心理疗法是否有效？对抑郁症治疗方法的再分析。
Is psychotherapy effective? A re-analysis of treatments for depression.
机构信息
Psychologische Hochschule Berlin,Berlin,Germany.
Department of Psychology,University of Zürich,Zürich,Switzerland.
出版信息
Epidemiol Psychiatr Sci. 2019 Jun;28(3):268-274. doi: 10.1017/S2045796018000355. Epub 2018 Jul 30.
UNLABELLED
AimsThe aim of this study was to reanalyse the data from Cuijpers et al.'s (2018) meta-analysis, to examine Eysenck's claim that psychotherapy is not effective. Cuijpers et al., after correcting for bias, concluded that the effect of psychotherapy for depression was small (standardised mean difference, SMD, between 0.20 and 0.30), providing evidence that psychotherapy is not as effective as generally accepted.
METHODS
The data for this study were the effect sizes included in Cuijpers et al. (2018). We removed outliers from the data set of effects, corrected for publication bias and segregated psychotherapy from other interventions. In our study, we considered wait-list (WL) controls as the most appropriate estimate of the natural history of depression without intervention.
RESULTS
The SMD for all interventions and for psychotherapy compared to WL controls was approximately 0.70, a value consistent with past estimates of the effectiveness of psychotherapy. Psychotherapy was also more effective than care-as-usual (SMD = 0.31) and other control groups (SMD = 0.43).
CONCLUSIONS
The re-analysis reveals that psychotherapy for adult patients diagnosed with depression is effective.
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目的本研究旨在重新分析 Cuijpers 等人（2018 年）荟萃分析的数据，以检验 Eysenck 的观点，即心理治疗并非有效。Cuijpers 等人在对偏差进行校正后得出结论，心理治疗对抑郁症的疗效较小（0.20 到 0.30 之间的标准化均数差，SMD），这表明心理治疗并不像普遍认为的那样有效。
方法
本研究的数据来自于 Cuijpers 等人（2018 年）的研究。我们从效应数据集去除了异常值，校正了发表偏倚，并将心理治疗与其他干预措施分开。在我们的研究中，我们将等待名单（WL）对照作为无干预的抑郁症自然史的最合适估计值。
结果
所有干预措施和与 WL 对照相比的心理治疗的 SMD 约为 0.70，这与过去对心理治疗有效性的估计值一致。心理治疗也比常规护理（SMD = 0.31）和其他对照组（SMD = 0.43）更有效。
结论
重新分析表明，针对被诊断为抑郁症的成年患者的心理治疗是有效的。
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