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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 | Intracellular calcium changes and tachycardia - induced contractile dysfunction in canine atrial myocytes显示文摘 | Sun H Chattier D Leblanc N | 2001 | Cardiovasc Res2001，49，4： | 1 |
| 3 | Quantitation of agmatine by liquid chromatography with laser-induced fluorescence detection 显示文摘 | ZHAO S L FENG Y Z LEBLANC M H | 2002 | Anal Chim Acta2002，470，2： | 1 |
| 4 | Intraeellular calcium changes and tachycardia-induced contractile dysfunction in canine atrial myo- cytes显示文摘 | Sun H Chartier D Leblanc N et 81 | 2001 | Cardiovasc Res2001，49，4： | 1 |
| 5 | Tumorcell resistance to death recepror-induced apoptosis through mutational inactivation of the proapoptotic bcl-2 homolog bax显示文摘 | Leblanc H Lawrence D Varfolomeev E | 2002 | Nat Med2002，8，3： | 1 |
| 6 | Converting enzyme inhibition and kidney function in normotensive diabetic patients with persistent microalbuminuria显示文摘 | Leblanc H Suarez L | 1987 | Br Med J (Clin Res Ed)1987，294，6585： | 1 |
| 7 | Adaptation of the proximal femur to skeletal reloading after long-duration spaceflight显示文摘 | Lang TF Leblanc AD Evans H J | 2006 | J Bone Miner Res2006，21，8： | 1 |
| 8 | Effects of sulphur dioxide on lichens and moss transplants显示文摘 | Leblanc F Rao D H | 1973 | Ecology1973，54，3： | 1 |
| 9 | Intracellular calcium changes and tachycardia-induced contractile dysfunction in canine atrial myocytes 显示文摘 | SUN H CHARTIER D LEBLANC N | 2001 | Cardiovasc res2001，49，4： | 1 |
| 10 | Inter-limb coordination in swimming: Effect of speed and skill level显示文摘 | SEIFERT L LEBLANC H CHOLLET D | 2010 | Human movement sci- ence2010，29，1： | 1 |
| 11 | Slow continuous and daily ultrafitration for refractory congestive heart failure显示文摘 | Canaud B Leblanc M Leray-Maragues H | 1998 | Nephrol Dial Transplant1998，13，4： | 1 |
| 12 | The cellular mechanisms of atrial contractile dysfunction caused by sustained atrial tachycardia 显示文摘 | Sun H Gaspo R Leblanc N | 1998 | Circulation1998，98，： | 1 |
| 13 | Changes in interverte-bral disc cross-sectional area with bed rest and space flight显示文摘 | LeBlanc A D Evans H J Schneider V S | 1994 | Spine(Phila Pa 1976)1994，19，7： | 1 |
| 14 | Comparing prediction power and stabilityof broadband and hyperspectral vegetation indices for estimationof green leaf area index and canopy chlorophyll density 显示文摘 | Broge N H Leblanc E | 2000 | Remote Sensing of Environment2000，76，： | 1 |
| 15 | Bone mineral loss and recovery after 17 weeks of bed rest显示文摘 | Leblanc AD Schneider VS Evans H J | 1990 | J Bone Miner Res1990，5，8： | 1 |
| 16 | Cortical and trabecular bone mineral loss from the spine and hip in long-duration spaceflight显示文摘 | Lang T LeBlance A Evans H | 2004 | J Bone Miner Res2004，19，6： | 1 |
| 17 | Human mesenchymal stem cells do not differentiate into cardiomyocytes in a cardiac ischemic xenomodel显示文摘 | Grinnemo K H Mansson Broberg A Leblanc K | 2006 | Ann Med2006，38，2： | 1 |
| 18 | The potential of Thlaspi casrulesens for phytoremediation of contamination soils显示文摘 | Robinson B H Leblanc M Petit D | 1998 | Plant Soil1998，203，： | 1 |
| 19 | Geriatric air medical transport:a program review显示文摘 | Connie H LeBlanc MD John M | 2002 | Air Medical Journal2002，，： | 1 |
| 20 | Comparing prediction power and sta- bility of broadband and hyperspectral vegetation indices for es- timation of green leaf area index and canopy chlorophyll densi- ty显示文摘 | Broge N H Leblanc E | 2001 | Remote Sensing of Environment2001，76，2： | 1 |
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