中文译文：青少年自杀和自伤相关行为的心理社会干预：中国实践的系统评价和荟萃分析。

Psychosocial interventions for suicidal and self-injurious-related behaviors among adolescents: a systematic review and meta-analysis of Chinese practices.

机构信息

Department of Preventive Medicine, Shantou University Medical College, Shantou, Guangdong, China.

Faculty of Health Sciences and Sports, Macao Polytechnic University, Macao, Macao SAR, China.

出版信息

Front Public Health. 2023 Dec 18;11:1281696. doi: 10.3389/fpubh.2023.1281696. eCollection 2023.

DOI:10.3389/fpubh.2023.1281696

PMID:38164448

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10757980/

Abstract

BACKGROUND

Suicidal and self-injurious-related behaviors (SSIRBs) are a serious public health challenge in China. However, a comprehensive systematic review of psychosocial interventions for SSIRBs among Chinese adolescents has not been performed. To fill this gap, this systematic review and meta-analysis aimed to examine psychosocial interventions for SSIRBs among Chinese adolescents.

METHODS

Eight international (PubMed, EMBASE, Cochrane Library, ScienceDirect, Clinical Trial, CINAHL, PsycINFO, and Web of Science) and four Chinese (Wanfang, SinoMed, CEPS, and CNKI) databases were searched from inception to 31 January 2023. Data extraction and quality assessment were independently conducted by two groups of researchers. Qualitative synthesis and meta-analysis were both used.

RESULTS

The initial search yielded 16,872 titles. Of the 649 full texts reviewed, 19 intervention articles focusing on SSIRBs met the inclusion criteria. Thirteen out of the 19 included studies involved cognitive-behavioral therapy (CBT). Seven non-suicidal self-injury (NSSI) studies assessing self-injurious behaviors were included (six short-term studies and three long-term studies). Compared with long-term interventions [-1.30 (95% CI: -1.84, -0.76)], short-term psychosocial interventions had a higher standardized mean difference (SMD) value [1.86 (95% CI: -2.72, -0.99)]. Meta-regression showed an inverse relationship between the treatment response and sample size (slope = 0.068, = 2.914, = 0.004) and proportion of females (slope = 1.096, = 5.848, < 0.001). Subgroup analyses showed that compared with the "less than 1 month" group [-0.494 (-0.783, -0.205)], in the "immediate postintervention" group, the pooled estimate was significantly lower [-2.800 (-4.050, -1.550), < 0.001].

CONCLUSION

Our review systematically summarized the key characteristics and effectiveness of existing psychosocial interventions for SSIRBs among Chinese adolescents. Short-term psychosocial interventions for NSSI were significantly effective in reducing self-injurious behavior scores, especially in the immediate postintervention period. More favorable treatment responses could be observed in both male and small samples.

摘要

背景

自杀和自伤相关行为（SSIRBs）是中国面临的严重公共卫生挑战。然而，目前尚未对中国青少年 SSIRBs 的心理社会干预进行全面的系统评价。为了填补这一空白，本系统评价和荟萃分析旨在研究中国青少年 SSIRBs 的心理社会干预措施。

方法

从建库至 2023 年 1 月 31 日，我们在 8 个国际数据库（PubMed、EMBASE、Cochrane Library、ScienceDirect、Clinical Trial、CINAHL、PsycINFO 和 Web of Science）和 4 个中文数据库（万方、中国生物医学文献服务系统、中国临床试验注册中心和中国知网）中进行了检索。两组研究人员分别独立进行数据提取和质量评估。采用定性综合分析和荟萃分析。

结果

初始检索得到 16872 个标题。在 649 篇全文中，有 19 篇干预文章符合纳入标准，这些文章均聚焦于 SSIRBs。19 项纳入研究中有 13 项涉及认知行为疗法（CBT）。共有 7 项非自杀性自伤（NSSI）研究评估自伤行为，其中 6 项为短期研究，3 项为长期研究。与长期干预相比[-1.30（95%置信区间：-1.84，-0.76）]，短期心理社会干预的标准化均数差（SMD）值更高[1.86（95%置信区间：-2.72，-0.99）]。元回归显示，治疗反应与样本量（斜率=0.068， = 2.914， = 0.004）和女性比例（斜率=1.096， = 5.848， < 0.001）之间存在反比关系。亚组分析显示，与“<1 个月”组[-0.494（-0.783，-0.205）]相比，“即刻干预后”组的合并估计值明显更低[-2.800（-4.050，-1.550）， < 0.001]。