Clinical Psychology Review最新文献_第2页

The psychometric assessment of the older adult in pain: A systematic review of assessment instruments 老年人疼痛心理评估：对评估工具的系统回顾。

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2024-10-29 DOI: 10.1016/j.cpr.2024.102513

Andrew I.G. McLennan , Emily M. Winters , Michelle M. Gagnon , Thomas Hadjistavropoulos

We conducted a systematic review of pain assessment tools suitable for community-dwelling older adults. For this work, we conceptualized existing psychometric tools as falling under the following domains: a) pain intensity/characteristics; b) pain-related interference/disability; c) coping strategies; d) pain beliefs/attitudes/cognitions; e) pain-related fear and anxiety; and f) pain-specific emotional distress. Multi-dimensional and condition-specific tools were also considered. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology for systematic reviews of patient-reported outcome measures guided the evaluation of measurement properties, quality of evidence ratings, and recommendations for each measure. A search of Medline, PsycINFO, Web of Science, and the Cumulative Index of Nursing and Allied Health Literature, yielded a total of 21,755 records. Of these, 120 studies, focusing on 57 psychometric tools, were included in this review and categorized into the aforementioned pain assessment domains. The availability of psychometric studies with older adult populations was insufficient for most tools and the quality of evidence ranged from very low to high. Only a small number of tools met the criteria for a strong or tentative recommendation favoring their use. We identified gaps that should be addressed in future research.

我们对适用于社区老年人的疼痛评估工具进行了系统回顾。在这项工作中，我们将现有的心理测量工具归纳为以下几个领域：a) 疼痛强度/特征；b) 与疼痛相关的干扰/残疾；c) 应对策略；d) 疼痛信念/态度/认知；e) 与疼痛相关的恐惧和焦虑；f) 与疼痛相关的情绪困扰。此外，还考虑了多维工具和针对特定病症的工具。基于共识的健康测量工具选择标准（COSMIN）方法用于对患者报告的结果测量方法进行系统性回顾，指导对每种测量方法的测量特性、证据质量评级和建议进行评估。通过对 Medline、PsycINFO、Web of Science 和 Cumulative Index of Nursing and Allied Health Literature 的检索，共获得 21,755 条记录。其中有 120 项研究被纳入本综述，这些研究主要涉及 57 种心理测量工具，并按上述疼痛评估领域进行了分类。对于大多数工具而言，针对老年人群的心理测量研究并不充分，证据质量从很低到很高不等。只有少数工具符合强烈推荐或暂定推荐使用的标准。我们发现了未来研究中需要解决的不足之处。

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引用次数: 0

Comparison of effects of interventions to promote the mental health of parents of children with autism: A systematic review and network meta-analysis 促进自闭症儿童家长心理健康的干预措施效果比较：系统综述和网络荟萃分析。

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2024-10-29 DOI: 10.1016/j.cpr.2024.102508

Shuliang Mo , Fan Bu , Shujuan Bao , Zhou Yu

Individuals diagnosed with autism spectrum disorders often face persistent challenges in social interaction and engage in repetitive and stereotyped behaviors. Parenting a child with autism can profoundly affect parents both physically and psychologically, potentially leading to negative impacts on their mental health. This study employs a network meta-analysis methodology to evaluate the comparative effectiveness of mental health interventions specifically designed for parents of autistic children. A total of 69 empirical intervention studies involving 4213 parents of autistic children were included in the analysis. Employing the frequency framework model and utilizing Stata 16.0 software, we quantitatively analyzed the impact of various interventions on anxiety, depression, parenting stress, and parenting self-efficacy. Our findings indicate that mindfulness-based interventions demonstrate the highest efficacy in reducing parenting stress, while cognitive behavioral therapy is effective in alleviating anxiety and depression in parents of children with autism. Psychoeducational interventions have shown significant benefits in mitigating parental anxiety, depression, and parenting stress, and acceptance and commitment (ACT) displays promising outcomes in reducing depression. We also elaborate on the underlying mechanisms that contribute to the effectiveness of these interventions. This network meta-analysis presents valuable insights for the development of targeted interventions to provide support to parents of children with autism.

