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首页> 外文期刊>The European journal of psychiatry. >Are individual and group treatments equally effective in the treatment of depression in adults? : A meta-analysis
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Are individual and group treatments equally effective in the treatment of depression in adults? : A meta-analysis

机译：个体和集体治疗在治疗成人抑郁症方面是否同样有效？ ：荟萃分析

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Background and Objectives: It is well-established that psychological interventions are effective in the treatment of depression. However, it is not yet clear what the optima format is in which psychological treatments should be delivered. Although several studies have examined whether individual and group treatments are equally effective in the treatment of depression, no comprehensive meta-analysis has examined this. Methods: We searched major bibliographical databased and conducted a meta-analysis of 15 studies in which individual and group therapies were compared directly to each other. Results: The mean effect size indicating the difference between individual and group therapies in depressive symptomatology at post-test was 0.20 (95% CI: [0.05 0.35]; p < 0.01), in favor of individual therapies, with a lower drop-out rate in individual interventions (OR = 0.56; 95% CI: [0.37, 0.86]; p < 0.01). At follow-up no significant differences were found. Conclusions: Although individual therapy seems to be somewhat more effective than group therapy at the short term, it is not clear whether this is relevant from a clinical point of view. Because of the small number of studies and the limited quality, more research is needed to examine whether the difference between individual and group treatment is clinically relevant.
机译：背景与目的：众所周知，心理干预可以有效治疗抑郁症。但是，尚不清楚应该采用哪种心理治疗的最佳形式。尽管有几项研究检查了个体和团体治疗在抑郁症治疗中是否同样有效，但尚无全面的荟萃分析对此进行过研究。方法：我们检索了主要书目数据库，并对15项研究进行了荟萃分析，其中将个体和小组疗法直接进行了比较。结果：表明个体与团体疗法之间在抑郁症状后的差异的平均效应大小为0.20（95％CI：[0.05 0.35]; p <0.01），有利于个体疗法，且辍学率较低个体干预率（OR = 0.56; 95％CI：[0.37，0.86]; p <0.01）。随访时未发现明显差异。结论：尽管短期内个体疗法似乎比集体疗法更有效，但从临床角度来看这尚不明确。由于研究数量少且质量有限，因此需要进行更多研究来检查个体和小组治疗之间的差异是否具有临床意义。

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