EAT and a self-report empathy measure. Forty participants with high levels of schizotypy (HS participants) and 40 with low levels of schizotypy (LS participants), as measured by the Schizotypal Personality Questionnaire (SPQ), were recruited. All participants completed the Chinese version of the EAT and the self-report Questionnaire of Cognitive and Affective Empathy. Empathic accuracy (EA) scores and the intra-individual variability of EA scores were calculated. Independent samples t tests and Pearson correlation analyses were performed to examine group differences in empathy and the relationship between empathy and schizotypy respectively. HS participants exhibited reduced EA for both positive and negative videos, and larger intra-individual variability of EA for negative videos than LS participants. However, HS and LS participants did not differ in self-report cognitive empathy. Moreover, the interpersonal dimension of the SPQ was negatively correlated with EAT performance and self-report cognitive empathy in LS participants. Individuals with HS show poorer performance-based EA but relatively intact self-report cognitive empathy. This study provides empirical evidence for the ontogeny of empathy deficits in subclinical populations at risk of developing schizophrenia, supporting early interventions for social cognitive deficits.

使用移情准确性任务(EAT)进行的经验研究表明,精神分裂症患者和精神分裂型人格障碍患者的移情准确性低于健康人。然而,对高度精神分裂的亚临床样本的移情准确性却鲜有研究。我们的研究旨在使用中文版共情测验(EAT)和共情自评量表调查亚临床样本中的共情情况。我们招募了 40 名高度精神分裂症患者(HS 患者)和 40 名低度精神分裂症患者(LS 患者),以精神分裂症人格问卷(SPQ)进行测量。所有参与者都填写了中文版共情测验和认知与情感共情自我报告问卷。研究人员计算了移情准确度(EA)得分和EA得分的个体内变异性。通过独立样本t检验和皮尔逊相关分析,分别考察了移情的群体差异以及移情与精神分裂症之间的关系。与LS参与者相比,HS参与者对正面和负面视频的移情能力均有所下降,对负面视频的移情能力的个体内变异性也更大。然而,HS和LS参与者在自我报告的认知移情方面并无差异。此外,SPQ 的人际维度与 EAT 表现和 LS 参与者的自我报告认知移情呈负相关。HS患者的EA表现较差,但自我报告的认知移情却相对完整。这项研究为精神分裂症亚临床高危人群移情缺陷的本体发育提供了实证证据,支持对社会认知缺陷进行早期干预。
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引用次数: 0
The relationship between college students' belief in a just world and online prosocial behavior. 大学生对公正世界的信念与网络亲社会行为之间的关系。
IF 1.3 4区 心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-01 DOI: 10.1002/pchj.788
Yue Yang, Jun Zhan, Shanfang Liao, Rong Lian, Yiting Fang

Previous studies have highlighted the critical role that the belief in a just world (BJW) plays in maintaining and promoting prosocial behaviors within individuals. Considered a stable personality trait, the crux of BJW lies in the conviction that individuals receive what they deserve, and deserve what they receive. Simultaneously, the relationship between BJW and prosocial behavior is impacted by an individual's sense of fairness or unfairness. However, past research has primarily focused on real-life prosocial behavior, with limited exploration into the relationship between BJW and online prosocial behavior. This study, comprising a survey and an experiment, aimed to delve deeper into this relationship. The survey section randomly selected 4212 college students to examine how BJW correlates with online prosocial behavior. Findings predominantly revealed a significant positive correlation between online prosocial behavior and BJW. Additionally, the study explored how gender and place of origin influence these behaviors. Results showed that male students and those from urban areas exhibited significantly higher online prosocial behavior. The experimental research investigated the performance differences in online prosocial behaviors among college students under different fairness scenarios, revealing that the online prosocial behavior in an unfair situation was significantly higher than in fair or neutral situations. Furthermore, in unfair situations, a significant correlation was observed between BJW and online prosocial behavior. The findings from this study significantly advance our understanding of the dynamics between BJW and online prosocial behavior among college students, emphasizing that perceived injustices can markedly enhance prosocial behaviors in virtual settings. This study underscores the profound impact of fairness perceptions and highlights the modulating effects of gender and geographical background on online interactions.