被诊断出患有自闭症谱系障碍的患者通常在社交互动方面面临持续的挑战，并有重复和刻板的行为。养育自闭症儿童会对父母的生理和心理产生深远影响，并可能对他们的心理健康造成负面影响。本研究采用网络荟萃分析方法，评估专门针对自闭症儿童家长的心理健康干预措施的比较效果。共有 69 项涉及 4213 名自闭症儿童家长的实证干预研究被纳入分析范围。我们采用频率框架模型和 Stata 16.0 软件，定量分析了各种干预措施对焦虑、抑郁、养育压力和养育自我效能的影响。我们的研究结果表明，以正念为基础的干预措施在减轻养育压力方面效果最佳，而认知行为疗法则能有效缓解自闭症儿童家长的焦虑和抑郁。心理教育干预在减轻父母焦虑、抑郁和养育压力方面有显著效果，而接纳与承诺（ACT）在减轻抑郁方面也显示出良好的效果。我们还阐述了这些干预措施产生效果的潜在机制。这项网络荟萃分析为开发有针对性的干预措施，为自闭症儿童的父母提供支持提供了宝贵的见解。

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引用次数: 0

Network meta-analysis examining efficacy of components of cognitive behavioural therapy for insomnia 对认知行为疗法治疗失眠的疗效进行网络荟萃分析

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2024-10-28 DOI: 10.1016/j.cpr.2024.102507

Lisa Steinmetz , Laura Simon , Bernd Feige , Dieter Riemann , Anna F. Johann , Johanna Ell , David D. Ebert , Harald Baumeister , Fee Benz , Kai Spiegelhalder

Cognitive behavioural therapy for insomnia (CBTI) is recommended as first-line treatment for insomnia. CBT-I is a multi-component intervention comprising psychoeducation, sleep restriction, stimulus control, cognitive, and relaxation therapy. The relative efficacy of its components has yet to be investigated with state-of-the-art meta-analytic methods. PubMed, MEDLINE, PsycINFO, PsycARTICLES, and CINAHL were searched according to a pre-registered protocol using search terms indicative of insomnia and CBTI. Baseline-to-post-treatment effect sizes (Cohen's d) were calculated in a component network meta-analysis. Eighty studies representing 15,351 participants (mean age 44.9 years, 70.1 % female) were included. For the primary outcome insomnia severity, a significant positive effect for sleep restriction therapy (d = −0.45; 95 % CI: [−0.63; −0.36]) was found. Overall, the results suggest that sleep restriction therapy improves self-reported sleep continuity and sleep quality, and stimulus control therapy improves self-reported and objective total sleep time. No significant effects of psychoeducation, relaxation therapy, and cognitive therapy, and no further significant effects of any CBT-I component on objective sleep parameters were found. The most common sources of bias were a lack of blinding, missing outcome data, and the absence of study protocols. The current results suggest that sleep restriction therapy and stimulus control therapy are the most effective components of CBT-I.

失眠认知行为疗法（CBTI）被推荐为失眠症的一线治疗方法。CBT-I 是一种多成分干预方法，包括心理教育、睡眠限制、刺激控制、认知和放松疗法。其各组成部分的相对疗效还有待采用最先进的荟萃分析方法进行研究。根据预先登记的方案，使用表明失眠和 CBTI 的检索词对 PubMed、MEDLINE、PsycINFO、PsycARTICLES 和 CINAHL 进行了检索。在成分网络荟萃分析中计算了基线到治疗后的效应大小（Cohen's d）。共纳入了代表 15,351 名参与者（平均年龄 44.9 岁，70.1% 为女性）的 80 项研究。就主要结果失眠严重程度而言，睡眠限制疗法具有显著的正效应（d = -0.45；95 % CI：[-0.63; -0.36]）。总体而言，研究结果表明，睡眠限制疗法可改善自我报告的睡眠连续性和睡眠质量，而刺激控制疗法则可改善自我报告的和客观的总睡眠时间。心理教育、放松疗法和认知疗法对客观睡眠参数均无明显影响，而 CBT-I 的任何组成部分对客观睡眠参数均无进一步的明显影响。最常见的偏差来源是缺乏盲法、结果数据缺失和缺乏研究方案。目前的结果表明，睡眠限制疗法和刺激控制疗法是 CBT-I 最有效的组成部分。

