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基于宗教的抑郁干预措施:实验研究的系统评价和荟萃分析。

Religious-based interventions for depression: A systematic review and meta-analysis of experimental studies.

机构信息

CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal; ISAMB, Universidade de Lisboa, Lisboa, Portugal.

Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, Geneva, Switzerland; Swiss National Centre of Competence in Research LIVES - Overcoming Vulnerability: Life Course Perspectives, Lausanne and Geneva, Switzerland; Department of Psychology, University of Geneva, Geneva, Switzerland.

出版信息

J Affect Disord. 2022 Jul 15;309:289-296. doi: 10.1016/j.jad.2022.04.126. Epub 2022 Apr 29.

Abstract

BACKGROUND

Depression is the most prevalent mental disorder. In the treatment of depressive symptoms, patients' religious practices and beliefs are often not considered. We carried out a systematic review and meta-analysis of RCTs to analyse the effect of religious interventions on depression.

METHODS

A literature screening was performed on August 2021, using the Cochrane Collaboration, PubMed, Scopus, and Web of Science databases. Primary source articles published from 2015 to August 2021 in peer-reviewed journals were eligible for inclusion if data were presented on religious interventions' effects on depression.

RESULTS

The literature search yielded 208 potentially relevant publications. Eight articles were identified and included in the review. One of the articles was excluded from the meta-analysis because it did not report the mean data for the baseline and follow-up assessment results. From the 7 out of 8 included studies, the results consistently indicated that religious-based interventions effectively reduced depressive symptoms among vulnerable persons with chronic medical illness, pregnant women, haemodialysis patients, elderly nursing home residents, people with major depressive disorders or dysthymia, and coronary artery bypass graft surgery patients.

LIMITATIONS

The definition of the religious-based intervention varied substantially among the trials. These differences can make interpretation and comparing implications on the treatment of depression difficult.

CONCLUSION

Compared to standard/other usual therapies for treating depression, religious-based interventions provide superior effects. This review and meta-analysis strongly suggest that patients' religious beliefs should be considered when diagnosing and treating depression.

摘要

背景

抑郁症是最常见的精神障碍。在治疗抑郁症状时,患者的宗教实践和信仰往往不被考虑。我们进行了一项系统评价和荟萃分析随机对照试验,以分析宗教干预对抑郁症的影响。

方法

2021 年 8 月,我们使用 Cochrane 协作、PubMed、Scopus 和 Web of Science 数据库进行了文献筛选。如果有关于宗教干预对抑郁症影响的数据,则纳入发表在同行评审期刊上的 2015 年至 2021 年 8 月期间的原始来源文章。

结果

文献检索产生了 208 篇可能相关的出版物。确定了 8 篇文章并纳入了综述。由于其中一篇文章未报告基线和随访评估结果的均值数据,因此将其从荟萃分析中排除。在纳入的 7 项研究中,结果一致表明,基于宗教的干预措施可有效减轻患有慢性疾病、孕妇、血液透析患者、老年疗养院居民、重度抑郁症或心境恶劣障碍患者以及冠状动脉旁路移植术患者等脆弱人群的抑郁症状。

局限性

试验中宗教干预的定义差异很大。这些差异使得对抑郁症治疗的解释和比较变得困难。

结论

与治疗抑郁症的标准/其他常规疗法相比,基于宗教的干预措施效果更好。本综述和荟萃分析强烈表明,在诊断和治疗抑郁症时应考虑患者的宗教信仰。

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