以往的研究强调了 "公正世界的信念"(BJW)在维持和促进个人亲社会行为方面的关键作用。公正世界信念被认为是一种稳定的人格特质,其核心在于坚信个人应得到他们应得的,而且他们也应得到他们应得的。同时,个人的公平或不公平感也会影响 BJW 与亲社会行为之间的关系。然而,以往的研究主要集中于现实生活中的亲社会行为,对 BJW 与网络亲社会行为之间关系的探索十分有限。本研究包括一项调查和一项实验,旨在深入探讨这种关系。调查部分随机选取了 4212 名大学生,研究 BJW 与网络亲社会行为的相关性。调查结果显示,网络亲社会行为与 BJW 之间存在显著的正相关。此外,研究还探讨了性别和籍贯对这些行为的影响。结果显示,男生和来自城市地区的学生表现出更高的网络亲社会行为。实验研究调查了不同公平情景下大学生网络亲社会行为的表现差异,结果显示,不公平情景下的网络亲社会行为明显高于公平或中立情景下的网络亲社会行为。此外,在不公平情境下,北京时间与在线亲社会行为之间存在显著的相关性。本研究的发现极大地推动了我们对 BJW 与大学生在线亲社会行为之间动态关系的理解,强调了感知到的不公正会明显增强虚拟环境中的亲社会行为。本研究强调了公平感的深远影响,并突出了性别和地理背景对在线互动的调节作用。
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引用次数: 0
Why does mobile payment promote purchases? Revisiting the pain of paying, and understanding the implicit pleasure via selective attention. 移动支付为何能促进购物?重温支付之痛,了解选择性注意带来的隐性愉悦。
IF 1.3 4区 心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-01 Epub Date: 2024-05-16 DOI: 10.1002/pchj.765
Qingguo Ma, Yulin Tan, Yijin He, Lu Cheng, Manlin Wang

The past years have witnessed a phenomenal growth of the mobile payment market, but how mobile payment affects purchase behavior receives less attention from academics. Recent studies suggested that lower pain of paying may not fully clarify the relationship between mobile payment and increased purchases (i.e., mobile payment effect). The current research first introduced price level in Study 1 and demonstrated that the pain of paying served as an underlying mechanism only in the high-price condition rather than the low-price condition. As such, Study 2 was conducted in a low-price context to address the uncovered mechanisms. We propose a new concept of "pleasure of payment" that is defined as an implicit and consumption-related hedonic response based on the cue theory of consumption. By tracking spontaneous attention to positive attributes (i.e., benefits) of products, Study 2 demonstrated this implicit pleasure as a psychological mechanism for the mobile payment effect when the pain of paying was not at play. These findings have important implications for mobile payment in research and practice by identifying price level as a boundary condition for the role of pain of paying and understanding the positive downstream consequences of mobile payment usage on consumer psychology.

过去几年中,移动支付市场取得了惊人的发展,但移动支付如何影响购买行为却较少受到学术界的关注。最近的研究表明,较低的支付痛苦可能并不能完全阐明移动支付与购买增加之间的关系(即移动支付效应)。目前的研究首先在研究 1 中引入了价格水平,并证明只有在高价格条件下,而不是在低价格条件下,支付之痛才会成为潜在的机制。因此,研究 2 在低价条件下进行,以解决未发现的机制问题。我们根据消费线索理论,提出了 "支付快感 "这一新概念,并将其定义为一种内隐的、与消费相关的享乐反应。通过追踪对产品积极属性(即好处)的自发关注,研究 2 证明了这种隐性愉悦是在支付痛苦不存在的情况下产生移动支付效应的心理机制。这些发现对研究和实践中的移动支付具有重要意义,因为它们确定了价格水平作为支付痛苦作用的边界条件,并理解了使用移动支付对消费者心理产生的积极下游影响。
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引用次数: 0
Odor awareness modulates the association between perceived stress and chemosensory anhedonia in women. 气味意识调节了女性感知压力与化学感觉失调之间的关联。
IF 1.3 4区 心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-01 Epub Date: 2024-05-16 DOI: 10.1002/pchj.769
Qian Hu, Muyesaier Tuluhong, Pengfei Han