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引用次数: 0

Motor actions across psychiatric disorders: A research domain criteria (RDoC) perspective 精神病患者的运动行为：研究领域标准（RDoC）视角。

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2024-10-28 DOI: 10.1016/j.cpr.2024.102511

K. Juston Osborne , Sebastian Walther , Vijay A. Mittal

The motor system is critical for understanding the pathophysiology and treatment of mental illness. Abnormalities in the processes that allow us to plan and execute movement in a goal-directed, context-appropriate manner (i.e., motor actions) are especially central to clinical motor research. Within this context, the NIMH Research Domain Criteria (RDoC) framework now includes a Motor Actions construct within the recently incorporated Sensorimotor Systems Domain, providing a useful framework for conducting research on motor action processes. However, there is limited available resources for understanding or implementing this framework. We address this gap by providing a comprehensive critical review and conceptual integration of the current clinical literature on the subconstructs comprising the Motor Actions construct. This includes a detailed discussion of each Motor Action subconstruct (e.g., action planning/execution) and its measurement across different units of analysis (e.g., molecules to behavior), the temporal and conceptual relationships among the Motor Action subconstructs (and other relevant RDoC domain constructs), and how abnormalities in these Motor Action subconstructs manifest in mental illness. Together, the review illustrates how motor system dysfunction is implicated in the pathophysiology of many psychiatric conditions and demonstrates shared and distinct mechanisms that may account for similar manifestations of motor abnormalities across disorders.

运动系统对于了解精神疾病的病理生理学和治疗至关重要。我们能够以目标为导向、与环境相适应的方式计划和执行运动的过程（即运动动作）出现异常，这对临床运动研究尤为重要。在此背景下，NIMH 研究领域标准（RDoC）框架现在包括了最近纳入的感觉运动系统领域中的运动动作结构，为开展运动动作过程研究提供了一个有用的框架。然而，用于理解或实施该框架的可用资源非常有限。为了弥补这一不足，我们对当前有关运动动作建构子结构的临床文献进行了全面的批判性回顾和概念整合。这包括详细讨论每个运动动作子结构（如动作计划/执行）及其在不同分析单位（如分子到行为）中的测量、运动动作子结构（以及其他相关的 RDoC 领域结构）之间的时间和概念关系，以及这些运动动作子结构的异常在精神疾病中的表现。综上所述，该综述说明了运动系统功能障碍是如何与许多精神疾病的病理生理学相联系的，并展示了可能导致不同疾病的运动异常表现相似的共同和独特机制。

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引用次数: 0

The current evidence of solution-focused brief therapy: A meta-analysis of psychosocial outcomes and moderating factors 以解决方案为重点的简短疗法的现有证据：社会心理成果和调节因素的荟萃分析。

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2024-10-28 DOI: 10.1016/j.cpr.2024.102512

E. Vermeulen-Oskam , C. Franklin , L.P.M. van’t Hof , G.J.J.M. Stams , E.S. van Vugt , M. Assink , E.J. Veltman , A.S. Froerer , J.P.C. Staaks , A. Zhang

Purpose

Solution Focused Brief Therapy (SFBT) focuses on the strengths and resources of clients, and is assumed to achieve positive results on various psychosocial outcomes. This meta-analysis is an extension of previous meta-analyses on SFBT, and examines if the effectiveness of SFBT is influenced by participant, intervention, study and publication characteristics.

Methods

Experimental and quasi-experimental studies were included. A three-level meta-analysis was performed on 72 studies and 489 effect sizes, accounting for within and between study differences.

