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书写以保持活力:关于创意写作疗法治疗抑郁和自杀意念的系统评价和荟萃分析。

Writing to Keep on Living: A Systematic Review and Meta-Analysis on Creative Writing Therapy for the Management of Depression and Suicidal Ideation.

机构信息

Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain.

Department of Psychiatry, University Hospital Rey Juan Carlos, Móstoles, Madrid, Spain.

出版信息

Curr Psychiatry Rep. 2024 Jul;26(7):359-378. doi: 10.1007/s11920-024-01511-6. Epub 2024 May 8.

DOI:10.1007/s11920-024-01511-6
PMID:38717657
Abstract

PURPOSE OF REVIEW

The purpose of this review and meta-analysis was to explore the effectiveness of creative writing therapies for the management of depression and suicidal ideation.

RECENT FINDINGS

Twenty one of the 31 reviewed studies showed that creative writing significantly improved depressive symptoms, while five studies suggested improvement in other symptoms. The results of meta-analyses showed that narrative writing significantly reduced depression compared to those in neutral writing or treatment as usual condition in both post intervention and follow-up. However, the number of studies exploring the effects of creative writing in suicidal ideation was too low to perform a meta-analysis. A structured and well-targeted intervention using creative writing could have beneficial results for the management of depressive symptoms. More studies are needed to explore the potential benefits of creative writing for reducing suicidal ideation.

摘要

目的综述

本次综述和荟萃分析的目的在于探讨创意写作疗法在抑郁和自杀意念管理方面的有效性。

最近的发现

在 31 项综述研究中,有 21 项研究表明创意写作显著改善了抑郁症状,而 5 项研究则表明其他症状有所改善。荟萃分析的结果表明,与中性写作或常规治疗相比,叙事写作在干预后和随访中均显著降低了抑郁程度。然而,探索创意写作对自杀意念影响的研究数量太少,无法进行荟萃分析。使用创意写作进行有针对性的结构化干预可能对管理抑郁症状有有益的效果。需要更多的研究来探索创意写作在降低自杀意念方面的潜在益处。

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本文引用的文献

1
Cognitive behavior therapy vs. control conditions, other psychotherapies, pharmacotherapies and combined treatment for depression: a comprehensive meta-analysis including 409 trials with 52,702 patients.认知行为疗法与抑郁症的对照条件、其他心理疗法、药物疗法及联合治疗的比较:一项纳入409项试验、52702例患者的综合荟萃分析
World Psychiatry. 2023 Feb;22(1):105-115. doi: 10.1002/wps.21069.
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The Effect of Emotional Disclosure by Writing on the Depression of Hemodialysis Patients in Iran: A Randomized Clinical Trial.书写情绪表露对伊朗血液透析患者抑郁状况的影响:一项随机临床试验
J Caring Sci. 2021 Oct 23;10(4):223-229. doi: 10.34172/jcs.2021.035. eCollection 2021 Nov.
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Treatment-Resistant Depression: Approaches to Treatment.
治疗抵抗性抑郁症:治疗方法。
J Psychosoc Nurs Ment Health Serv. 2021 Sep;59(9):7-11. doi: 10.3928/02793695-20210816-01. Epub 2021 Sep 1.
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Comparing the effects of emotional disclosure and peer helping writing on psychological distress among Chinese international students: The moderating role of rumination.比较情绪表达和同伴帮助写作对中国留学生心理困扰的影响:沉思的调节作用。
J Clin Psychol. 2021 Jul;77(7):1556-1572. doi: 10.1002/jclp.23135. Epub 2021 Apr 6.
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J Affect Disord. 2021 Mar 1;282:962-973. doi: 10.1016/j.jad.2020.12.080. Epub 2020 Dec 25.
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The Effect of Expressive Writing on Postpartum Depression and Stress of Mothers with a Preterm Infant in NICU.早产儿重症监护病房中母亲的表达性写作对产后抑郁和压力的影响。
J Clin Psychol Med Settings. 2020 Dec;27(4):867-874. doi: 10.1007/s10880-019-09688-2.
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Reflections on Suicidal Ideation.关于自杀意念的思考
Crisis. 2019 Jul;40(4):227-230. doi: 10.1027/0227-5910/a000615.
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Creative art therapy for mental illness.创意艺术疗法治疗精神疾病。
Psychiatry Res. 2019 May;275:129-136. doi: 10.1016/j.psychres.2019.03.025. Epub 2019 Mar 16.
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Evaluation of expressive writing for postpartum health: a randomised controlled trial.评估表达性写作对产后健康的影响:一项随机对照试验。
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