探究以自我同情为重点的干预措施对创伤后应激的影响：一项系统综述和荟萃分析。
Investigating the Influence of Self-Compassion-Focused Interventions on Posttraumatic Stress: A Systematic Review and Meta-Analysis.
作者信息
Luo Xi, Che Xianwei, Lei Yi, Li Hong
机构信息
Shenzhen Key Laboratory of Affective and Social Cognitive Science, School of Psychology, Shenzhen University, Shenzhen, China.
Centre for Studies of Psychological ApplicationsGuangdong Key Laboratory of Mental Health and Cognitive ScienceKey Laboratory of Brain Cognition and Educational Science, Ministry of EducationSchool of Psychology, South China Normal University, No.55, West Zhongshan Avenue, Guangzhou, 510631 China.
出版信息
Mindfulness (N Y). 2021;12(12):2865-2876. doi: 10.1007/s12671-021-01732-3. Epub 2021 Sep 24.
OBJECTIVES
Self-compassion-focused interventions may be able to decrease posttraumatic stress symptoms. However, previous studies demonstrated mixed effects in which a series of confounders were not systematically quantified. In this study, a systematic review with meta-analysis was conducted to quantify the effects of self-compassion-focused therapies on posttraumatic stress disorder.
METHODS
Twelve eligible studies were included after a systematic search of databases. Outcome measures were extracted for posttraumatic stress disorder.
RESULTS
Our data indicated a medium protective effect on posttraumatic stress symptoms (SMD = - 0.65), with most of the studies (8/12) coming from clinical settings. More importantly, longer interventions were associated with better posttraumatic stress outcomes ( < 0.001). Baseline or changes in self-compassion scores were not associated with posttraumatic stress outcomes post-interventions.
CONCLUSIONS
Overall, findings from this meta-analysis quantified the complex influence of self-compassion-focused interventions on posttraumatic stress symptoms and may provide insights for optimizing intervention strategies.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1007/s12671-021-01732-3.
目的
以自我同情为重点的干预措施可能能够减轻创伤后应激症状。然而，先前的研究显示出混合效应，其中一系列混杂因素未得到系统量化。在本研究中，我们进行了一项系统评价和荟萃分析，以量化以自我同情为重点的疗法对创伤后应激障碍的影响。
方法
在对数据库进行系统检索后，纳入了12项符合条件的研究。提取了创伤后应激障碍的结局指标。
结果
我们的数据表明，对创伤后应激症状有中等程度的保护作用（标准化均数差= -0.65），大多数研究（8/12）来自临床环境。更重要的是，干预时间越长，创伤后应激结局越好（<0.001）。自我同情得分的基线或变化与干预后的创伤后应激结局无关。
结论
总体而言，这项荟萃分析的结果量化了以自我同情为重点的干预措施对创伤后应激症状的复杂影响，并可能为优化干预策略提供见解。
补充信息
在线版本包含可在10.1007/s12671-021-01732-3获取的补充材料。
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