Wang Yu-Fei, Bian Wen, Wei Jing, Hu Shuang
Department of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Science, Peking Union Medical College, Beijing, China; 4+4 Medical Doctor Program, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.
Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.
J Affect Disord. 2023 Jun 15;331:269-278. doi: 10.1016/j.jad.2023.03.045. Epub 2023 Mar 21.
To assess whether working memory training will relieve anxiety in participants.
The PubMed, PsycINFO, Web of Science, and ProQuest databases were searched up to January 25, 2022. We included random controlled trials with low to moderate risk of bias in comparing working memory training with control condition as the only intervention in treating anxiety (PROSPERO ID: CRD42022300404). The language was restricted to English. Data extraction was independently carried out by two authors, following the PRISMA guideline for systematic reviews.
Of the 477 records identified, 19 studies (n = 1051) were included in the meta-analysis. The results showed that the post-training anxiety was reduced with a small but significant value (Hedge's g = -0.392, p = .009) by working memory training. Subgroup analyses confirmed that the moderating effect of anxiety type, anxiety measurement and training environment were significant.
These results should be considered with caution for the heterogeneity of training paradigms, participant population and types of anxiety assessed between studies. Further research is required to support these results.
Working memory training is a promising intervention to relieve anxiety symptoms.
评估工作记忆训练是否会减轻参与者的焦虑。
检索截至2022年1月25日的PubMed、PsycINFO、科学网和ProQuest数据库。我们纳入了在比较工作记忆训练与对照条件作为治疗焦虑的唯一干预措施时偏倚风险低至中度的随机对照试验(国际前瞻性系统评价注册库标识符:CRD42022300404)。语言限于英语。两名作者按照系统评价的PRISMA指南独立进行数据提取。
在识别出的477条记录中,19项研究(n = 1051)纳入了荟萃分析。结果显示,工作记忆训练使训练后的焦虑有所减轻,具有小但显著的效应值(赫奇斯g值 = -0.392,p = 0.009)。亚组分析证实,焦虑类型、焦虑测量方法和训练环境的调节作用显著。
由于各研究之间训练范式、参与者群体和评估的焦虑类型存在异质性,这些结果应谨慎看待。需要进一步的研究来支持这些结果。
工作记忆训练是一种有前景的减轻焦虑症状的干预措施。