数字干预技术对抑郁症患者复燃复发影响的Meta分析
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北京市医院管理中心青年人才培养“青苗”计划 (QML20231905);北京市属医院科研培育计划 (PX2024070);北京安定医院萌芽科创基金[2024 年第(20)号]


The effects of digital technology interventions on relapse or recurrent in patients with major depressive disorder: a Meta-analysis
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    目的 评价数字干预技术对抑郁症患者复燃复发的影响。方法 2名研究者独立在 PubMed、Cochrane Library、Embase、PsycINFO、中国知网、万方数据库和中国生物医学文献数据库检索 数字干预技术对抑郁症患者复燃复发影响的随机对照试验研究,检索时间从建库到 2024 年 5 月 26 日。 采用修改后的 JADAD 量表对纳入的文献质量进行评价,采用 GRADE 分级系统评价证据质量,使用 Stata MP 18.0 软件的“metan”程序包进行数字干预技术对抑郁症患者复燃复发影响的 Meta 分析。结果 共 纳入 7 项随机对照试验研究,1 436 例患者。Meta 分析结果显示,与常规治疗组相比,数字干预技术可以 有效降低抑郁症患者复燃复发的比例(RR=0.63,95%CI=0.47~0.83,I 2 =68.4%,P=0.004)。亚组分析发现 不同的数字干预技术种类、实施周期和实施地区可能是异质性的来源,其中数字化认知疗法和康复训 练程式可以有效降低抑郁症患者复燃复发的比例。结论 数字干预技术可以有效改善抑郁症患者的复 燃复发。

    Abstract:

    Objective To evaluate the effects of digital technology interventions on the relapse or recurrent in patients with major depressive disorder. Methods Two researchers independently searched PubMed, Cochrane Library, Embase, PsycINFO, China National Knowledge Infrastructure (CNKI), Wanfang and China Biology Medicine (CBM) databases for randomized controlled trials on the effect of digital technology interventions on the relapse or recurrent in patients with major depressive disorder from inception to May 26th, 2024. Revised-JADAD scale was used to evaluate the quality of included studies. The GRADE guideline was performed to rate the quality of evidence. The meta-analysis of the effects of digital techrology interventions on relapse or recurent in patients with major depressive disorder was conducted with the "metan" package of Stata MP 18.0 software. Results Seven randomized controlled trials and 1 436 patients were finally included in the data synthesis. The results showed that compared with the control group, digital technology interventions could effectively reduce the proportions of relapses or recurrent in patients with major depressive disorder (RR=0.63, 95%CI=0.47-0.83, I 2 =68.4%, P=0.004). Subgroup analysis found that different types of digital technologies, study duration and study sites could be the source of heterogeneity. Of them, internet-delivered cognitive behavior therapy and rehabilitation training program had better effects in reducing the proportions of relapses and recurrent in patients with major depressive disorder. Conclusions Digital technology interventions had benefits in improving the relapse and recurrent in patients with major depressive disorder.

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李睿楠,冯子昭,肖乐,冯媛,张玲,周晶晶,王刚,齐涵.数字干预技术对抑郁症患者复燃复发影响的Meta分析[J].神经疾病与精神卫生,2024,24(11):782-788
DOI :10.3969/j. issn.1009-6574.2024.11.004.

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  • 在线发布日期: 2024-12-04