认知行为疗法治疗创伤后应激障碍效果的meta分析OACHSSCD
A meta-analysis of the efficacy of cognitive behavioral therapy for post-traumatic stress disorder
目的:通过meta分析全面评估认知行为疗法(CBT)在治疗创伤后应激障碍(PTSD)的效果.方法:系统检索PubMed、Web of Science、PsycINFO、中国知网(CNKI)、万方数据库、维普数据库,筛选相关随机对照试验(RCTs),以标准化评定量表评估 PTSD 症状的减轻程度为主要结局指标.对纳入的研究进行了数据提取、质量评估和meta分析,检索时限为 2005 年 1 月-2024 年 10 月.Meta分析采用Review Manager Software 5.4 完成.结果:共纳入21 项研究(总样本量 1 683 例).Meta分析结果显示,CBT在减轻PTSD症状方面显著优于对照组,(SMD=-0.25,95%CI:-0.43～-0.06,P＜0.05).亚组分析探讨了研究区域、样本量和创伤来源等因素对结果的影响,为CBT在不同情境下的应用提供了参考.结论:CBT在缓解成年人PTSD症状方面具有良好疗效.
Objective:To systematically evaluate the efficacy of Cognitive Behavioral Therapy(CBT)in trea-ting posttraumatic stress disorder(PTSD)through a meta-analysis.Methods:A comprehensive literature search was conducted in PubMed,Web of Science,PsycINFO,China National Knowledge Infrastructure(CNKI),Wanfang Da-tabase,and VIP Database to identify relevant randomized controlled trials(RCTs)published between January 2005 to October 2024.The primary outcome was the reduction in PTSD symptoms,as assessed by standardized rating scales.Data extraction,quality assessment,and Meta-analysis were performed.Review Manager Software 5.4 was used for the meta-analysis.Results:A total of 21 studies involving 1 683 participants were included.The results of the meta-analysis showed that CBT was significantly more effective than to the control interventions in reducing PTSD symptoms(SMD=-0.25,95%CI:-0.43--0.06,P＜0.05).Subgroup analysis examined the impact of factors such as research region,sample size,and source of trauma,providing insights into the contextual adapta-bility of CBT.Conclusion:CBT demonstrates a therapeutic effect in alleviating PTSD symptoms in adults.
袁富强;盛彬;谢小莹
江西中医药大学研究生院,南昌 330000江西中医药大学人文学院,南昌 330000江西中医药大学人文学院,南昌 330000
医药卫生
认知行为疗法创伤后应激障碍干预效果meta分析
cognitive behavioral therapypost-traumatic stress disorderintervention efficacymeta-analysis
《中国心理卫生杂志》 2026 (3)
196-204,9
江西省卫生健康委科技计划(202311144)
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