Chronic stress alters reward sensitivity and contributes to anhedonia. Chemosensation is dominated by a hedonic dimension, but little is known about the association between chronic perceived stress and hedonic chemosensation in non-clinical populations. In the current study, 325 participants (201 females) completed a questionnaire-based survey measuring their chronic perceived stress (Perceived Stress Scale; PSS), chemosensory pleasure (Chemosensory Pleasure Scale; CPS), and olfactory metacognitive abilities (odor awareness, affective impact of odor, importance of olfaction). For females, higher PSS scores significantly predicted lower CPS scores, which is mediated by the positive odor awareness. Moreover, negative odor awareness was identified as a moderator underlying the relationship between PSS and CPS scores in females  but not in males. For females, higher PSS predicted lower CPS for those with lower, but not for those with higher levels of negative odor awareness. These results show that the link between chronic perceived stress and chemosensory anhedonia is pronounced in females, with olfactory perception playing a key role. The current study provides insights into the understanding of stress-related anhedonia and into the development of effective treatments.

慢性压力会改变奖赏敏感性并导致失乐症。化学感受以享乐性维度为主,但对于非临床人群中长期感知压力与享乐性化学感受之间的关系却知之甚少。在本研究中,325 名参与者(201 名女性)完成了一项基于问卷的调查,该调查测量了他们的慢性感知压力(感知压力量表;PSS)、化学感觉快感(化学感觉快感量表;CPS)和嗅觉元认知能力(气味意识、气味的情感影响、嗅觉的重要性)。对于女性来说,PSS 分数越高,CPS 分数越低,这与积极气味意识有关。此外,女性的负性气味意识被认为是 PSS 与 CPS 分数之间关系的调节因素,而男性则不然。对于女性来说,较高的 PSS 预测了较低的 CPS,但并没有预测较高的负面气味意识。这些结果表明,女性长期感知压力与化学感觉失调之间的联系非常明显,其中嗅觉感知起着关键作用。目前的研究为了解与压力相关的失乐症以及开发有效的治疗方法提供了见解。
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引用次数: 0
Influence of social mindfulness and Zhongyong thinking style on cooperative financial decision making in a Western sample. 西方样本中社会心态和中庸思维方式对合作财务决策的影响。
IF 1.3 4区 心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-01 Epub Date: 2024-05-22 DOI: 10.1002/pchj.764
Alexander Unger, Zixuan Li, Julie Papastamatelou, Chongzeng Bi

Social mindfulness and Zhongyong thinking style are of high importance when evaluating relevant co-actors in the social world. The current study investigates the influence of social mindfulness and Zhongyong thinking style on cooperative financial decision making in a public goods game among a Canadian sample. We hypothesize that higher perceived social mindfulness and higher perceived Zhongyong thinking style will increase the amount of money contributed to a joint project in a public goods game. The sample was a prolific-based online recruited sample of n = 125 Canadians. We observed a significant main effect of Zhongyong thinking style on the amount of contributed money in the public goods game. Social mindfulness did not reach significance. The influence of Zhongyong thinking style was qualified by a significant Zhongyong by gender interaction, indicating that females but not males reduced their contributions if the Zhongyong thinking style of the co-actor was manipulated as being low. It is shown that Zhongyong thinking style is also relevant in a Western cultural setting. Future research is needed, however, to investigate further the reasons for the differences between females and males.

在评估社会世界中的相关共同行为者时,社会心智和中庸思维方式非常重要。本研究以加拿大样本为研究对象,探讨了在公共物品游戏中,社会心智和中庸思维方式对合作财务决策的影响。我们假设,较高的社会心智感知和较高的中庸思维风格感知会增加公共物品游戏中对联合项目的资金贡献。样本是一个基于在线招募的多产样本,n = 125 名加拿大人。我们观察到,在公益游戏中,"中庸 "思维方式对捐款金额有明显的主效应。社交心态的影响不显著。中庸思维方式的影响还受到中庸与性别交互作用的显著影响,这表明如果共同行为者的中庸思维方式被操纵为低,则女性(而非男性)会减少捐款。这表明,中庸思维风格在西方文化背景下也具有相关性。然而,未来的研究还需要进一步调查女性和男性之间存在差异的原因。
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引用次数: 0
Psychological impact of the COVID-19 pandemic on infertile patients: A systematic review and meta-analysis. COVID-19 大流行对不孕患者的心理影响:系统回顾和荟萃分析。
IF 1.3 4区 心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-01 Epub Date: 2024-06-18 DOI: 10.1002/pchj.782
Yu Liu, Yiyao Su, Xiaoshan Li

