Psychological Treatments for the World: Lessons from Low- and Middle-Income Countries.
Psychological Treatments for the World: Lessons from Low- and Middle-Income Countries.
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DOI：
10.1146/annurev-clinpsy-032816-045217
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发表时间：
2017-05-08
影响因子：
18.4
通讯作者：
Patel V
中科院分区：
文献类型：
--
作者：
Singla DR;Kohrt BA;Murray LK;Anand A;Chorpita BF;Patel V
常见的精神障碍，包括抑郁症、焦虑症和创伤后应激障碍，是全世界残疾的主要原因。这些疾病的治疗在低收入和中等收入国家是有限的。本系统综述综合了实施过程，并检查了低收入和中等收入国家非专业提供者提供的成人常见精神障碍心理治疗的有效性。总共有27项试验符合资格标准;大多数治疗针对抑郁症或创伤后应激。治疗通常由社区卫生工作者或初级保健或社区环境中的同行提供;他们通常在2 - 3个月内以个人面对面的形式提供不到10次治疗。治疗包括共同的元素，如非特异性参与和特定领域的行为，人际，情感和认知元素。合并效应量为0.49（95%置信区间= 0.36 - 0.62），有利于干预条件。我们的回顾表明，心理治疗，包括一个简约的一套共同的元素，并提供了一个低成本，广泛可用的人力资源，在减轻常见的精神障碍的负担有中度到强烈的影响。
Common mental disorders, including depression, anxiety, and posttraumatic stress, are leading causes of disability worldwide. Treatment for these disorders is limited in low- and middle-income countries. This systematic review synthesizes the implementation processes and examines the effectiveness of psychological treatments for common mental disorders in adults delivered by nonspecialist providers in low- and middle-income countries. In total, 27 trials met the eligibility criteria; most treatments targeted depression or posttraumatic stress. Treatments were commonly delivered by community health workers or peers in primary care or community settings; they usually were delivered with fewer than 10 sessions over 2–3 months in an individual, face-to-face format. Treatments included common elements, such as nonspecific engagement and specific domains of behavioral, interpersonal, emotional, and cognitive elements. The pooled effect size was 0.49 (95% confidence interval = 0.36–0.62), favoring intervention conditions. Our review demonstrates that psychological treatments—comprising a parsimonious set of common elements and delivered by a low-cost, widely available human resource—have moderate to strong effects in reducing the burden of common mental disorders.
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影响因子：
17.7
作者：
Araya, Ricardo;Flynn, Terry;Simon, Greg
通讯作者：
Simon, Greg
影响因子：
120.7
作者：
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通讯作者：
Weissman, M
DOI：
10.2471/blt.12.104133
发表时间：
2012-11-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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作者：
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通讯作者：
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