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国际 PRISMA 范围综述,以了解 COVID-19 患者中针对抑郁症的心理健康干预措施。

International PRISMA scoping review to understand mental health interventions for depression in COVID-19 patients.

机构信息

VISN 2 Mental Illness Research, Education, and Clinical Center (MIRECC), James J. Peters Veterans Affairs Medical Center, Bronx, NY, United States.

VISN 2 Mental Illness Research, Education, and Clinical Center (MIRECC), James J. Peters Veterans Affairs Medical Center, Bronx, NY, United States; Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, United States; Department of Psychology, Health Psychology and Clinical Science, CUNY New York, New York, NY, United States.

出版信息

Psychiatry Res. 2022 Oct;316:114748. doi: 10.1016/j.psychres.2022.114748. Epub 2022 Jul 25.

Abstract

Preliminary research indicates that the COVID-19 illness affects the mental well-being of patients. This scoping review, thus, aims to examine the current state of research into mental health treatments for depression symptoms in COVID-19 patients. Select databases were searched on 7/1/2021. Full-text articles involved (1) mental health treatment (2) suicide and/or depression outcomes, (3) a quasi-experimental research trial, and (4) a primary analysis. 11 articles were included in this review. The studies spanned 5 countries, and demonstrated immediate positive effects of mental health treatments and tele-health as a treatment modality for depression in COVID-19 patients. 6 studies were randomized controlled trials. Various treatments were administered, including cognitive behavior therapy, mindfulness, and muscle relaxation. Most interventions were conducted in in-patient units and focused on acute symptoms. There were limitations in the design and description of methodology in many studies, which affects the generalizability and replicability of positive findings. Only two studies included a post-intervention follow-up and one study assessed suicide risk. Thus, this review found there is a pressing need for more research in the area, with greater rigor in study methodology, and for treatments targeting long-term symptoms and suicidality, and outpatient services.

摘要

初步研究表明,COVID-19 疾病会影响患者的心理健康。因此,本范围综述旨在考察目前针对 COVID-19 患者抑郁症状的心理健康治疗研究现状。2021 年 7 月 1 日检索了多个数据库。纳入的全文文章涉及 (1) 心理健康治疗 (2) 自杀和/或抑郁结局 (3) 准实验研究试验和 (4) 主要分析。本综述纳入了 11 篇文章。这些研究跨越了 5 个国家,证明了心理健康治疗和远程医疗作为 COVID-19 患者抑郁治疗方法的即时积极效果。其中 6 项研究为随机对照试验。实施了各种治疗方法,包括认知行为疗法、正念和肌肉放松。大多数干预措施在住院病房进行,主要针对急性症状。许多研究在设计和方法描述方面存在局限性,这影响了阳性发现的可推广性和可重复性。只有两项研究包括干预后的随访,一项研究评估了自杀风险。因此,本综述发现该领域非常需要更多的研究,研究方法更加严谨,针对长期症状和自杀风险以及门诊服务的治疗方法也很有必要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3dd/9313534/1def036138f6/gr1_lrg.jpg

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