摘要
目的系统评价我国心理弹性干预措施的效果。方法计算机检索CBM、VIP、CNKI和WanFangData,检索时限均为从建库截至2012年10月,纳入评价心理弹性干预效果的随机对照试验和前后对照试验。由两名研究者独立进行文献筛选、质量评价和资料提取,而后交叉核对,若有分歧,讨论解决。鉴于各纳入研究的结局指标存在很大差异,不能进行Meta分析,因而采用定性方法系统总结纳入文献的干预措施及其效果。结果最终纳入8篇有关心理弹性干预的对照试验,包括3个随机对照试验,5个前后对照试验。研究对象均针对学生群体,包括大学生的研究6个、中专生和农村留守初中生的研究各1个。8篇文献均评价了团体心理辅导的干预效果,其中1篇还比较了心理知识讲座的干预效果。研究结果显示,现已开展的各种团体心理辅导和心理知识讲座均能显著改善研究对象的心理弹性水平。结论目前有关心理弹性的干预研究比较有限,所开展的心理弹性干预措施比较单一,且主要针对学生群体,缺乏高质量的研究设计。建议针对其他人群开展更多形式的心理弹性干预研究,并通过大样本、设计严格的高质量试验来评价其近期和远期干预效果。
Objective To systematically review the psychological resilience intervention in China, so as to evaluate its effectiveness. Methods Studies published as of October 2012 were searched in CBM, VIP, CNKI and WanFang Data. The randomized controlled trials （RCTs） and controlled before-and-after trials （CBAs） about psychological resilience in- tervention were included. Two reviewers independently performed screening, quality assessment and data extraction, and then reached a consensus after cross-check and discussion. Qualitative synthesis was adopted instead of meta-analysis for the existed significant deviations in outcomes of included studies. Results A total of 8 studies including 3 RCTs and 5 CBAs were included for the analysis. All the studies referred to the objects of students, including 6 for college students, 1 for secondary school students and 1 for left behind students in rural junior school. All 8 studies evaluated the effectiveness of group psychological guidance, 1 of which also compared the outcomes of psychological lectures. All the included tri- als suggested that group psychological guidance and psychological lectures might significantly improve the psychological resilience of subjects. Conclusion Current studies on psychological resilience intervention are limited, the measure has been taken seems relatively single, which mainly focuses on students and lacks of high-quality research design. It suggests take more diverse psychological resilience interventions for different population, and evaluate both short-term and long- term effectiveness by performing large sample, strictly designed and high-quality trials.
出处
《中国循证医学杂志》
CSCD
2013年第4期373-378,共6页
Chinese Journal of Evidence-based Medicine
基金
重庆市教育委员会科学技术研究项目:三峡库区农村留守儿童心理弹性作用机制研究(编号:KJ120309)
关键词
心理弹性
干预措施
效果
系统评价
Psychological resilience
Intervention
Effectiveness
Systematic review
