Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong.
Aust N Z J Psychiatry. 2018 Jul;52(7):620-637. doi: 10.1177/0004867417741555. Epub 2017 Nov 16.
Over the past decade, cognitive behavioral therapy has been applied to an increasingly wider range of disorders and problems in Chinese societies. However, no meta-analysis has been conducted to synthesize the studies on cognitive behavioral therapy for Chinese clients. The purpose of this meta-analytic study was to examine the overall efficacy of cognitive behavioral therapy for Chinese people.
A literature search was conducted using electronic databases, including Web of Science, PsycINFO and PubMed. Pooled mean effect sizes were calculated using the random-effects model.
The literature search identified 55 studies with 6763 Chinese participants. The overall short-term effect of cognitive behavioral therapy on the primary outcome was medium in size. Effect sizes were medium for anxiety, depression/well-being and caregiving stress and small for psychotic symptoms and addictive behaviors. The effects of cognitive behavioral therapy on process variables, dysfunctional thoughts and coping, were in the small range. The overall longer-term effect of cognitive behavioral therapy on the primary outcome was medium in size. Moderator analyses showed that the short-term effect was stronger for culturally adapted cognitive behavioral therapy than for unadapted cognitive behavioral therapy. Type of primary outcome, type of control group, recruitment method, study design, the format of delivery and region were found to moderate the efficacy of cognitive behavioral therapy.
The findings of this study provide evidence for the overall efficacy of cognitive behavioral therapy for Chinese people and the benefit of cultural adaptation of cognitive behavioral therapy to Chinese culture.
在过去的十年中，认知行为疗法已被应用于中国社会中越来越广泛的障碍和问题。然而，尚未进行荟萃分析来综合研究认知行为疗法对中国客户的疗效。本项荟萃分析研究的目的是检验认知行为疗法对中国人的总体疗效。
使用电子数据库（包括 Web of Science、PsycINFO 和 PubMed）进行文献检索。使用随机效应模型计算汇总均数效应大小。
文献检索确定了 55 项研究，共有 6763 名中国参与者。认知行为疗法对主要结局的短期总体效果中等。对焦虑、抑郁/幸福感和照顾者压力的效应量中等，对精神病症状和成瘾行为的效应量较小。认知行为疗法对过程变量、功能失调思维和应对方式的影响较小。认知行为疗法对主要结局的长期总体效果中等。调节分析表明，文化适应的认知行为疗法比未适应的认知行为疗法的短期效果更强。主要结局的类型、对照组的类型、招募方法、研究设计、实施方式和地区被发现对认知行为疗法的疗效具有调节作用。
本研究结果为认知行为疗法对中国人的总体疗效以及认知行为疗法对中国文化的文化适应性提供了证据。
