接纳承诺疗法对抑郁障碍效果的meta分析

A meta-analysis of effectiveness of acceptance and commitment therapy on depressive disorders

目的:评估接纳承诺疗法(ACT)对抑郁障碍患者的干预效果。方法:使用计算机检索Web of Science Core Collection、Pubmed、EMBASE、Cochrane Library、PsycINFO、中国知网、万方及维普全文数据库(截止到2023年10月23日),搜集接纳承诺疗法治疗抑郁障碍患者的随机对照研究(RCT)。使用STATA 17软件对符合纳入标准的文献数据进行meta分析。结果:共纳入11个RCT,随机效应模型分析结果表明,ACT能够有效降低抑郁水平(SMD=-1.22,95%CI:-2.05~-0.40,P<0.01),且具有一定维持效果(SMD=3.59,95%CI:1.57~5.62,P<0.01)。结论:接纳承诺疗法可以改善患者的抑郁。

Objective:To evaluate the intervention effectiveness of acceptance and commitment therapy(ACT)for patients with depressive disorders.Methods:A computer search of the Web of Science Core Collection,Pubmed,EMBASE,Cochrane Library,PsycINFO,CNKI,WanFang and WeiPu full-text databases(until October 23,2023)was used to collect randomized controlled studies that used acceptance and commitment therapy for trea-ting patients with depressive disorders.Using Stata 17 software,meta-analysis was performed on the literature data that met the inclusion criteria.Results:After screening,11 studies remained for data extraction.The results of a ran-dom effects model indicated that ACT could significantly reduce depression levels in patients with depressive disor-ders(SMD=-1.22,95%CI:-2.05--0.40,P<0.01),and had a certain maintenance effect(SMD=3.59,95%CI:1.57-5.62,P<0.01).Conclusion:Acceptance and commitment therapymay could improve the level of depression in patients.