焦点解决短期治疗对卒中后抑郁患者焦虑抑郁情绪及自我效能影响的Meta分析

Effects of solution focused brief therapy on anxiety,depression,and self-efficacy in patients with poststroke depression:a Meta-analysis

目的系统评价焦点解决短期治疗(SFBT)对卒中后抑郁(PSD)患者焦虑、抑郁情绪和自我效能感的影响。方法计算机检索中国知网、万方数据库、中国生物医学文献数据库、维普网、PubMed、Web of Science、Embase、MEDLINE、Cochrane Library数据库中关于SFBT对PSD患者焦虑、抑郁情绪及自我效能感的随机对照研究,检索时限为建库至2023年9月。使用RevMan 5.4和Stata软件评价SFBT对PSD患者焦虑、抑郁情绪及自我效能感的影响。结果共纳入13篇文献,1285例PSD患者。Meta分析结果显示,干预组患者SFBT后的抑郁量表评分(SMD=-1.04,95%CI:-1.39~-0.69)、焦虑量表评分(SMD=-1.12,95%CI:-1.87~-0.37)低于对照组,自我效能量表评分(MD=4.61,95%CI:3.64~5.58)高于对照组,差异均有统计学意义(均P<0.01)。结论SFBT能改善PSD患者焦虑和抑郁情绪,提高自我效能感,值得进一步临床验证和推广。

Objective To systematically review the effect of solution-focused brief therapy(SFBT)on anxiety,depression,and self-efficacy in patients with post-stroke depression(PSD).Methods Randomized controlled trials on the effects of SFBT on anxiety,depression,and self-efficacy in PSD patients was retrieved through computer on China National Knowledge Infrastructure,WanFang Data,China Biomedical Database,VIP,PubMed,Web of Science,Embase,MEDLINE,and Cochrane Library.The timeframe for the search was from the building of the library to September 2023.RevMan 5.4 and Stata software were used to evaluate the effects of SFBT on anxiety,depression,and self-efficacy in PSD patients.Results A total of 13 articles and 1285 patients were included.Meta-analysis showed that the depression scale score[SMD=-1.04,95%C(I-1.39,-0.69)]and anxiety scale score[SMD=-1.12,95%C(I-1.87,-0.37)]of the intervention group after SFBT were lower than those of the control group,while the self-efficacy scale score[MD=4.61,95%CI(3.64,5.58)]was higher than that of the control group,and the differences were statistically significant(all P<0.01).Conclusions SFBT can improve anxiety and depression in PSD patients,enhance selfefficacy,and is worthy of further clinical validation and promotion.