Guannan Hu , Bingyue Han , Hayley Gains , Yong Jia
{"title":"叙事疗法对躯体疾病成人抑郁症状的疗效：系统回顾和荟萃分析","authors":"Guannan Hu , Bingyue Han , Hayley Gains , Yong Jia","doi":"10.1016/j.ijchp.2024.100520","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Depression is a common mental health condition and a main risk factor for suicide. Narrative therapy aims to reframe beliefs through storytelling. Despite evidence of effectiveness, there is a lack of evaluation for specific adult populations. This meta-analysis evaluated the effect of narrative therapy on depressive symptoms in adults with somatic disorders. Only 2 of the included studies examined patients with depression, highlighting the need for further research on this specific population.</div></div><div><h3>Methods</h3><div>A comprehensive search of PubMed, Web of Science (all databases), the Cochrane Library, CINAHL, CNKI, and CBMdisc was conducted in April 2024. Study selection and data extraction were conducted by two researchers independently. The Cochrane tool and GRADEPro GDT tool were utilised to determine risk of bias and methodological quality of included studies. Stata17.0 was used for statistical analysis.</div></div><div><h3>Results</h3><div>The results showed that narrative therapy had a significant effect on depressive symptoms in adults with somatic disorders (<em>SMD</em>=-1.64; <em>95% CI</em>, -1.95 to -1.32; <em>p</em><.001; 4,879 participants; low-quality evidence). Sensitivity analysis showed that the results were robust and reliable.</div></div><div><h3>Discussion</h3><div>This meta-analysis found that narrative therapy appears to have a significant effect on depressive symptoms in adults with somatic disorders. However, the study is limited by a predominance of Chinese studies and low quality of evidence. Future research is needed to confirm these findings.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100520"},"PeriodicalIF":5.3000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of narrative therapy for depressive symptoms in adults with somatic disorders: A systematic review and meta-analysis\",\"authors\":\"Guannan Hu , Bingyue Han , Hayley Gains , Yong Jia\",\"doi\":\"10.1016/j.ijchp.2024.100520\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Depression is a common mental health condition and a main risk factor for suicide. Narrative therapy aims to reframe beliefs through storytelling. Despite evidence of effectiveness, there is a lack of evaluation for specific adult populations. This meta-analysis evaluated the effect of narrative therapy on depressive symptoms in adults with somatic disorders. Only 2 of the included studies examined patients with depression, highlighting the need for further research on this specific population.</div></div><div><h3>Methods</h3><div>A comprehensive search of PubMed, Web of Science (all databases), the Cochrane Library, CINAHL, CNKI, and CBMdisc was conducted in April 2024. Study selection and data extraction were conducted by two researchers independently. The Cochrane tool and GRADEPro GDT tool were utilised to determine risk of bias and methodological quality of included studies. Stata17.0 was used for statistical analysis.</div></div><div><h3>Results</h3><div>The results showed that narrative therapy had a significant effect on depressive symptoms in adults with somatic disorders (<em>SMD</em>=-1.64; <em>95% CI</em>, -1.95 to -1.32; <em>p</em><.001; 4,879 participants; low-quality evidence). Sensitivity analysis showed that the results were robust and reliable.</div></div><div><h3>Discussion</h3><div>This meta-analysis found that narrative therapy appears to have a significant effect on depressive symptoms in adults with somatic disorders. However, the study is limited by a predominance of Chinese studies and low quality of evidence. Future research is needed to confirm these findings.</div></div>\",\"PeriodicalId\":47673,\"journal\":{\"name\":\"International Journal of Clinical and Health Psychology\",\"volume\":\"24 4\",\"pages\":\"Article 100520\"},\"PeriodicalIF\":5.3000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Clinical and Health Psychology\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1697260024000851\",\"RegionNum\":1,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Clinical and Health Psychology","FirstCategoryId":"102","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1697260024000851","RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Effectiveness of narrative therapy for depressive symptoms in adults with somatic disorders: A systematic review and meta-analysis
Background
Depression is a common mental health condition and a main risk factor for suicide. Narrative therapy aims to reframe beliefs through storytelling. Despite evidence of effectiveness, there is a lack of evaluation for specific adult populations. This meta-analysis evaluated the effect of narrative therapy on depressive symptoms in adults with somatic disorders. Only 2 of the included studies examined patients with depression, highlighting the need for further research on this specific population.
Methods
A comprehensive search of PubMed, Web of Science (all databases), the Cochrane Library, CINAHL, CNKI, and CBMdisc was conducted in April 2024. Study selection and data extraction were conducted by two researchers independently. The Cochrane tool and GRADEPro GDT tool were utilised to determine risk of bias and methodological quality of included studies. Stata17.0 was used for statistical analysis.
Results
The results showed that narrative therapy had a significant effect on depressive symptoms in adults with somatic disorders (SMD=-1.64; 95% CI, -1.95 to -1.32; p<.001; 4,879 participants; low-quality evidence). Sensitivity analysis showed that the results were robust and reliable.
Discussion
This meta-analysis found that narrative therapy appears to have a significant effect on depressive symptoms in adults with somatic disorders. However, the study is limited by a predominance of Chinese studies and low quality of evidence. Future research is needed to confirm these findings.
期刊介绍：
The International Journal of Clinical and Health Psychology is dedicated to publishing manuscripts with a strong emphasis on both basic and applied research, encompassing experimental, clinical, and theoretical contributions that advance the fields of Clinical and Health Psychology. With a focus on four core domains—clinical psychology and psychotherapy, psychopathology, health psychology, and clinical neurosciences—the IJCHP seeks to provide a comprehensive platform for scholarly discourse and innovation. The journal accepts Original Articles (empirical studies) and Review Articles. Manuscripts submitted to IJCHP should be original and not previously published or under consideration elsewhere. All signing authors must unanimously agree on the submitted version of the manuscript. By submitting their work, authors agree to transfer their copyrights to the Journal for the duration of the editorial process.
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
