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| 1 | 抑郁症的非药物治疗:系统性综述与证据图显示文摘背景抑郁症非药物治疗的疗效比较目前仍然不清楚。方法我们对一些系统性综述作了概述,回顾了随机对照试验(RCT),比较抑郁症非药物治疗的有效性和认知行为治疗(CBT)。对多个电子数据库在2016年2月之前发表的所有文献进行了检索,不限制语言。成对的评阅人进行资料纳入、数据提炼并评估偏倚的风险。在适用的时候进行了荟萃分析。结果我们收录了367项RCT,纳入了约2000名患者,进行了11种治疗,导出17项独立的头对头比较。通过标准化的量表评估,发现CBT、自然疗法、行为干预与躯体活动干预可以降低抑郁的严重程度。然而,这些非药物干预的相对疗效仍然缺乏。这些干预对临床缓解和复发的效果不清楚。CBT的发生率比抗抑郁药物更低。局限性由于证据缺乏一致性、证据不清或偏倚风险高,导致证据的质量只是低到中等,限制了我们研究结果的可信度。结论抑郁症的非药物治疗能减少抑郁症状,在轻度到重度抑郁症患者中,应当合并抗抑郁药物治疗,一同进行。对于非药物治疗的选择,应当根据患者的价值观、偏好、临床和社会因素来与患者共同作出决定。 | Wigdan H Farah Mouaz Alsawas Maria Mainou Fares Alahdab Magdoleen H Farah Ahmed T Ahmed Essa A Mohamed Jehad Almasri Michael R Gionfriddo Ana Castaneda-Guarderas Khaled Mohammed Zhen Wang Noor Asi Craig N Sawchuk Mark D Williams Larry J Prokop M Hassan Murad Annie LeBlanc | 2017 | 英国医学杂志中文版2017，20，11： | 2 |
| 2 | Effect of Music on Anxiety of Women Awaiting Breast Biopsy显示文摘 | Haum M Mainous R O Looney S W | 2001 | Behav Med2001，27，3： | 1 |
| 3 | Turning back the clock: adopting a healthy lifestyle in middle age显示文摘 | KING D E MAINOUS A G 3 R D GEESEY M E | 2007 | Am J Med2007，120，7： | 1 |
| 4 | Dietary fiber for the treatment of type 2 diabetes mellitus : a meta-analysis显示文摘 | Post R E Mainous A G King D E | 2012 | Journal of the American Board of Family Medicine2012，25，： | 1 |
| 5 | Prevalence of prediabetes in England from 2003 to 201 h population-based, cross-sectional study显示文摘 | Mainous A G Tanner R J Baker R | 2014 | BMJ Open2014，4，00： | 1 |
| 6 | Continuity of care and recognition of diabetes, hypertension and hypercholesterolemia 显示文摘 | Koopman RJ Mainous AG 3rd Baker R | 2003 | Arch Intern Med2003，163，11： | 1 |
| 7 | Dietary fiber for the treatment of type 2 diabetes mellitus: a meta-analysis 显示文摘 | Post R E Mainous A G King D E | 2012 | The Journal of the American Board of Family Medicine2012，25，1： | 1 |
| 8 | Patien knowledge of upper respiratory infections:implications for antibiotic expectations and unnecessary utilization 显示文摘 | Mainous AG Zoorob R J Oler M J | 1997 | Fanl Pract1997，45，1： | 1 |
| 9 | Dietary fiber for the treatment of type 2 diabetes mellitus: a recta- analysis显示文摘 | Post R E Mainous A G King D E | 2012 | J Am Board Faro Med2012，25，1： | 1 |
| 10 | Continuity of care and recognition of diabetes,hypertension and hypercholesterolemia显示文摘 | Koopman RJ Mainous AG Baker R | 2003 | Arch Intern Med2003，163，11： | 1 |
| 11 | Impact of the population at risk of diabetes on projections of diabetes burden in the United States: An epidemic on the way 显示文摘 | Mainous AG III Baker R Koopman R J | 2007 | Diabetologia2007，50，5： | 1 |
| 12 | Use of aspirin for primary and secondary cardiovascular disease prevention in the United States, 2011-2012 显示文摘 | Mainous AG Tanner R J Shorr R I | 2014 | Am Heart Assoc2014，23，4： | 1 |
| 13 | Prehypertension and cardiovascular morbidity显示文摘 | LISZKA H A MAINOUS A R KING DE | 2005 | Ann Fam Med2005，3，4： | 1 |
| 14 | Continuity of care and recognition of diabetes, hypertension and hypercholesterolemia显示文摘 | Koopman R J Mainous A G Baker R | 2003 | Arch Intern Med2003，613，11： | 1 |
| 15 | Relationship between continuity of care and diabetes control: evidence from the Third National Health and Nutrition Examination Survey显示文摘 | Mainous A G Koopman R J Gill J M | 2004 | Am J Public Health2004，94，1： | 1 |
| 16 | Infant massage as a component of developmen- tal care: past, present, and future显示文摘 | Mainous R O | 2002 | Holist Nurs Pratt2002，16，5： | 1 |
| 17 | Effect of music on anxiety of women awaiting breast biopsy显示文摘 | Haun M Mainous R Looney S | 2001 | Behav Med2001，27，3： | 1 |
| 18 | Exploration of the relationship between continuity, trust in regular doctors and patient satisfaction with consultations with family doctors 显示文摘 | Baker R Mainous A R Gray D P | 2003 | Scand J Prim Health Care2003，21，1： | 1 |
| 19 | Dietary fiber for the treatment of type 2 diabetes mel- lits: a meta-analysis显示文摘 | Post R E Mainous A G King D E | 2012 | American board of fami- ly medicine2012，25，1： | 1 |
| 20 | Continuity of care and recognition of diabetes hypertension and hypercholesterolemia显示文摘 | Koopman RJ Mainous AG Baker R | 2003 | Arch Intern Med2003，163，11： | 1 |
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