Department of Public Health Sciences, University of Torino, Italy.
Department of Public Health Sciences, University of Torino, Italy.
Clin Psychol Rev. 2017 Dec;58:49-58. doi: 10.1016/j.cpr.2017.09.006. Epub 2017 Sep 29.
Literature shows bibliotherapy can be helpful for moderate depression treatment. The aim of this systematic review is to verify the long-term effects of bibliotherapy.
After bibliographic research, we included RCTs articles about bibliotherapy programme treatment of depression published in English language between 1990 and July 2017. All RCTs were assessed with Cochrane's Risk of Bias tool.
Ten articles (reporting 8 studies involving 1347 subjects) out of 306 retrieved results were included. All studies analyze the effects of bibliotherapy after follow-up periods ranging from 3months to 3years and show quiet good quality in methods and analyses. The treatment was compared to standard treatments or no intervention in all studies. After long-term period follow-ups, six studies, including adults, reported a decrease of depressive symptoms, while four studies including young people did not show significant results.
Bibliotherapy appears to be effective in the reduction of adults depressive symptoms in the long-term period, providing an affordable prompt treatment that could reduce further medications. The results of the present review suggest that bibliotherapy could play an important role in the treatment of a serious mental health issue. Further studies should be conducted to strengthen the evidence of bibliotherapy's efficacy.
文献表明，阅读疗法对中度抑郁症的治疗有帮助。本系统评价旨在验证阅读疗法的长期疗效。
在文献检索后，我们纳入了 1990 年至 2017 年 7 月间以英文发表的关于阅读疗法方案治疗抑郁症的随机对照试验（RCT）文章。所有 RCT 均采用 Cochrane 偏倚风险工具进行评估。
在 306 项检索结果中，有 10 篇文章（报告了 8 项研究，涉及 1347 名受试者）符合纳入标准。所有研究均分析了为期 3 个月至 3 年的随访期内阅读疗法的效果，且在方法和分析方面质量较好。所有研究均将治疗与标准治疗或无干预进行了比较。在长期随访后，6 项成人研究报告抑郁症状有所减轻，而 4 项青少年研究未显示出显著结果。
阅读疗法似乎在长期内有效降低了成年人的抑郁症状，提供了一种经济实惠的即时治疗方法，可以减少进一步的药物治疗。本综述的结果表明，阅读疗法可能在治疗严重精神健康问题方面发挥重要作用。应开展进一步的研究，以加强阅读疗法疗效的证据。
