使用协作评估对精神疾病治疗中的症状学进行干预的效果如何？系统评价和荟萃分析方案。

What is the effect of using collaborative assessment on symptomatology as an intervention in the treatment of mental illness? A systematic review and meta-analysis protocol.

机构信息

Region Zealand Mental Health Service, Research Unit for Psychotherapy and Psychopathology & Psychiatry South, Slagelse, Faelledvej 6, 4200, Slagelse, Denmark.

Department of Clinical Medicine, Faculty of Health, University of Copenhagen, Copenhagen, Denmark.

出版信息

Syst Rev. 2022 Nov 17;11(1):244. doi: 10.1186/s13643-022-02124-x.

DOI:10.1186/s13643-022-02124-x

PMID:36397127

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9673370/

Abstract

BACKGROUND

Clinicians usually conduct diagnostic assessments in order to establish a diagnosis or to evaluate the effect of treatment. Two meta-analyses suggest that diagnostic assessment administered in collaboration with the patient and personalized feedback might have a therapeutic effect.

METHODS

We aim to conduct a systematic review and meta-analysis of the effect on symptomatology when using assessment as a therapeutic intervention for patients with psychiatric illnesses. We will search in five relevant electronic databases. Two reviewers will independently select papers following pre-defined eligibility criteria, extract data, and assess the quality of included studies. Randomized controlled trials comparing the effect of psychological assessment with other psychotherapeutic interventions in populations of patients will be included in the meta-analysis. We will extract data on symptom-related outcomes, quality of life, dropout, and re-diagnosis and use meta-analysis techniques to compute the effect size of interventions using assessment as a psychotherapeutic intervention. The review will be conducted and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. Risk of bias will be assessed by using the Risk of Bias tool RoB 2.0 of the Cochrane Collaboration, and the certainty of the body of evidence will be assessed with the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.

DISCUSSION

THE RESULTS WILL BE ABLE TO INFORM CLINICIANS AND POLICYMAKERS ON THE EFFECT OF ASSESSMENT AND, DEPENDING ON THE RESULTS, COULD LEAD TO A RECOMMENDATION FOR MODIFIED ASSESSMENT PROCEDURES AND APPROACHES IN MENTAL HEALTH SERVICES. ULTIMATELY, IT MIGHT IMPROVE THE TREATMENT OUTCOME IN MENTAL HEALTH SERVICES.: SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42021270567.

摘要

背景

临床医生通常进行诊断评估，以确定诊断或评估治疗效果。两项荟萃分析表明，与患者合作进行的诊断评估和个性化反馈可能具有治疗效果。

方法

我们旨在对使用评估作为治疗干预措施对精神疾病患者的症状学影响进行系统评价和荟萃分析。我们将在五个相关的电子数据库中进行搜索。两名评审员将根据预先确定的纳入标准独立选择论文、提取数据并评估纳入研究的质量。将纳入比较心理评估与其他心理治疗干预措施对患者人群影响的随机对照试验进行荟萃分析。我们将提取与症状相关的结局、生活质量、脱落和重新诊断的数据，并使用荟萃分析技术计算将评估作为心理治疗干预的干预效果的效应大小。该综述将根据系统评价和荟萃分析的首选报告项目（PRISMA）声明进行报告。使用 Cochrane 合作的 RoB 2.0 风险偏倚工具评估风险偏倚，使用推荐评估、制定和评价（GRADE）方法评估证据体的确定性。