Li Jiawei, Ma Hui, Yang Hao, Yu Haoran, Zhang Ning
Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China.
Front Psychol. 2023 Jan 19;13:968638. doi: 10.3389/fpsyg.2022.968638. eCollection 2022.
This study aimed to elucidate the effect of cognitive bias modification on depression.
This research included 10 randomized studies searching four major databases: PubMed, Embase, PsycINFO, and Cochrane Library, with a total sample size of 467. Moreover, they were examined for quality and possible publication bias.
Cognitive bias modification (CBM) had statistically significant results, = -0.64, 95% CI = [-0.97-0.32]. The interpretation of cognitive bias modification shows the highest effect size, = -1.45, 95% CI = [-2.05-0.88]. When the training place is located in the laboratory, the training effect is significant, = -1.11, 95% CI = [-1.62-0.61]. The difference is statistically significant when the training environment was changed to home, = -0.28, 95% CI = [-0.51-0.05]. CBM has a statistical effect on moderate-to-severe depression, = -0.70, 95% CI = [-1.04-0.36].
We found that CBM had a moderate therapeutic effect on depression, whether the setting was at home or in the lab. Especially when the interpretation of cognitive bias modification (CBM-I) was used, we got the highest effect value. Furthermore, CBM has a statistical effect on moderate-to-severe depression.
本研究旨在阐明认知偏差矫正对抑郁症的影响。
本研究纳入10项随机研究，检索了四个主要数据库：PubMed、Embase、PsycINFO和Cochrane图书馆，总样本量为467。此外，还对它们进行了质量和可能的发表偏倚检查。
认知偏差矫正（CBM）具有统计学显著结果，效应量= -0.64，95%置信区间= [-0.97 - 0.32]。认知偏差矫正的解释显示出最高的效应量，效应量= -1.45，95%置信区间= [-2.05 - 0.88]。当训练地点位于实验室时，训练效果显著，效应量= -1.11，95%置信区间= [-1.62 - 0.61]。当训练环境改为家中时，差异具有统计学显著性，效应量= -0.28，95%置信区间= [-0.51 - 0.05]。CBM对中重度抑郁症有统计学效应，效应量= -0.70，95%置信区间= [-1.04 - 0.36]。
我们发现，无论在家庭还是实验室环境中，CBM对抑郁症都有中度治疗效果。特别是当使用认知偏差矫正的解释（CBM-I）时，我们得到了最高的效应值。此外，CBM对中重度抑郁症有统计学效应。
