基于芬内尔低自尊模型的认知行为疗法干预措施的系统评价和荟萃分析。
A systematic review and meta-analysis of CBT interventions based on the Fennell model of low self-esteem.
机构信息
Division of Psychology, School of Applied Sciences, London South Bank University, London, UK.
Division of Psychology, School of Applied Sciences, London South Bank University, London, UK.
出版信息
Psychiatry Res. 2018 Sep;267:296-305. doi: 10.1016/j.psychres.2018.06.025. Epub 2018 Jun 13.
Low self-esteem is a feature of several mental health disorders that has been directly treated with Cognitive-Behavioral Therapy (CBT). The aim of our study was to determine the efficacy of interventions for improving low self-esteem in adults by utilizing the model outlined in Fennell (1997; 1998; 1999). A literature search identified 8 studies that met the inclusion criteria of CBT-based interventions for low self-esteem using this model, 7 of which were used in a quantitative synthesis. These studies included weekly group and individual sessions and one-day workshop formats. Summary effect sizes of 1.12 and 0.34 at post-treatment were observed, with low levels of heterogeneity, for weekly sessions and one-day workshops, respectively. Comparable results were found for the reduction of depressive symptoms. Results suggest that CBT-based interventions may be efficacious for treating individuals with low self-esteem, according to changes in self-report measures; however, it is unclear whether these interventions are dissimilar to those aimed at reducing depression.
低自尊是几种心理健康障碍的特征，已经通过认知行为疗法（CBT）直接进行治疗。我们的研究目的是通过利用 Fennell（1997；1998；1999）提出的模型，确定干预措施在改善成年人低自尊方面的功效。文献检索确定了 8 项符合纳入标准的研究，这些研究采用了基于 CBT 的干预措施来治疗低自尊，其中 7 项研究用于定量综合分析。这些研究包括每周小组和个体会议以及为期一天的研讨会形式。在治疗后，每周会议和为期一天的研讨会的综合效应大小分别为 1.12 和 0.34，异质性水平较低。对于抑郁症状的减少也得出了类似的结果。结果表明，根据自我报告测量的变化，基于 CBT 的干预措施可能对治疗低自尊的个体有效；然而，尚不清楚这些干预措施是否与旨在减轻抑郁的干预措施不同。
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