团体认知行为疗法对青少年强迫症患者的疗效：一项系统评价与荟萃分析。
Efficacy of group cognitive-behavioral therapy in adolescents with obsessive compulsive disorder: a systematic review and meta-analysis.
作者信息
Bortoncello Cristiane F, Cardoso Nicolas de Oliveira, Salvador Eduarda Z, de Avila Richard C, Machado Wagner de L, Ferrão Ygor A
机构信息
Departamento de Clínica Médica (neurociências), Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.
Grupo de Pesquisa Avaliação em Bem-estar e Saúde Mental (ABES), Departamento de Psicologia, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil.
出版信息
Braz J Psychiatry. 2022 Jun 23;44(4):449-60. doi: 10.47626/1516-4446-2021-2264.
OBJECTIVE
To evaluate the effectiveness of group cognitive-behavioral therapy (GCBT) for the treatment of adolescents with obsessive compulsive disorder (OCD).
METHODS
This review was registered in PROSPERO under number CRD42020158475. Five databases (PubMed, Virtual Health Library, Web of Science, Scopus, and PsycINFO) were searched. After applying the inclusion and exclusion criteria, 13 studies were analyzed in the qualitative synthesis (i.e., systematic review) and eight in the quantitative synthesis (i.e., meta-analysis). For the latter, fixed-effect modeling was used to assess the primary outcome (i.e., OCD symptoms).
RESULTS
The main findings suggest that GCBT is effective in reducing the symptoms of OCD in adolescents (d = -1.32). However, these results must be interpreted with caution, since all of the included studies showed some bias in their design.
CONCLUSIONS
GCBT is effective in reducing OCD symptoms in adolescents.
目的
评估团体认知行为疗法（GCBT）治疗青少年强迫症（OCD）的有效性。
方法
本综述已在国际前瞻性注册系统（PROSPERO）上注册，注册号为CRD42020158475。检索了五个数据库（PubMed、虚拟健康图书馆、科学网、Scopus和PsycINFO）。在应用纳入和排除标准后，对13项研究进行了定性综合分析（即系统评价），8项进行了定量综合分析（即荟萃分析）。对于后者，采用固定效应模型评估主要结局（即强迫症症状）。
结果
主要研究结果表明，团体认知行为疗法在减轻青少年强迫症症状方面是有效的（d=-1.32）。然而，这些结果必须谨慎解读，因为所有纳入研究在设计上都存在一定偏差。
结论
团体认知行为疗法在减轻青少年强迫症症状方面是有效的。
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