Effect of different psychological interventions on negative emotion in children with malignant tumor:a net work Meta analysis

Zhang Ping; Mo Lin; Li Xia; Wang Qiyao; Shi Lin; Wang Zijuan

doi:10.13406/j.cnki.cyxb.001362

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Effect of different psychological interventions on negative emotion in children with malignant tumor:a net work Meta analysis

更新时间：2024-01-17

- Effect of different psychological interventions on negative emotion in children with malignant tumor:a net work Meta analysis
- Journal of Chongqing Medical University Vol. 42, Issue 9, Pages: 1208-1213(2017)
- 作者机构：
  
  1. 重庆医科大学儿科学院儿童发育疾病研究教育部重点实验室儿童发育重大疾病国家国际科技合作基地儿科学重庆市重点实验室
  2. 重庆医科大学附属儿童医院特需门诊
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.001362
  CLC： R473.73
- Published：2017，
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Zhang Ping, Mo Lin, Li Xia, et al. Effect of different psychological interventions on negative emotion in children with malignant tumor:a net work Meta analysis. [J]. Journal of Chongqing Medical University 42(9):1208-1213(2017)
DOI：

Zhang Ping, Mo Lin, Li Xia, et al. Effect of different psychological interventions on negative emotion in children with malignant tumor:a net work Meta analysis. [J]. Journal of Chongqing Medical University 42(9):1208-1213(2017) DOI： 10.13406/j.cnki.cyxb.001362.

摘要

目的:通过比较不同心理干预方法在减轻恶性肿瘤患儿负性情绪方面的干预效果

明确其最优的心理干预方法。方法:采用计算机检索临床对照试验中心注册数据库（Cochrane Central of Registration Controlled Trials

CENTRAL）、荷兰医学文摘数据库（Excerpta Medical Datebase

EMBASE）、Pub Med、科学引文索引（Web of Science

WEB）、中国生物医学文献数据库（China Biomedical Literature Database

CBM）、中国知网（China National Knowledge Infrastructure

CNKI）、维普数据库（VIP Datebase

VIP）和万方数据库（Wan Fang Database

WF）中有关不同心理干预方法对恶性肿瘤患儿负性情绪干预效果的随机对照研究

检索时间均为建库至2017年2月。纳入比较不同心理干预方法对恶性肿瘤患儿负性情绪影响的随机对照试验

由2名评价人员按照标准独立筛选文献、提取资料、评价文献质量。用STATA 14.0软件进行网状Meta分析。结果:共纳入24篇文献。网状Meta分析结果显示

与普通心理干预疗法相比

音乐疗法（SMD=0.69

95%CI=0.17

.21）、游戏疗法（SMD=0.74

95%CI=0.45

.03）、认知行为疗法（SMD=4.32

95%CI=2.42

.58）、心理健康教育疗法（SMD=0.63

95%CI=0.14

.13）在减轻恶性肿瘤患儿负性情绪方面效果差异有统计学意义（均P

0.05）;与其他6种心理干预方法相比

认知行为疗法在减轻恶性肿瘤患儿负性情绪方面的效果差异有统计学意义

其中与音乐疗法相比（SMD=-3.63

95%CI=-5.60

1.66）;与游戏疗法相比（SMD=-3.58

95%CI=-5.51

1.66）;与游戏结合音乐与阅读的混合型疗法（SMD=-4.00

95%CI=-5.95

2.05）;与心理健康教育疗法相比（SMD=-3.69

95%CI=-5.65

1.73）;与普通心理疗法相比（SMD=-4.32

95%CI=-6.22

2.42）;与图书阅读疗法相比（SMD=-4.60

95%CI=-6.58

2.61）(均P

0.05)。结论:7种心理干预方法累积排序概率图下面积值从低到高的排序依次为:认知行为疗法、游戏疗法、音乐疗法、混合型疗法、心理健康教育疗法、普通心理干预疗法、图书阅读疗法

因此

认知行为疗法是减轻恶性肿瘤患儿负性情绪的最优心理干预方法

能提高患儿依从性及心理应对能力

改善其远期生存质量。

Abstract

Objective:To confirm the best effective psychological intervention method by comparing the effect of different psychological intervention methods on negative emotion of pediatric oncology patients. Methods:A systematic search of the Cochrane Central of Registration Controlled computer Trials（CENTRAL）

EMBASE

Pub Med

Web of Science

China biomedical literature database（CBM）

China National Knowledge Infrastructure（CNKI）

VIP database（VIP）

Wan Fang Database（WF） was carried out. Randomized controlled trials（RCTs）examining the effect of different psychological intervention methods on negative emotion in pediatric oncology patients were included. The retrieval time was up to February 2017. Two reviewers independently screened the literature according to the criteria

extracted the data and evaluated the quality of the literature. STATA 14.0 software was used for a net work meta analysis. Results:A total of 24 articles were included. The net work meta analysis showed that compared with ordinary psychological intervention therapy

music therapy（SMD =0.69

95% CI =0.17 to 1.21）

play therapy（SMD =0.74

95% CI =0.45 to 1.03）

cognitive behavioral therapy（SMD=4.32

95% CI=2.42 to 6.58）and psychological health education therapy（SMD=0.63

95% CI=0.14 to 1.13）had significant differences in reducing negative emotion in pediatric oncology patients（all P<0.05）. There were statistically significant difference in reducing negative emotion in pediatric oncology patients between cognitive behavior therapy and the other 6 methods of psychological intervention（all P<0.05）:cognitive behavior therapy vs. music therapy

SMD=-3.63

95% CI=-5.60to-1.66;cognitive behavior therapy vs. game therapy

SMD=-3.58

95% CI=-5.51 to-1.66;cognitive behavior therapy vs. music and reading combined with games

SMD=-4.00

95% CI=-5.95 to-2.05;cognitive behavior therapy vs. mental health education therapy

SMD=-3.69

95% CI=-5.65 to-1.73;cognitive behavior therapy vs.common psychological therapy

SMD=-4.32

95% CI=-6.22 to-2.42;cognitive behavior therapy vs. reading therapy

SMD=-4.60

95% CI=-6.58 to-2.61. Conclusion:Seven kinds of psychological intervention methods of surface under the cumulative ranking value from low to high order are cognitive behavior therapy

game therapy

music therapy

mixed therapy

mental health education therapy

general psychological intervention therapy

book reading therapy.Therefore

cognitive behavioral therapy is the best effective psychological intervention to reduce negative emotions of pediatric oncology patients

which can improve the compliance and psychological coping ability

and improve the long term quality of life.

关键词

恶性肿瘤患儿心理干预负性情绪网状Meta分析

Keywords

malignant tumorchildrenpsychological interventionnegative emotionnet work meta analysis

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Related Institution

Department of Nursing, Children's Hospital of Chongqing Medical University; National Clinical Research Center for Child Health and Diseases; Ministry of Education Key Laboratory of Child Development Disorders; Chongqing Key Laboratory of Pediatrics

Department of Ophthalmology,Chongqing General Hospital(Zhongshan Area)

Department of Neurology,the First Affiliated Hospital,Bengbu Medical College

重庆医科大学第一医院外科

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