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个性化心理干预对青少年的疗效:一项范围综述和荟萃分析。

The efficacy of personalized psychological interventions in adolescents: a scoping review and meta-analysis.

作者信息

Li William, Gleeson John, Fraser Madeleine I, Ciarrochi Joseph, Hofmann Stefan G, Hayes Steven C, Sahdra Baljinder

机构信息

Institute for Positive Psychology and Education, Australian Catholic University, Sydney, NSW, Australia.

School of Behavioral Health Sciences, Australian Catholic University, Sydney, NSW, Australia.

出版信息

Front Psychol. 2024 Sep 6;15:1470817. doi: 10.3389/fpsyg.2024.1470817. eCollection 2024.

Abstract

UNLABELLED

This review compared the efficacy of personalized psychological interventions to standardized interventions for adolescents. We conducted a scoping review and meta-analysis of randomized controlled trials that compared personalized interventions with standardized interventions in adolescents. Data was analyzed using Bayesian multilevel random effects meta-analysis. Eligible studies were identified through five databases: Scopus, PsycINFO, MEDLINE, Web of Science, and EMBASE. Moderation analysis was conducted to explain potential sources of effect size heterogeneity. Eight studies across 13 articles (participant  = 2,490) met inclusion criteria for the review with seven studies across 10 articles ( = 1,347) providing sufficient data for inclusion in the meta-analysis. A small but significant effect size favoring personalized interventions was found ( = 0.21, 95% CrI [0.02, 0.39]), indicating that personalized interventions are associated with superior treatment outcomes compared to standardized interventions. Moderate between-study heterogeneity was found (I = 53.3%). There was no evidence of publication bias. The review also found significant variation in methods of treatment personalization. This review provides evidence that personalization of adolescent psychological interventions is an effective way to improve treatment outcomes. Given the large number of adolescents worldwide who will experience some sort of mental health problem, personalization could have a significantly large impact on global mental health outcomes.

SYSTEMATIC REVIEW REGISTRATION

https://doi.org/10.17605/OSF.IO/XRNCG.

摘要

未标注

本综述比较了针对青少年的个性化心理干预与标准化干预的疗效。我们对比较青少年个性化干预与标准化干预的随机对照试验进行了范围综述和荟萃分析。使用贝叶斯多层次随机效应荟萃分析对数据进行分析。通过五个数据库(Scopus、PsycINFO、MEDLINE、Web of Science和EMBASE)确定符合条件的研究。进行了调节分析以解释效应量异质性的潜在来源。13篇文章中的8项研究(参与者 = 2490)符合本综述的纳入标准,10篇文章中的7项研究( = 1347)提供了足够的数据纳入荟萃分析。发现有利于个性化干预的效应量虽小但具有统计学意义( = 0.21,95% CrI [0.02, 0.39]),表明与标准化干预相比,个性化干预与更好的治疗结果相关。研究间存在中度异质性(I = 53.3%)。没有发表偏倚的证据。该综述还发现治疗个性化方法存在显著差异。本综述提供了证据表明青少年心理干预的个性化是改善治疗结果的有效方法。鉴于全球有大量青少年会经历某种心理健康问题,个性化可能会对全球心理健康结果产生重大影响。

系统综述注册

https://doi.org/10.17605/OSF.IO/XRNCG。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21f6/11413809/963dc8f8c9c3/fpsyg-15-1470817-g001.jpg

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