Efficacy of peer support interventions for depression: a meta-analysis.
Efficacy of peer support interventions for depression: a meta-analysis.
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DOI：
10.1016/j.genhosppsych.2010.10.002
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发表时间：
2011-01
影响因子：
7
通讯作者：
Valenstein M
中科院分区：
文献类型：
--
作者：
Pfeiffer PN;Heisler M;Piette JD;Rogers MA;Valenstein M
评估同伴支持对减轻抑郁症状的效果。Medline, PsycINFO， CINAHL和CENTRAL数据库检索了截至2010年4月发表的临床试验，使用医学主题标题和与抑郁症和同伴支持相关的免费文本术语。两名独立审稿人选择了随机对照试验（rct），将同伴支持干预与常规护理或心理治疗对照条件进行比较。进行荟萃分析以产生研究条件之间抑郁症状变化的汇总标准化平均差异（SMD）。共确定了7项同伴支持与抑郁症常规护理的随机对照试验，涉及869名参与者。同伴支持干预在减轻抑郁症状方面优于常规护理，总SMD为-0.59 （95% CI: - 0.98, - 0.21; p=0.002）。7项随机对照试验共301名参与者比较了同伴支持和群体认知行为疗法（CBT）。CBT组与同伴干预组之间无统计学差异，合并SMD为0.10 （95% CI: - 0.20, 0.39 p=0.53）。根据现有证据，同伴支持干预有助于减轻抑郁症状。需要进一步的研究来确定在初级保健和其他精神卫生资源有限的环境中的有效性。
To assess the efficacy of peer support for reducing symptoms of depression. Medline, PsycINFO, CINAHL, and CENTRAL databases were searched for clinical trials published as of April 2010 using Medical Subject Headings and free text terms related to depression and peer support. Two independent reviewers selected randomized controlled trials (RCTs) which compared a peer support intervention for depression to usual care or a psychotherapy control condition. Meta-analyses were conducted to generate pooled standardized mean differences (SMD) in the change in depressive symptoms between study conditions. Seven RCTs of peer support versus usual care for depression involving 869 participants were identified. Peer support interventions were superior to usual care in reducing depressive symptoms, with a pooled SMD of -0.59 (95% CI: −0.98, −0.21; p=0.002). Seven RCTs with 301 total participants compared peer support to group cognitive behavioral therapy (CBT). There was not a statistically significant difference between group CBT and peer interventions, with a pooled SMD of 0.10 (95% CI: −0.20, 0.39 p=0.53). Based on the available evidence, peer support interventions help reduce symptoms of depression. Additional studies are needed to determine effectiveness in primary care and other settings with limited mental health resources.
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DOI：
10.1080/00207284.2000.11490981
发表时间：
2000-01-01
影响因子：
1.3
作者：
Barlow, SH;Burlingame, GM;Anderson, E
通讯作者：
Anderson, E
影响因子：
6.7
作者：
BlairWest, GW;Mellsop, GW;EyesonAnnan, ML
通讯作者：
EyesonAnnan, ML
DOI：
10.1016/0197-2456(86)90046-2
发表时间：
1986-09-01
期刊：
CONTROLLED CLINICAL TRIALS
影响因子：
--
作者：
DERSIMONIAN, R;LAIRD, N
通讯作者：
LAIRD, N
影响因子：
6.9
作者：
Cuijpers, P.;van Straten, A.;Andersson, G.
通讯作者：
Andersson, G.
DOI：
10.1177/070674370304800209
发表时间：
2003-03-01
影响因子：
4
作者：
Dennis, Cindy-Lee
通讯作者：
Dennis, Cindy-Lee