【摘要】 目的 系统评价辩证行为疗法（DBT）对青少年非自杀性自伤（NSSI）疗效的影响，为针对性干预提供参考。方法 计算机检索中国知网（CNKI）、万方数据库（Wanfang Data）、维普网（VIP）、PubMed、Web of Science、the Cochrane Library、Embase中基于DBT的干预措施对NSSI青少年疗效的随机对照试验进行汇总和分析。我们检索了从建库～2023年3月的文献，经过2位评价员的独立筛选和资料提取，对纳入研究的偏倚风险进行评价后，利用RevMan 5.3软件完成了Meta分析。结果 共纳入7篇随机对照试验研究，包括646例NSSI青少年，其中实验组326例，对照组320例。Meta分析结果：与对照组比较，DBT能有效改善NSSI青少年的焦虑情绪[SMD=-1.14,95%CI(-1.570,-0.700),P<0.001]、抑郁情绪[SMD=-0.75,95%CI(-1.090,-0.400),P<0.001]、并降低青少年NSSI的发生率[RR=0.31,95%CI(0.160,0.580),P<0.001]。结论 现有文献证据表明DBT在改善NSSI青少年的焦虑、抑郁情绪以及降低NSSI青少年自伤的发生率方面具有一定的意义。更多还原

【Abstract】 Objective To systematically evaluate the effect of dialectical behavior therapy(DBT) on the efficacy of non-suicidal self-injurious in adolescents, to provide reference for targeted intervention. Methods Computer searches of randomized controlled trials of the efficacy of DBT interventions on non-suicidal self-injurious adolescents in China National Knowledge Infrastructure(CNKI), Wanfang Data, VIP, PubMed, Web of Science, the Cochrane Library, and Embase were conducted. The search timeframe was all from database creation to March 2023. Meta-analysis was completed using RevMan 5.3 software after 2 evaluators independently screened the literature, extracted information, and evaluated the risk of bias of the included studies. Results A total of 7 randomized controlled trial studies including 646 non-suicidal self-injured adolescents were included,including 326 cases in the observation group, 320 cases in the control group, Meta-analysis results: compared with the control group, dialectical behavior therapy was effective in improving anxiety in non-suicidal self-injured adolescents [SMD=-1.14, 95%CI(-1.57,-0.70), P<0.001], depressed mood [ SMD=-0.75, 95%CI(-1.090,-0.400), P<0.001 ], and reduced incidence of non-suicidal self-injury in adolescents [ RR=0.31, 95%CI(0.160,0.580), P<0.001 ]. Conclusion The available literature evidence suggests the significance of dialectical behavioral therapy in improving anxiety and depression and reducing the incidence of self-injury in non-suicidal self-injured adolescents.更多还原