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成人抑郁症的认知偏差矫正:一项系统评价与荟萃分析。

Cognitive bias modification for adult's depression: A systematic review and meta-analysis.

作者信息

Li Jiawei, Ma Hui, Yang Hao, Yu Haoran, Zhang Ning

机构信息

Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China.

出版信息

Front Psychol. 2023 Jan 19;13:968638. doi: 10.3389/fpsyg.2022.968638. eCollection 2022.

Abstract

OBJECTS

This study aimed to elucidate the effect of cognitive bias modification on depression.

METHODS

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.

RESULTS

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].

CONCLUSION

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.

摘要

目的

本研究旨在阐明认知偏差矫正对抑郁症的影响。

方法

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。

结果

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]。

结论

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/703b/9894684/8425f705f868/fpsyg-13-968638-g001.jpg

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