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正念认知疗法治疗抑郁症的效果的时间趋势:一项荟萃分析。

Time trends in the effects of mindfulness-based cognitive therapy for depression: A meta-analysis.

机构信息

Department of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.

Private practice, Tromsø, Norway.

出版信息

Scand J Psychol. 2020 Aug;61(4):582-591. doi: 10.1111/sjop.12642. Epub 2020 Apr 21.

Abstract

Recent studies suggest that the effects of cognitive therapies for depression show systematic changes over time. A meta-analysis was conducted to explore the temporal development of the effect of mindfulness-based cognitive therapy (MBCT) for current depression in studies that used the Beck Depression Inventory (BDI) or the Hamilton Depression Rating Scale (HDRS) as outcome measures. A systematic search of research databases yielded 20 studies that were included in the analyses. The results showed that MBCT is effective in reducing depressive symptoms. The effect sizes of studies using the BDI or the HDRS as an outcome measure were not moderated by the time of publication. Funnel plots and the trim and fill method suggested that publication bias was low. However, the number of available studies was small, and the time period investigated relatively short. The results should therefore be considered preliminary.

摘要

最近的研究表明,认知疗法对抑郁症的疗效会随着时间的推移而发生系统性变化。本研究采用元分析的方法,旨在通过贝克抑郁自评量表(BDI)或汉密尔顿抑郁量表(HDRS)作为评估工具,探索正念认知疗法(MBCT)对当前抑郁症的疗效的时间发展趋势。通过对研究数据库的系统检索,共纳入 20 项研究。结果表明,MBCT 可有效降低抑郁症状。以 BDI 或 HDRS 作为评估工具的研究的效应量大小不受发表时间的影响。漏斗图和修剪填充法表明,发表偏倚较小。然而,可用的研究数量较少,且研究的时间段相对较短。因此,这些结果应被视为初步结果。

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