Rapid Review and Meta-Meta-Analysis of Self-Guided Interventions to Address Anxiety, Depression, and Stress During COVID-19 Social Distancing.
Rapid Review and Meta-Meta-Analysis of Self-Guided Interventions to Address Anxiety, Depression, and Stress During COVID-19 Social Distancing.
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对自我引导的干预措施的快速审查和荟萃分析，以解决COVID-19社会疏远期间的焦虑，抑郁和压力。
DOI：
10.3389/fpsyg.2020.563876
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发表时间：
2020
影响因子：
3.8
通讯作者：
Mattos P
中科院分区：
文献类型：
--
作者：
Fischer R;Bortolini T;Karl JA;Zilberberg M;Robinson K;Rabelo A;Gemal L;Wegerhoff D;Nguyễn TBT;Irving B;Chrystal M;Mattos P
我们对荟萃分析进行了快速回顾和定量总结，这些荟萃分析研究了隔离和社交距离期间个人可用于管理焦虑，抑郁，压力和主观幸福感的干预措施。文献检索得到了34项荟萃分析（研究总数k = 1，390，n = 145，744），并进行了总结。总体而言，与对照组相比，自我指导干预显示出小到中等的效果。特别是，自我指导的治疗方法（包括认知行为，正念和接受为基础的干预措施），选择积极心理学干预措施，以及多成分和基于活动的干预措施（音乐，体育锻炼）显示出有希望的有效性证据。总体而言，自我指导干预平均没有显示出与传统指导个人或团体治疗相同的有效性。没有一致的证据表明电子保健干预措施的剂量效应、基线差异和不同的有效性。需要对不同文化背景下干预措施的有效性进行更多的研究。
We conducted a rapid review and quantitative summary of meta-analyses that have examined interventions which can be used by individuals during quarantine and social distancing to manage anxiety, depression, stress, and subjective well-being. A literature search yielded 34 meta-analyses (total number of studies k = 1,390, n = 145,744) that were summarized. Overall, self-guided interventions showed small to medium effects in comparison to control groups. In particular, self-guided therapeutic approaches (including cognitive-behavioral, mindfulness, and acceptance-based interventions), selected positive psychology interventions, and multi-component and activity-based interventions (music, physical exercise) showed promising evidence for effectiveness. Overall, self-guided interventions on average did not show the same degree of effectiveness as traditional guided individual or group therapies. There was no consistent evidence of dose effects, baseline differences, and differential effectiveness of eHealth interventions. More research on the effectiveness of interventions in diverse cultural settings is needed.
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