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针对与新冠病毒感染相关心理健康症状的心理治疗:一项范围综述。

Psychological treatments for mental health symptoms associated with COVID-19 infection: A scoping review.

作者信息

Sugita So, Hata Kotone, Kodaiarasu Krandhasi, Takamatsu Naoki, Kimura Kentaro, Miller Christian, Gonzalez Lecsy, Umemoto Ikue, Murayama Keitaro, Nakao Tomohiro, Kito Shinsuke, Ito Masaya, Kuga Hironori

机构信息

National Center for Cognitive Behavior Therapy and Research National Center of Neurology and Psychiatry Tokyo Japan.

Faculty of Human Sciences Waseda University Tokyo Japan.

出版信息

PCN Rep. 2024 Jul 1;3(3):e223. doi: 10.1002/pcn5.223. eCollection 2024 Sep.

Abstract

The aim of this scoping review was to synthesize published studies and ongoing clinical trials of psychological interventions for mental health problems associated with COVID-19 infection. The study protocol was developed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Extension for Scoping Reviews. We conducted systematic searches for studies published or registered between January 2020 and October 2022 using eight scientific databases and clinical trial registries, which identified 40 complete published studies and 53 ongoing clinical trials. We found that most studies were randomized controlled trials (74%) while the remaining used study designs of lower methodological quality. Most studies investigated interventions for acute COVID-19 patients (74%) and others explored post-COVID conditions (PCC) or recovered patients. Cognitive and behavioral therapies were the main intervention approaches (31%), followed by multidisciplinary programs (21%) and mindfulness (17%). The most frequently evaluated outcomes were anxiety (33%), depression (26%), quality of life (13%), and insomnia (10%). No studies on youths, older people, or marginalized communities were found. These findings summarize the burgeoning research on a range of psychological interventions for individuals infected with COVID-19. However, the field is in its infancy and further research to develop an evidence base for targeted care is necessary. The gaps identified in the current study also highlight the need for more research on youths, older people, and members of marginalized communities, and PCC patients. It is important to ascertain interventions and delivery strategies that are not only effective and affordable but also allow high scalability and accessibility.

摘要

本综述的目的是综合已发表的研究以及正在进行的针对与新冠病毒感染相关心理健康问题的心理干预临床试验。研究方案是根据系统评价和Meta分析优先报告条目(PRISMA)扩展版的范围综述制定的。我们使用八个科学数据库和临床试验注册库,对2020年1月至2022年10月期间发表或注册的研究进行了系统检索,共识别出40项完整的已发表研究和53项正在进行的临床试验。我们发现,大多数研究是随机对照试验(74%),其余研究采用的研究设计方法学质量较低。大多数研究调查了针对急性新冠患者的干预措施(74%),其他研究则探讨了新冠后状况(PCC)或康复患者。认知和行为疗法是主要的干预方法(31%),其次是多学科项目(21%)和正念(17%)。最常评估的结果是焦虑(33%)、抑郁(26%)、生活质量(13%)和失眠(10%)。未发现针对青少年、老年人或边缘化社区的研究。这些发现总结了针对新冠病毒感染者一系列心理干预的新兴研究。然而,该领域尚处于起步阶段,有必要进一步开展研究以建立针对性护理的证据基础。本研究中发现的差距也凸显了对青少年、老年人、边缘化社区成员以及PCC患者进行更多研究的必要性。确定不仅有效且经济实惠而且具有高可扩展性和可及性的干预措施和实施策略非常重要。

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