丧亲人群网络化心理干预效果的系统综述与元分析  

The effectiveness of Internet-based interventions for bereaved people:A systematic review and meta-analysis

作　　者：唐苏勤 彭闻捷 余茵琪 符仲芳 TANG Suqin;PENG Wenjie;YU Yinqi;FU Zhongfang(School of Psychology,Shenzhen University,Shenzhen 518060,China;The Shenzhen Humanities&Social Sciences Key Research Bases of the Center for Mental Health,Shenzhen University,Shenzhen 518060,China;Department of Sociology,School of Government,Shenzhen University,Shenzhen 518060,China;School of Psychology and Cognitive Sciences,Peking University,Beijing 100871,China)

机构地区：[1]深圳大学心理学院 [2]深圳市人文社科研究重点基地深圳大学心理健康研究中心 [3]深圳大学政府管理学院社会学系,深圳518060 [4]北京大学心理与认知科学学院,北京100871

出　　处：《心理科学进展》2025年第2期256-273,I0001-I0018,共36页Advances in Psychological Science

基　　金：国家自然科学基金青年科学基金项目(NSFC32100890);教育部人文社会科学研究青年项目(21YJC840022);深圳市科技计划(JCYJ20230808105905010,KCXFZ 20230731093600002);深圳市人文社科研究重点基地深圳大学心理健康研究中心资助。

摘　　要：网络化心理干预近年来逐渐应用于改善丧亲人群的心理健康状况,系统考察其干预效果及其调节因素有助于指导临床实践。这项研究通过文献检索与筛选,选取了47个丧亲人群网络化心理干预研究,其中19项随机对照试验满足了元分析标准(N=1222),元分析共包括68个效应值。结果发现,干预对总体心理健康的效应达到显著的中等水平(g=0.54;95%CI=[0.39, 0.70]);具体而言,干预对病理性哀伤(g=0.56;95%CI=[0.39, 0.74])、抑郁(g=0.51;95%CI=[0.36, 0.67])和创伤后应激(g=0.63;95%CI=[0.45, 0.81])症状的改善都达到显著的中等效果。在改善总体心理健康水平方面,未使用意义建构、干预次数大于或等于10次和给予治疗反馈的网络化心理干预效果更好,干预频率为一周多于一次的干预效果要好于一周一次。但是,理论取向、干预过程中是否包含暴露练习、认知重构和行为激活的干预策略、是否设置提醒以及脱落率的高低均不存在调节作用。本研究说明网络化心理干预对改善丧亲人群的心理健康状况效果较为理想,并且在不同条件下网络化心理干预具有不同的效果。In recent years,Internet-based interventions have gradually been applied to improve the mental health of bereaved people,and systematically investigating the effectiveness of Internet-based interventions for bereaved people and the moderators helps guide clinical practice.In this study,47 studies of Internet-based interventions for bereaved people were selected through literature search and screening,of which 19 randomized controlled trials met the criteria of meta-analysis(N=1222).The meta-analysis included a total of 68 effect sizes.The results showed that the interventions had a significant moderate effect on mental health(g=0.54;95%CI=[0.39,0.70]).Specifically,the interventions showed significant moderate effects for symptoms of pathologic grief(g=0.56;95%CI=[0.39,0.74]),depression(g=0.51;95%CI=[0.36,0.67]),and posttraumatic stress disorder(g=0.63;95%CI=[0.45,0.81]).For improving mental health,excluding meaning reconstruction,having 10 sessions or more,and therapeutic feedback was associated with a larger effect of the Internet-based interventions,and contacting more than once a week showed a stronger effect than once a week.However,whether an intervention was based on cognitive behavior therapy,set reminders,had a high or low dropout rate,included exposure exercises,cognitive reconstruction,or behavioral activation had no moderating effect.This study shows that Internet-based interventions have positive effects on improving the mental health of bereaved people and have different effects under different conditions.

关 键 词：丧亲 网络化心理干预 病理性哀伤 创伤后应激障碍 抑郁 

分 类 号：R395[哲学宗教—心理学]