Results

The overall effect of SFBT on psychosocial problems was large (g = 1.17). Moderator analyses revealed larger effects of SFBT in non-clinical samples (g = 1.50) than in clinical samples (g = 0.78). Studies with treatment-as-usual (TAU) as control condition reported smaller effects (g = 0.58) than studies with a no-treatment control condition (g = 1.59). Relatively large effects were found for couples (g = 3.02) compared to other client groups (0.41 < g < 1.70), and marital functioning (g = 3.02) compared to other outcomes (0.23 < g < 1.31). Group therapy (g = 1.64) yielded a larger effect than individual therapy (g = 0.48).

Conclusion

The findings indicate that SFBT is applicable for a variety of clients and psychosocial problems.

目的：以解决问题为重点的简易疗法（SFBT）关注客户的优势和资源，被认为能在各种社会心理结果上取得积极效果。本荟萃分析是对之前有关 SFBT 的荟萃分析的延伸，旨在研究 SFBT 的有效性是否受参与者、干预、研究和出版特征的影响：方法：纳入实验和准实验研究。方法：纳入实验和准实验研究，对 72 项研究和 489 个效应大小进行了三级荟萃分析，并考虑了研究内部和研究之间的差异：结果：SFBT 对社会心理问题的总体影响较大（g = 1.17）。主持人分析显示，SFBT 在非临床样本中的效应（g = 1.50）大于在临床样本中的效应（g = 0.78）。将 "常规治疗"（TAU）作为对照条件的研究报告的效果（g = 0.58）小于无治疗对照条件的研究报告的效果（g = 1.59）。与其他客户群体（0.41）相比，夫妻群体（g = 3.02）的效果相对较大：研究结果表明，SFBT 适用于各种客户和社会心理问题。

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引用次数: 0

Bridging perspectives - A review and synthesis of 53 theoretical models of delusions 视角的桥梁--53 种妄想症理论模型的回顾与综述。

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2024-10-28 DOI: 10.1016/j.cpr.2024.102510

S. Denecke, S.N. Schönig , A. Bott , J.L. Faße , T.M. Lincoln

The degree to which numerous existing models of delusion formation disagree or propose common mechanisms remains unclear. To achieve a comprehensive understanding of delusion aetiology, we summarised 53 theoretical models of delusions extracted from a systematic literature search. We identified central aspects and unique or overarching features of five core perspectives: cognitive (n = 22), associative learning (n = 4), social (n = 6), neurobiological (n = 6), and Bayesian inference (n = 15). These perspectives differ in foci and mechanistic explanations. Whereas some postulate delusions to result from associative and operant learning, others assume a disbalance in the integration of prior beliefs and sensory input or emphasise the relevance of information processing biases. Postulated moderators range from maladaptive generalised beliefs over neurocognitive impairment to dopamine, stress, and affective dysregulation. The models also differ in whether they attempt to explain delusion formation in general or the delusional content (i.e., persecutory). Finally, some models postulate functional aspects of delusions, such as insight relief. Despite their differences, the perspectives converge on the idea that delusions form as an explanation for an experienced ambiguity. Building on this common ground, we propose an integrative framework incorporating essential mechanistic explanations from each perspective and discuss its implications for research and clinical practice.

现有的众多妄想形成模型在多大程度上存在分歧或提出了共同的机制，目前仍不清楚。为了全面了解妄想的病因，我们总结了从系统文献检索中提取的 53 种妄想理论模型。我们确定了五种核心观点的中心内容和独特或总体特征：认知（22 个）、联想学习（4 个）、社会（6 个）、神经生物学（6 个）和贝叶斯推理（15 个）。这些观点的重点和机理解释各不相同。一些人认为妄想是联想和操作性学习的结果，而另一些人则认为是先前的信念和感觉输入的整合失衡，或强调信息处理偏差的相关性。推测的调节因素包括适应不良的泛化信念、神经认知障碍、多巴胺、压力和情感失调。这些模型在试图解释妄想形成的一般情况还是妄想内容（即迫害性妄想）方面也有所不同。最后，一些模型假设了妄想的功能方面，如洞察力缓解。尽管存在差异，但这些观点的共同点是，妄想的形成是对经验模糊性的一种解释。在这一共同点的基础上，我们提出了一个综合框架，其中包含了每种观点的基本机理解释，并讨论了其对研究和临床实践的影响。

