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应对与压力相关困难的积极干预措施:随机和非随机试验的系统评价。

Positive interventions for stress-related difficulties: A systematic review of randomized and non-randomized trials.

机构信息

Université Côte d'Azur, CoBTeK Lab, Nice, France.

出版信息

Stress Health. 2022 Apr;38(2):210-221. doi: 10.1002/smi.3096. Epub 2021 Sep 4.

DOI:10.1002/smi.3096
PMID:34453863
Abstract

The effectiveness of positive psychology interventions in the treatment of stress-related difficulties have not been well established. To estimate the effectiveness of positive psychology interventions on the reduction of stress-related symptoms, a systematic review using PubMed, Scopus, Wiley, Psychinfo, Cochrane and Sage databases with no limitation of date of publication was conducted. We identified additional studies by searching positive psychology reviews and academic books. Only studies trying positive interventions that included measures of anxiety, stress, or posttraumatic stress disorder symptoms were reviewed. We extracted data using predefined data fields and study quality was assessed with the National Institutes of Health study quality assessment tools. Twenty-nine records were included in this study: 23 controlled trials and six pre-post studies. Every study showed significant improvement in at least one dimension. Several studies reported improvements in well-being as well. This review shows promising results of positive psychology interventions as a treatment for stress-related difficulties. However, important methodological biases and strong heterogeneity among the studies highlight the need for replication and better validation of positive psychology interventions.

摘要

积极心理学干预在治疗与压力相关的困难方面的有效性尚未得到充分证实。为了评估积极心理学干预在减轻与压力相关的症状方面的效果,我们使用 PubMed、Scopus、Wiley、Psychinfo、Cochrane 和 Sage 数据库进行了系统评价,这些数据库没有出版日期的限制。我们通过搜索积极心理学评论和学术书籍找到了其他研究。我们只审查了尝试积极干预措施的研究,这些干预措施包括焦虑、压力或创伤后应激障碍症状的测量。我们使用预先定义的数据字段提取数据,并使用美国国立卫生研究院的研究质量评估工具评估研究质量。本研究共纳入 29 份记录:23 项对照试验和 6 项前后研究。每一项研究都显示出至少一个维度的显著改善。一些研究还报告了幸福感的改善。本综述显示了积极心理学干预作为治疗与压力相关的困难的一种有前途的方法。然而,研究中存在重要的方法学偏差和强烈的异质性,这突出表明需要对积极心理学干预进行复制和更好的验证。

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