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精神疾病患者的心理韧性与生活质量:一项系统综述与荟萃分析

Resilience and Quality of Life in People with Mental Illness: A Systematic Review and Meta-Analysis.

作者信息

Chuang Shu Ping, Wu Jo Yung Wei, Wang Chien Shu

机构信息

Department of Psychiatry, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan.

Good-Day Psychology Clinic, Tainan, Taiwan.

出版信息

Neuropsychiatr Dis Treat. 2023 Mar 4;19:507-514. doi: 10.2147/NDT.S392332. eCollection 2023.

Abstract

PURPOSE

Resilience is viewed as an individual' positive adaptation and experiences of adversity. The maintenance and recovery of mental health in people with mental disorder is considered a sign of coping with adverse conditions. The purpose of the present meta-analysis was to examine the association between resilience and quality of life in individuals with mental disorders.

METHODS

Studies were included if research reported measures of association with resilience, as assessed using self-reported resilience scale and quality of life. A systematic literature search was conducted in PubMed and PsycINFO.

RESULTS

Eight studies involving a total of 1439 patients were included in the meta-analysis. Assuming a random-effects model, the weighted mean Pearson correlation between resilience and quality of life was r = 0.551 (95% confidence interval [0.370; 0.691], p < 0.001). This association was moderate, although the heterogeneity among individual effect sizes was substantial (I = 93.35%).

CONCLUSION

Despite substantial heterogeneity across included studies, the findings suggest a strong association between resilience and quality of life in people with mental disorders. In clinical practice, the promotion of resilience is important to enhance the quality of life among people with mental illness.

摘要

目的

心理韧性被视为个体的积极适应和逆境体验。精神障碍患者心理健康的维持和恢复被认为是应对不利状况的标志。本荟萃分析的目的是检验心理韧性与精神障碍患者生活质量之间的关联。

方法

如果研究报告了使用自我报告的心理韧性量表和生活质量评估的与心理韧性的关联测量,则纳入该研究。在PubMed和PsycINFO中进行了系统的文献检索。

结果

八项研究共纳入1439名患者,进行了荟萃分析。采用随机效应模型,心理韧性与生活质量之间的加权平均Pearson相关系数为r = 0.551(95%置信区间[0.370; 0.691],p < 0.001)。这种关联是中等程度的,尽管个体效应量之间的异质性很大(I = 93.35%)。

结论

尽管纳入的研究存在很大异质性,但研究结果表明心理韧性与精神障碍患者的生活质量之间存在密切关联。在临床实践中,促进心理韧性对于提高精神疾病患者的生活质量很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f44c/9994666/cf0f5c6038d5/NDT-19-507-g0001.jpg

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