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引用次数: 0

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2024-09-24 DOI: 10.1016/j.cpr.2024.102504

Nathan R. Huff, Laura Dunderdale, Alexander J. Kellogg, Linda M. Isbell

The aim of this umbrella review is to summarize evidence on factors that influence help-seeking and service utilization for professional mental healthcare among young people ages 0–30. The CINAHL, Cochrane, Epistemonikos, MEDLINE, PsycINFO, PubMed, and Web of Science databases were searched in December 2023 for systematic reviews in English. The search yielded 26 eligible reviews, all of which are medium or high quality. Primary study overlap was rare. Using an established framework, we organize intrapersonal (n = 37), interpersonal (n = 14), institutional (n = 9), community (n = 7), and public policy (n = 6) factors. The most frequently reviewed factor at each level is trust of professionals (intrapersonal), close others' support for treatment (interpersonal), cost (institutional), availability (community), and insurance (public policy). Stigma is widely referenced (18 reviews) and classified as multi-dimensional. Narrative synthesis reveals population-specific variability (e.g., rural, racial/ethnic minority, refugees, immigrants) in the importance of many factors. To develop interventions and healthcare systems sensitive to young people's needs, we recommend promoting stigma-reduction campaigns, and targeting trustworthiness, affordability, anonymity, accessibility, and mental health literacy. Identifying commonalities and differences across populations and contexts assists in the design of nuanced and efficient treatment delivery systems for young people, who are at a critical time for their mental health.

本综述旨在总结影响 0-30 岁青少年寻求帮助和利用专业心理保健服务的因素的相关证据。2023 年 12 月，我们在 CINAHL、Cochrane、Epistemonikos、MEDLINE、PsycINFO、PubMed 和 Web of Science 数据库中检索了英文系统综述。检索结果显示有 26 篇符合条件的综述，全部为中等或高质量。主要研究重叠的情况很少见。利用既定框架，我们整理了个人内部因素（n = 37）、人际因素（n = 14）、机构因素（n = 9）、社区因素（n = 7）和公共政策因素（n = 6）。在各个层面上，最常被提及的因素是对专业人员的信任（个人内部）、亲密他人对治疗的支持（人际关系）、费用（机构）、可用性（社区）和保险（公共政策）。成见被广泛引用（18 篇综述），并被归类为多维成见。叙述性综述揭示了特定人群（如农村、少数种族/族裔、难民、移民）在许多因素的重要性方面存在差异。为了开发对年轻人的需求敏感的干预措施和医疗保健系统，我们建议推广减少污名化运动，并以可信度、可负担性、匿名性、可及性和心理健康知识为目标。找出不同人群和背景下的共性和差异，有助于为正处于心理健康关键时期的年轻人设计细致高效的治疗体系。

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引用次数: 0

Positive health outcomes of mindfulness-based interventions for cancer patients and survivors: A systematic review and meta-analysis 以正念为基础的干预对癌症患者和幸存者的健康产生积极影响：系统回顾和荟萃分析

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2024-09-19 DOI: 10.1016/j.cpr.2024.102505

Nasim Badaghi , Cecilie Buskbjerg , Linda Kwakkenbos , Sabien Bosman , Robert Zachariae , Anne Speckens