The present study aimed to examine the psychological impact of the COVID-19 pandemic on infertile patients. We adopted a comparison design and searched articles published from 1 September 2016 to 31 December 2019 as the control group, while articles published from 1 January 2020 to 31 April 2023 were treated as the pandemic group. Specifically, Web of Science, PubMed, Medline, PsycArticle, CNKI and PsycINFO were searched to identify potential eligible records. Risk of bias was assessed, and random-effects meta-analyses were conducted to estimate the prevalence of specific mental health problems. Forty studies with a total of 19,480 participants were included in the analysis. The pooled prevalence of anxiety in the pandemic group was significantly higher than that in the control group. The depression and stress prevalence in the pandemic group was higher than that in the control group, yet did not reach statistical significance. A subgroup analysis revealed region differences with developed countries exhibiting higher rates of anxiety and depression in the pandemic group, but the result was the opposite in the control group. Physiological factors, psychological factors and social factors correlated with infertile patients' mental health were identified. The COVID-19 pandemic had a significant negative impact on infertile patients' mental health, emphasizing the importance of ways to mitigate the risks during the pandemic.

本研究旨在探讨COVID-19大流行对不孕患者的心理影响。我们采用对比设计,将2016年9月1日至2019年12月31日发表的文章作为对照组进行检索,而将2020年1月1日至2023年4月31日发表的文章作为大流行组进行检索。具体而言,我们检索了 Web of Science、PubMed、Medline、PsycArticle、CNKI 和 PsycINFO,以确定潜在的合格记录。对偏倚风险进行了评估,并进行了随机效应荟萃分析,以估计特定心理健康问题的流行率。分析共纳入了 40 项研究,共计 19,480 名参与者。大流行组的焦虑症患病率明显高于对照组。大流行病组的抑郁和压力流行率高于对照组,但未达到统计学意义上的显著性。分组分析显示了地区差异,发达国家在大流行病组中焦虑和抑郁的发生率较高,但在对照组中结果恰恰相反。研究发现了与不孕症患者心理健康相关的生理因素、心理因素和社会因素。COVID-19 大流行对不孕不育患者的心理健康产生了严重的负面影响,强调了在大流行期间降低风险的方法的重要性。
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引用次数: 0
Working memory components modulation of attentional disengagement from evaluative distractor. 工作记忆成分对注意力脱离评价性分心物的调节。
IF 1.3 4区 心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-01 Epub Date: 2024-03-26 DOI: 10.1002/pchj.748
Minmin Yan, Yanying Tian, Min Hai, Bohua Zhang, Antao Chen

It is important for people to disengage attention from a distraction, which can help them complete the task at hand as quickly as possible. Recent studies have shown that people's attention stays longer on reward-distractors than on loss-distractors, and a delay in attentional disengagement is noted when reward-distractors are present. However, few studies have examined whether attentional disengagement from an evaluative distractor relies upon working memory (WM) components. In the present study, we used an attentional disengagement paradigm in which reward- or loss-distractors were presented at a central location and the target was presented at a peripheral location, in combination with different WM tasks. The results from Experiment 1 showed that participants were slower to disengage their attention from a central reward-distractor than a loss-distractor regardless of cognitive load when the phonological loop component of WM was involved. The results from Experiment 2 revealed that people had difficulty in shifting their attention away from a reward-distractor in comparison to a loss-distractor when spatial WM was low, whereas no such difference was observed when spatial WM was high. We conclude that WM components differently modulate attentional disengagement from evaluative distractors. That is, the processing of evaluative (reward and loss) distractors may rely on the same cognitive resources as the spatial WM component, but not the phonological loop component.

