针对退伍军人及其家属抑郁、焦虑、酒精滥用或愤怒问题的心理干预：系统评价与荟萃分析方案

Psychological interventions for the treatment of depression, anxiety, alcohol misuse or anger in armed forces veterans and their families: systematic review and meta-analysis protocol.

作者信息

O'Shea Luke, Watkins Ed, Farrand Paul

机构信息

Mood Disorders Centre, School of Psychology, College of Life and Environmental Sciences, University of Exeter, Exeter, UK.

Clinical Education Development and Research (CEDAR), Psychology: College of Life and Environmental Sciences, University of Exeter, Exeter, UK.

出版信息

Syst Rev. 2017 Jun 15;6(1):112. doi: 10.1186/s13643-017-0513-8.

DOI:10.1186/s13643-017-0513-8

PMID:28619078

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5472945/

Abstract

BACKGROUND

Evidence highlights a high prevalence of common mental health disorders in armed forces veterans and their families, with depression, anxiety, alcohol misuse and anger being more common than PTSD. This paper presents a protocol for a systematic review and meta-analysis to identify existing randomised controlled trial (RCT) research testing the effectiveness of psychological interventions for these difficulties in armed forces veterans and their family members.

METHODS

Electronic databases (CENTRAL, PsycInfo, MEDLINE, CINAHL, The Cochrane Register of Clinical Trials, EMBASE and ASSIA) will be searched to identify suitable studies for inclusion in the review supplemented by forward and backward reference checking, grey literature searches and contact with subject authors. Research including armed forces veterans and their family members will be included in the review with research including serving personnel or individuals under the age of 18 being excluded. Few RCTs examining the treatment of depression, anxiety, alcohol misuse or anger exist in armed forces veterans to date. The primary outcome will be symptomatic change following intervention for these difficulties. The secondary outcomes will include methodological aspects of interest such as discharge type and recruitment setting if data permits. In the event that the number of studies identified is too low to undertake a meta-analysis, a narrative review will be conducted. Quality assessment will be undertaken using the Cochrane Collaboration Tool and Cochran's Q statistic calculated to test for heterogeneity as suggested by the Cochrane handbook.

DISCUSSION

The review will examine the findings of existing intervention research for depression, anxiety, alcohol misuse or anger in armed forces veterans and their families, along with any effect sizes that may exist.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO CRD42016036676.

摘要

背景

有证据表明，武装部队退伍军人及其家属中常见精神障碍的患病率很高，其中抑郁、焦虑、酒精滥用和愤怒比创伤后应激障碍更为常见。本文提出了一项系统评价和荟萃分析方案，以确定现有的随机对照试验（RCT）研究，这些研究测试了针对武装部队退伍军人及其家庭成员这些困难的心理干预措施的有效性。

方法

将检索电子数据库（CENTRAL、PsycInfo、MEDLINE、CINAHL、Cochrane临床试验注册库、EMBASE和ASSIA），以识别适合纳入该评价的研究，并辅以向前和向后参考文献检查、灰色文献检索以及与主题作者联系。纳入该评价的研究包括武装部队退伍军人及其家属，排除包括现役人员或18岁以下个人的研究。迄今为止，针对武装部队退伍军人中抑郁、焦虑、酒精滥用或愤怒治疗的随机对照试验很少。主要结局将是针对这些困难进行干预后的症状变化。如果数据允许，次要结局将包括感兴趣的方法学方面，如出院类型和招募地点。如果识别出的研究数量太少而无法进行荟萃分析，将进行叙述性综述。将使用Cochrane协作工具进行质量评估，并按照Cochrane手册的建议计算Cochran's Q统计量以检验异质性。