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首页> 外文期刊>Frontiers in Psychology >Comparative Effectiveness of Multiple Psychological Interventions for Psychological Crisis in People Affected by Coronavirus Disease 2019: A Bayesian Network Meta-Analysis
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Comparative Effectiveness of Multiple Psychological Interventions for Psychological Crisis in People Affected by Coronavirus Disease 2019: A Bayesian Network Meta-Analysis

机译：冠状病毒疾病影响的多种心理危机的比较有效性2019：贝叶斯网络荟萃分析

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Objective: The objective of our current research is to compare the different psychological interventions and distinguish the most effective way to treat psychological crisis according to different clinical manifestations in people affected by coronavirus disease 2019 (COVID-19). No previous systematic review has provided a comprehensive overview by performing a Bayesian network meta-analysis of this current topic. Method: A systematic review and a Bayesian network meta-analysis were conducted on randomized controlled trials (RCTs), non-RCTs, case–control studies, self-controlled case series (SCCS), cohort studies, and cross-sectional studies of all the available interventions for psychological crisis in people affected by COVID-19. We searched the electronic databases EMBASE, PubMed, Web of Science, PsycINFO, and Cochrane Library, as well as the Chinese databases such as Sinomed, Chinese Biomedicine Literature (CBM), Chinese Scientific Journal Database (VIP), WanFang Database, and China National Knowledge Infrastructure (CNKI), from 2019 to April 30, 2020. The main outcomes were self-rating anxiety scale (SAS), self-rating depression scale (SDS), patient health questionnaire (PHQ-9), and symptom checklist (SCL-90). The study is registered with Inplasy, number 202050076. Result: Sixteen self-controlled case series (SCCS) comprising 1,147 participants compared five different psychological interventions with four different measurement scales were included in this study. For effectiveness, all the psychological therapies were significantly more effective than before intervention. Our results showed that supportive therapy (ST), which is adjusted to the COVID-19-related mental crisis, is the best treatment compared with behavioral therapy (BT), nursing-based psychological therapy (NBPT), traditional Chinese medicine therapy (TCMT), and COVID-19-related standard training (CRST) at reducing the anxiety-related symptoms assessed by SAS. When measured by SDS, BT was better than ST and NBPT treatment for reducing the depression symptoms. And ST was better than BT and ST+BT as assessed by PHQ-9. In the end, the last network meta-analysis indicated that NBPT was more effective than ST by the measurement of SCL-90. Conclusion: Our research suggested the potential effectiveness of psychological interventions for decreasing psychological crisis in people affected by COVID-19 and try to introduce the best effective treatment options for clinical practice according to the clinical manifestations of psychological problems, but further confirmation from high-quality RCTs is needed.
机译：目的：我们目前的研究的目的是比较不同的心理干预，并根据受冠心病疾病2019（Covid-19）影响的不同临床表现来区分治疗心理危机的最有效方法。通过对此当前主题进行贝叶斯网络Meta分析，没有先前的系统审查提供了全面的概述。方法：对随机对照试验（RCT），非RCT，病例对照研究，自控案例系列（SCCS），群组研究以及所有的横断面研究进行了系统审查和贝叶斯网络元分析Covid-19影响人们的心理危机的可用干预措施。我们搜索了Embase，PubMed，Science，Psycinfo和Cochrane图书馆的Pubmed，Psycinfo和Cochrane图书馆，以及中国生物医学文学（CBM），中国科学期刊数据库（VIP），万方数据库和中国国家的中国数据库从2019年到30年到2020年4月30日的知识基础设施（CNKI）。主要结果是自我评级焦虑尺度（SAS），自评抑郁症（SDS），患者健康问卷（PHQ-9）和症状清单（SCL -90）。该研究在Inlupasy中注册，202050076。结果：包含1,147名参与者的十六个自控案例系列（SCC）比较了五种不同的心理干预，其中包括四种不同的测量尺度。为了有效，所有心理疗法都比在干预前更有效。我们的研究结果表明，与行为治疗（BT），护理心理治疗（NBPT），中药治疗（TCMT）相比，支持疗法（ST）是最佳治疗方法（BT）。 ）和Covid-19相关的标准培训（CRST）在减少SAS评估的焦虑相关症状。当通过SDS测量时，BT比ST和Nbpt治疗更好，以减少抑郁症状。通过PHQ-9评估，ST比BT和ST + BT更好。最后，最后一个网络元分析表明，通过测量SCL-90，Nbpt比ST更有效。结论：我们的研究表明，根据Covid-19影响的人们对心理干预措施的潜在效果，并试图根据心理问题的临床表现介绍临床实践的最佳有效治疗方案，但进一步确认高质量需要rcts。

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