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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >The Effects of Positive Psychological Interventions on Medical Patients' Anxiety: A Meta-analysis
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The Effects of Positive Psychological Interventions on Medical Patients' Anxiety: A Meta-analysis

机译：积极心理干预对医学患者焦虑的影响：META分析

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Objective Positive psychology interventions, which involve systematic completion of activities designed to promote well-being, are being increasingly studied in medically ill patients. However, the extent to which these interventions ameliorate patient anxiety remains unclear. Therefore, the aim of the study was to conduct a meta-analysis to determine the efficacy of positive psychology interventions in reducing anxiety in medical patients. Methods Electronic databases Medline, PsycINFO, SciELO, Cochrane (Central), and were searched from inception to June 18, 2018, to identify studies of positive psychology interventions that included a validated measure of anxiety as an outcome measure. Results The search generated a total of 1024 studies. Twelve randomized controlled trials (n = 1131) delivered to medical patients were included in the review, and a further 11 nonrandomized trials (n = 300) were included in a secondary analysis. Positive psychology interventions were effective at reducing patient anxiety relative to a control with a small to medium effect size (g = -0.34, 95% confidence interval = -0.50 to -0.18), and results were maintained at a mean of 8-week follow-up (g = -0.31, 95% confidence interval = -0.54 to -0.08). Clinician-led interventions seemed to be more effective than self-administered interventions, and longer interventions were more effective than shorter interventions. Secondary analysis of nonrandomized trials also found that positive psychology interventions are associated with reduced anxiety. Conclusions Positive psychology interventions seem to be effective at reducing medical patient anxiety. Future research is needed to determine optimal intervention characteristics, including dose and intervention content, that maximize the observed treatment effects.
机译：客观积极的心理干预措施，涉及系统性地完成旨在促进幸福的活动，在医疗病患者中越来越多地研究。然而，这些干预措施改善患者焦虑的程度仍不清楚。因此，该研究的目的是进行荟萃分析，以确定积极心理学干预在减少医疗患者焦虑方面的疗效。方法电子数据库MEDLINE，PSYCINFO，SCIELO，Cochrane（中央），并从2008年6月18日开始搜查，识别积极心理学干预的研究，其中包括验证焦虑措施作为结果措施。结果搜索共生成1024项研究。递送给医疗患者的12项随机对照试验（n = 1131）被列入审查中，另外11个非扫描试验（n = 300）含有二次分析。阳性心理学干预在减少相对于中等效应大小的对照的患者焦虑（G = -0.34,95％置信区间= -0.50至-0.18），并且结果保持在8周的平均值-UP（g = -0.31,95％置信区间= -0.54至-0.08）。临床医生 - LED干预似乎比自我管理的干预更有效，更长的干预措施比较短的干预措施更有效。非扫描试验的二次分析还发现，阳性心理干预与减少焦虑有关。结论阳性心理学干预似乎有效地减少医疗患者焦虑。未来的研究需要确定最佳干预特性，包括剂量和干预含量，最大限度地提高了观察到的治疗效果。

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