Research Fellow, NIHR School for Primary Care Research, 5th Floor, Williamson Building, University of Manchester, Oxford Road, Manchester M13 9PL, UK.
Br J Psychiatry. 2010 Feb;196(2):96-101. doi: 10.1192/bjp.bp.109.064089.
High rates of emotional distress and depressive symptoms in the community can reflect difficult life events and social circumstances. There is a need for appropriate, low-cost, non-medical interventions for many individuals. Befriending is an emotional support intervention commonly offered by the voluntary sector.
To examine the effectiveness of befriending in the treatment of emotional distress and depressive symptoms.
Systematic review of randomised trials of interventions focused on providing emotional support to individuals in the community.
Compared with usual care or no treatment, befriending had a modest but significant effect on depressive symptoms in the short term (standardised mean difference SMD = -0.27, 95% CI -0.48 to -0.06, nine studies) and long term (SMD = -0.18, 95% CI -0.32 to -0.05, five studies).
Befriending has a modest effect on depressive symptoms and emotional distress in varied patient groups. Further exploration of active ingredients, appropriate target populations and optimal methods of delivery is required.
社区中较高的情绪困扰和抑郁症状发生率可能反映了艰难的生活事件和社会环境。对于许多人来说，需要适当的、低成本的、非医疗干预措施。交友是志愿服务部门提供的一种情感支持干预措施。
探讨交友在治疗情绪困扰和抑郁症状方面的效果。
对以向社区个体提供情感支持为重点的干预措施的随机试验进行系统综述。
与常规护理或不治疗相比，短期（标准均数差 SMD = -0.27，95%置信区间 -0.48 至 -0.06，9 项研究）和长期（SMD = -0.18，95%置信区间 -0.32 至 -0.05，5 项研究）来看，交友对抑郁症状有适度但显著的影响。
交友对不同患者群体的抑郁症状和情绪困扰有适度的影响。需要进一步探索有效成分、适当的目标人群和最佳的实施方法。
