抑郁症计算机化治疗的效果及其影响因素:基于RCT的元分析与元回归分析

发布时间：2018-07-29 17:07

【摘要】：运用元分析和元回归分析的方法考察抑郁症计算机化治疗的效果及其影响因素。来源于50篇文献,42项RCT研究的67个样本满足了元分析标准(N=7920)。结果发现:(1)整体效果量为.53,三个月追踪效果量为.14;6个月追踪效果量为.16;(2)在年龄段、抑郁严重程度、支持方式和测量量表四个亚组分析中,其效果量存在显著差异。干预方式、干预取向和分析方法对效果量的影响不显著;(3)出版年份显著影响治疗效果量,脱落率和干预单元数对整体效果量的影响不显著。结果表明:抑郁症的计算机化治疗具有中等的效果量;年龄段、抑郁严重程度、支持方式、测量量表和出版年份对其整体效果量有调节作用。将来抑郁症计算机化治疗的研究应重视上述调节变量对治疗效果的影响。
[Abstract]:The effect of computerized treatment of depression and its influencing factors were investigated by means of meta-analysis and meta-regression analysis. A total of 67 samples from 42 RCT studies in 50 articles met the meta-analysis criteria (NMN7920). The results showed that: (1) the total effect was .53, the three-month follow-up was .14; the 6-month follow-up was .16; (2) there were significant differences among the four subgroups of age, depression severity, support style and measurement scale. Intervention mode, intervention orientation and analysis method had no significant effect on the effect quantity; (3) the year of publication had significant influence on the treatment effect quantity, and the drop off rate and the number of intervention units had no significant effect on the overall effect quantity. The results showed that the computerized treatment of depression had moderate effect, age, severity of depression, support mode, measurement scale and year of publication could regulate the overall effect of depression. The study of computerized treatment of depression in the future should pay attention to the effect of the above regulation variables on the therapeutic effect.
【作者单位】：福州大学人文社会科学学院;华中师范大学心理学院暨人的发展与心理健康湖北省重点实验室;中国科学院心理健康重点实验室;
【基金】：教育部人文社会科学研究青年基金项目(基于CBT的抑郁症计算机化自动匹配治疗:模型、效果及机制研究,12YJCZH170) 人的发展与心理健康湖北省重点实验室开放课题项目(201301) 中国科学院心理健康重点实验室经费的资助
【分类号】：R749.4

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