让注意力从分心事物中分离出来对人们来说非常重要,这可以帮助他们尽快完成手头的任务。最近的研究表明,人们的注意力在奖励性分心物上停留的时间比在损失性分心物上停留的时间要长,而且当奖励性分心物出现时,注意力脱离会出现延迟。然而,很少有研究探讨注意力脱离评价性分心物是否依赖于工作记忆(WM)成分。在本研究中,我们使用了一种注意力脱离范式,在该范式中,奖励或损失分心物出现在中心位置,目标物出现在外围位置,并结合不同的 WM 任务。实验 1 的结果表明,当涉及 WM 的语音环路成分时,无论认知负荷如何,参与者从中央奖励--吸引物上脱离注意力的速度都比从损失--吸引物上脱离注意力的速度慢。实验 2 的结果表明,当空间 WM 较低时,人们很难将注意力从奖励掷远点转移到损失掷远点,而当空间 WM 较高时,则没有观察到这种差异。我们的结论是,WM 成分会以不同方式调节注意力从评价性分心物上的脱离。也就是说,对评价性(奖励和损失)分心物的处理可能依赖于与空间 WM 成分相同的认知资源,但不依赖于语音环路成分。
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引用次数: 0
"Support the strong" or "Help the weak?": The effects of social comparison and social distance on cooperative behavior in the dictator game. "支持强者 "还是 "帮助弱者?社会比较和社会距离对独裁者游戏中合作行为的影响。
IF 1.3 4区 心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-28 DOI: 10.1002/pchj.802
Qian Sun, Qinglei Li, Jiamin Qian, Shasha Luo, Yongfang Liu

Within an object-interdependent context, we conducted three experiments to investigate the influence of social comparisons on cooperative behavior, as well as to assess the mediating and moderating effects of related variables. In Experiment 1 (n = 207), we examined whether social comparisons impact cooperative behavior toward a comparator in a dictator game task. Here, we specifically focused on the mediating effects of evaluation of others' competence, along with three other potential mediators: self-competence evaluation, positive emotions, and negative emotions. Following the insights gained from Experiment 1, we proceeded to Experiments 2 (n = 279) and 3 (n = 298) to further explore whether social distance moderates the mediating effect of evaluation of others' competence. The results of all three experiments consistently indicated that upward (vs. non-) comparison facilitated cooperative behavior, whereas downward (vs. non-) comparison hindered it. Furthermore, our findings revealed that evaluation of others' competence served as a mediator between social comparison and cooperative behavior when the comparator (i.e., the cooperative partner) was perceived as being at a far-distance, whereas the mediating effect of evaluation of others' competence disappeared when social distance was close. These results reveal the pivotal role of evaluating others' competence and social distance in social interactions from the perspective of social comparison, which provides insights into how to promote cooperative behavior.

在客体相互依赖的情境下,我们进行了三项实验来研究社会比较对合作行为的影响,以及评估相关变量的中介和调节作用。在实验 1(n = 207)中,我们研究了社会比较是否会影响独裁者游戏任务中对比较者的合作行为。在这里,我们特别关注了对他人能力评价的中介效应,以及其他三个潜在的中介效应:自我能力评价、积极情绪和消极情绪。根据实验 1 获得的启示,我们接着进行了实验 2(n = 279)和实验 3(n = 298),以进一步探讨社会距离是否会调节对他人能力评价的中介效应。三个实验的结果一致表明,向上(与非)比较促进了合作行为,而向下(与非)比较则阻碍了合作行为。此外,我们的研究结果表明,当比较者(即合作对象)被认为距离较远时,对他人能力的评价在社会比较与合作行为之间起着中介作用,而当社会距离较近时,对他人能力的评价的中介作用消失。这些结果从社会比较的角度揭示了评价他人能力和社会距离在社会互动中的关键作用,为如何促进合作行为提供了启示。
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引用次数: 0
Distributive fairness during the transition to adolescence: The role of peer comparison and social value orientation. 向青春期过渡期间的分配公平:同伴比较和社会价值取向的作用。
IF 1.3 4区 心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-18 DOI: 10.1002/pchj.800
Siqi Liu, Xinmu Hu, Weijun Ge, Xiaoqin Mai

Combining the dictator game (DG) and the ultimatum game (UG), this study recruited 546 Chinese children (321 boys, aged 9-12 years) as distributors, and found that both peer comparison and social value orientation (SVO) significantly influenced children's distributive fairness from late childhood to early adolescence. Results showed that as the unfairness of peer proposals increased, participants decreased the amount of gold coins distributed to the receiver in both tasks, revealing a peer comparison effect. This effect was more pronounced for adolescents than for children in both tasks. In addition, participants' fair distribution behaviors in the DG showed a three-way interaction effect of SVO, grade, and peer comparison. Specifically, for proselfs, children were not influenced by peers and consistently proposed self-interested distributions, whereas adolescents exhibited a peer comparison effect; for prosocials, both children and adolescents were influenced by peers, but children decreased the amount of their distributions only when they saw peers make extremely unfair distributions, whereas adolescents decreased the amount of their distributions when they saw peers make both mildly and extremely unfair distributions. This study highlights the importance of social environment and personal trait in shaping children's fair distribution behavior during the transition from late childhood to early adolescence.