Mindfulness-based interventions (MBIs) are commonly used for cancer patients and survivors to reduce symptoms, but little is known about effects on positive health outcomes. We conducted a systematic review and meta-analysis to determine the effects of MBIs on positive health outcomes (mindfulness skills, self-compassion, positive affect, coping, social support, well-being, personal growth, and spirituality) in cancer patients and survivors. Four databases (PubMed, PsycINFO, Web of Science, and CINAH) were searched (grey literature was not included), abstracts and full texts were screened, and MBI quality and risk of bias were assessed. Effect sizes were calculated and data was analyzed using a frequentist analytical strategy. Eligible studies were randomized controlled trials (RCTs) evaluating the effect of MBIs compared to any type of control on positive health outcomes in cancer patients or survivors. Based on 46 RCTs eligible for meta-analysis, statistical significant effects were observed for all positive health outcomes at post-treatment. Effect sizes ranged from small (positive affect; Hedges's g = 0.26) to large (spirituality, g = 0.91). At follow-up, mindfulness skills, self-compassion, personal growth, and spirituality reached statistical significance, with effect sizes ranging from small (positive affect; g = 0.07) to medium (spirituality; g = 0.61) and large (post-traumatic growth; g = 1.40). Taken together, significant effects of MBIs were found for several positive outcomes in cancer patients and survivors, with the strongest evidence found for mindfulness skills. MBIs may play a key role in improving well-being in this population.

正念干预（MBIs）通常用于癌症患者和幸存者减轻症状，但对积极健康结果的影响却知之甚少。我们进行了一项系统回顾和荟萃分析，以确定正念干预对癌症患者和幸存者的积极健康结果（正念技能、自我同情、积极情绪、应对、社会支持、幸福感、个人成长和灵性）的影响。我们检索了四个数据库（PubMed、PsycINFO、Web of Science 和 CINAH）（不包括灰色文献），筛选了摘要和全文，并评估了 MBI 的质量和偏倚风险。采用频数分析策略计算效应大小并分析数据。符合条件的研究均为随机对照试验（RCT），这些试验评估了 MBI 与任何类型的对照相比对癌症患者或幸存者积极健康结果的影响。根据符合荟萃分析条件的 46 项随机对照试验，在治疗后的所有积极健康结果方面都观察到了具有统计学意义的效果。效应大小从小（积极情绪；Hedges's g = 0.26）到大（灵性，g = 0.91）不等。在后续治疗中，正念技能、自我同情、个人成长和灵性达到了统计学意义，效应大小从小（积极情绪；g = 0.07）到中（灵性；g = 0.61）和大（创伤后成长；g = 1.40）不等。综合来看，MBIs 对癌症患者和幸存者的几种积极结果产生了重大影响，其中正念技能的影响最为明显。MBIs可能会在改善这一人群的幸福感方面发挥关键作用。

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引用次数: 0

Sleep and paranoia: A systematic review and meta-analysis 睡眠与妄想症：系统回顾与荟萃分析。

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2024-09-18 DOI: 10.1016/j.cpr.2024.102503

Poppy Brown , Sarah Reeve , Matthew Hotton , Natalie Steer , Craig Steel

Background

Sleep dysfunction commonly co-occurs with paranoia and is hypothesised to be a contributory causal mechanism in its development and maintenance.

Objectives

To systematically review and quantitatively evaluate the evidence for the relationship between sleep dysfunction and paranoia across the spectrum of severity.

Method

A systematic search was conducted to identify studies investigating the relationship between aspects of sleep and paranoia across clinical and non-clinical groups. A random effects model using a Fisher r-to-z transformed correlation coefficient was used for meta-analysis.

Results

45 studies were included in the review and 14 in the meta-analysis. The literature supports a small-to-moderate association (r = 0.30, 95 % CI: 0.16–0.40 for the seven studies using the most robust measures) with significant heterogeneity among studies but no evidence of publication bias. There is evidence that the relationship is to some extent causal, with sleep disruption leading to increased paranoia, though there is also some evidence of a bi-directional relationship. Negative affect is frequently seen as a mediator of this relationship.

Conclusion

This review for the first time examines the significant relationship between sleep and paranoia individually. Studies are needed that further assess the potential for early intervention of sleep dysfunction in those experiencing paranoia.

