认知行为疗法在中国治疗抑郁症的疗效与世界其他地区的比较:一项系统综述和荟萃分析。

IF 4.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Journal of consulting and clinical psychology Pub Date : 2024-02-01 Epub Date: 2023-10-30 DOI:10.1037/ccp0000854
Xiao-Miao Li, Fang-Fang Huang, Pim Cuijpers, Huan Liu, Eirini Karyotaki, Zhan-Jiang Li, Clara Miguel, Marketa Ciharova, Keith Dobson
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引用次数: 0

摘要

目的:有一致的证据表明认知行为疗法是治疗成人抑郁症的有效干预措施。虽然一些证据比较了不同国家的这些效果,但此前没有系统综述和荟萃分析比较中国人和世界其他地区人的CBT疗效。目前的荟萃分析通过对中国和世界数据库中符合条件的研究进行系统综述来解决这一差距。方法:使用随机效应模型计算Hedges的g。采用亚组分析和多层次元分析模型考察了中国研究中效应大小与特征之间的关系。在控制了调节因子后,进行了元回归分析,以探讨中国研究和非中国研究之间CBT疗效的差异。结果:共纳入34项(n=3710)中国研究和307项(n=30333)来自世界其他地区的研究。中国参与者的CBT对抑郁的影响大小为1.19(95%CI[0.86,1.52]),高于世界其他地区的影响大小(0.82,95%CI[0.74,0.90])(Q=4.63,p=.03),中国研究的效果大小仍然高于非中国研究(β=0.351,p=.011)。结论:CBT是治疗成人抑郁症的有效干预措施,值得中国重视抑郁症的治疗。在解释结果时,需要考虑与研究设计、临床特征和文化因素相关的主持人。(PsycInfo数据库记录(c)2023 APA,保留所有权利)。
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The efficacy of cognitive behavioral therapies for depression in China in comparison with the rest of the world: A systematic review and meta-analysis.

Objective: There is consistent evidence that cognitive behavioral therapies (CBTs) are effective interventions for adult depression. While some evidence has compared these effects in different countries, no prior systematic review and meta-analysis has compared the efficacy of CBTs between Chinese and people from the rest of the world. The current meta-analysis addressed this gap by a systematic review of eligible studies from Chinese and worldwide databases.

Method: Hedges' g was calculated using a random-effects model. Subgroup analyses and multilevel meta-analytic models were conducted to examine the relationship among effect sizes and the characteristics in Chinese studies. Metaregression analyses were conducted to explore the difference of the efficacy of CBTs between Chinese studies and non-Chinese studies after controlling for the moderators.

Results: A total of 34 (n = 3,710) studies in China and 307 (n = 30,333) studies from the rest of the world were included. The effect size of CBTs on depression for Chinese participants was 1.19 (95% CI [0.86, 1.52]), which was higher (Q = 4.63, p = .03) than the effect size of the rest of the world (0.82, 95% CI [0.74, 0.90]). After controlling for moderators, the effect size of Chinese studies was still higher than non-Chinese studies (β = 0.351, p = .011).

Conclusions: CBTs are effective interventions for adult depression and deserve more attention in China for depression management. Moderators related to study design, clinical features, and cultural factors need to be considered in the interpretation of the results. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
CiteScore
9.00
自引率
3.40%
发文量
94
期刊介绍: The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.
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