本研究结合独裁者游戏(DG)和最后通牒游戏(UG),招募了546名中国儿童(321名男孩,9-12岁)作为分配者,发现同伴比较和社会价值取向(SVO)对儿童从童年晚期到青春期早期的分配公平性有显著影响。结果显示,随着同伴提议的不公平程度增加,参与者在两个任务中分配给接受者的金币数量都会减少,这揭示了同伴比较效应。在这两个任务中,青少年比儿童的这种效应更为明显。此外,参与者在 DG 中的公平分配行为显示出 SVO、年级和同伴比较的三方交互效应。具体来说,在亲己行为中,儿童不受同伴影响,总是提出利己的分配方案,而青少年则表现出同伴比较效应;在亲社会行为中,儿童和青少年都受同伴影响,但儿童只有在看到同伴做出极端不公平的分配方案时才会减少分配方案的数量,而青少年则在看到同伴做出轻度和极端不公平的分配方案时才会减少分配方案的数量。这项研究强调了社会环境和个人特质对儿童从童年晚期向青少年早期过渡期间公平分配行为的重要影响。
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引用次数: 0
Peripheral nerve stimulation for lower‐limb postoperative recovery: A systematic review and meta‐analysis of randomized controlled trials 外周神经刺激促进下肢术后恢复:随机对照试验的系统回顾和荟萃分析
IF 1.6 4区 心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-17 DOI: 10.1002/pchj.794
Jingxinmiao Lin, Dong Song, Yiheng Tu, Huijuan Zhang
Patients undergoing lower‐limb orthopedic surgery may experience multiple postoperative complications. Although peripheral nerve stimulation (PNS) is a promising non‐pharmacological approach that has been used in lower‐limb postoperative recovery, the clinical efficacy of PNS remains inconclusive. This study systematically searched three databases (PubMed, Embase, and Cochrane Library) for randomized controlled trials (RCTs) that examined the treatment effects of PNSs in patients who underwent lower‐limb orthopedic surgery up to September 29, 2023. Two investigators independently identified studies, extracted data, and conducted meta‐analyses with Review Manager 5.4. The outcomes were pain relief (measured by reductions in pain intensity and analgesic consumption) and functional improvements (range of motion [ROM] and length of hospitalization [LOH]). A total of 633 patients including 321 in the experimental groups and 312 in the control groups from eight RCTs were included. PNS showed no significant effect on pain intensity, while analgesic consumption was marginally significantly reduced in the experimental group. Furthermore, no significant differences were observed regarding functional improvements in ROM or LOH after the intervention. Although PNS had no significant effect on pain relief or functional improvements, the intervention exhibited a marginally significant reduction in analgesic consumption. Future trials should be conducted with larger sample sizes, longer follow‐up periods, and more varied stimulation parameters.
接受下肢矫形手术的患者可能会出现多种术后并发症。尽管外周神经刺激(PNS)是一种很有前景的非药物疗法,已被用于下肢术后恢复,但其临床疗效仍无定论。本研究系统地检索了三个数据库(PubMed、Embase 和 Cochrane Library),以寻找截至 2023 年 9 月 29 日对下肢矫形手术患者进行 PNS 治疗效果研究的随机对照试验 (RCT)。两名研究人员独立鉴定了研究、提取了数据,并使用 Review Manager 5.4 进行了荟萃分析。研究结果包括疼痛缓解(以疼痛强度和镇痛药用量的减少来衡量)和功能改善(活动范围 [ROM] 和住院时间 [LOH])。八项研究共纳入了 633 名患者,其中实验组 321 人,对照组 312 人。PNS 对疼痛强度无明显影响,而实验组的镇痛药用量则略有减少。此外,干预后在 ROM 或 LOH 功能改善方面也未观察到明显差异。虽然 PNS 对疼痛缓解或功能改善没有显著影响,但干预后镇痛药用量略有明显减少。未来的试验应采用更大的样本量、更长的随访时间和更多样的刺激参数。
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