背景：睡眠功能障碍通常与妄想症同时出现，并被假定为妄想症发展和维持的一个促成因果机制：系统回顾并定量评估睡眠功能障碍与妄想症严重程度之间关系的证据：方法：进行系统检索，以确定在临床和非临床群体中调查睡眠方面与妄想症之间关系的研究。采用费舍尔r-z转换相关系数的随机效应模型进行荟萃分析：45项研究被纳入综述，14项研究被纳入荟萃分析。文献支持小到中等程度的相关性（采用最稳健测量方法的 7 项研究的相关系数为 0.30，95 % CI：0.16-0.40），研究之间存在显著的异质性，但没有证据表明存在发表偏倚。有证据表明，这种关系在一定程度上是因果关系，睡眠中断会导致妄想症的增加，但也有证据表明这种关系是双向的。消极情绪经常被视为这种关系的中介因素：本综述首次单独研究了睡眠与妄想症之间的重要关系。需要开展研究，进一步评估对妄想症患者的睡眠功能障碍进行早期干预的可能性。

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引用次数: 0

Avoidant/restrictive food intake disorder: Systematic review and meta-analysis demonstrating the impact of study quality on prevalence rates 避免性/限制性食物摄入障碍：系统回顾和荟萃分析表明研究质量对患病率的影响

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2024-09-11 DOI: 10.1016/j.cpr.2024.102502

Rebecca Nicholls-Clow , Melanie Simmonds-Buckley , Glenn Waller

Objectives

The prevalence of Avoidant/Restrictive Food Intake Disorder (ARFID) is unclear. This paper is the first to present meta-analysis based estimates of the prevalence of ARFID, and to assess the impact of the quality of the research on these estimates.

Design

A pre-registered (Prospero: CRD42023487621) systematic review and meta-analysis.

Methods

PubMed, PsychInfo, Web of Science and CINAHL were searched (final date of retrieval 30th July 2024) for peer reviewed papers published between 2013 and 2024. Random-effects and quality effects meta-analyses were used to compute and compare prevalence estimates and to evaluate the impact of study quality on prevalence rates. Subgroups were also considered (gender, age group, clinical status). Loney et al.'s (1998) Critical Appraisal of the Health Research Literature: Prevalence or Incidence of a Health Problem scale was used to assign each study a quality score across three categories - methodological validity (six points); interpretation of results (one point); and applicability of the results (one point).

Results

Twenty-six studies were identified (n = 122,861). Meta-analysis using random-effects indicated a prevalence of 11.14 % (95 % CI 8.16–14.5 %), whereas quality effects prevalence was 4.51 % (95 % CI 0.7–10.68 %). Similar contrasts were evident among subgroups.

Conclusions

Even taking the more conservative estimate of 4.51 %, this review demonstrates that ARFID is a common disorder, meriting further research and clinical and service developments. Future research needs to be more methodologically robust (larger samples; standardised diagnostic measures; clearer data presentation).

目标回避型/限制型食物摄入障碍（ARFID）的患病率尚不明确。本文首次提出了基于荟萃分析的 ARFID 患病率估计值，并评估了研究质量对这些估计值的影响。方法检索了PubMed、PsychInfo、Web of Science 和 CINAHL（最终检索日期为 2024 年 7 月 30 日）2013 年至 2024 年间发表的同行评审论文。采用随机效应和质量效应荟萃分析来计算和比较流行率估计值，并评估研究质量对流行率的影响。同时还考虑了分组（性别、年龄组、临床状态）。Loney 等人（1998 年）的《健康研究文献批判性评估》：Loney 等人（1998 年）的《健康研究文献的批判性评估：健康问题的流行率或发生率》量表用于给每项研究的质量打分，分为三个类别：方法的有效性（6 分）；结果的解释（1 分）；结果的适用性（1 分）。采用随机效应进行的元分析表明，患病率为 11.14%（95% CI 为 8.16-14.5%），而质量效应患病率为 4.51%（95% CI 为 0.7-10.68%）。结论即使采用较为保守的 4.51% 的估计值，本综述也表明 ARFID 是一种常见疾病，值得进一步研究并发展临床和服务。未来的研究需要在方法上更加稳健（更大的样本；标准化的诊断措施；更清晰的数据展示）。

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