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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 a monensin controlled release capsule on metabolic parameters in transition dairy cows显示文摘 | Duffield T F Leblanc S Bagg R | 2003 | J Dairy Sci2003，86，： | 1 |
| 3 | Resistance exercise as a countermeasure to disuse-induced bone loss 显示文摘 | SHACKELFORD L C LEBLANC A D DRISCOLL T B | 2004 | J Appl Physiol2004，97，： | 1 |
| 4 | Dietary estimates of 18 elements from the 1st French total diet study显示文摘 | Leblanc J C Gu6fin T Noel L | 2005 | Food Additives and Contaminants2005，22，7： | 1 |
| 5 | Prognosis of inv (16)/t(16 i 16) acute myeloid leukemia (AML) : a survey of 110 cases from the French AML Intergroup显示文摘 | Delaunay J Vey N Leblanc T | 2003 | Blood2003，102，2： | 1 |
| 6 | Defining and diagnosing postpartum clinical endometritis and its impact on reproductive performance in dairycows显示文摘 | LEBLANC S J DUFFIELD T F LESLIE K E | 2002 | J Dairy Sci2002，85，： | 1 |
| 7 | Creatinine and derived glomerular filtration rate estimates显示文摘 | Le Bricon T Leblanc I Benlakehal M Evaluation of renal function in intensive care:plasma cystatin C vs | 2005 | Clin Chem Lab Med2005，43，9： | 1 |
| 8 | Binding of drugs to eye melanin is not predictive of oeular toxicity 显示文摘 | Leblanc B Jezequel S Davies T | 1998 | Regul Toxieol Pharmaeol1998，28，： | 1 |
| 9 | Transverse load sensing by use of pi-phase-shifted fiber Bragg gratings 显示文摘 | LeBlanc M Vohra S T Tsai T E | 1999 | Optics Letters1999，，24： | 1 |
| 10 | 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 |
| 11 | Immunomodutory drug costimulates T cells via the B7-CD28 pathay显示文摘 | LeBlanc R Hidesshima T Catley LP | 2004 | Blood2004，103，5： | 1 |
| 12 | Debugging parallel programs with instant replay显示文摘 | LEBLANC T MELOR-CRUMMEY J | | 0，，04： | 1 |
| 13 | An ecological assessment of bisphenol A : Evidence from comparative biology 显示文摘 | Crain D A Eriksen M Iguchi T Jobling S Laufer H LeBlanc G A Guillette Jr L J | 2007 | Reproductive Toxicology2007，24，2： | 1 |
| 14 | Defining and diagnosing postpartum clinical endometritis and its impact on reproductive performance in dairy cows显示文摘 | LeBlanc S J Duffield T F Leslie K E | 2002 | J Dairy Sci2002，85，9： | 1 |
| 15 | SE2004: Recommendations for undergraduate software engineering curricula显示文摘 | Lethbridge T C Ottawa U O Leblanc R J | 2006 | IEEE SoRware2006，23，6： | 1 |
| 16 | Cortical and trabecular bone mineral loss from the spine and hip in long-duration spaceflight显示文摘 | LANG T F LEBLANC A D EVANS H J | 2004 | Journal of Bone and Mineral Research2004，19，6： | 1 |
| 17 | A white blood cell index as the main prognostic factor in t(8; 21) acute my- eloid leukemia(AML): a survey of 161 eases from the French AML intergroup显示文摘 | Nguyen S Leblanc T Fenaux P | 2002 | Blood2002，99，10： | 1 |
| 18 | Endoscopic ultrasound in non-small cell lung cancer and negative mediastinum on computed tomography显示文摘 | LeBlanc J K Devereaux B M Imperiale T F | 2005 | Am J Respir Crit Care Med2005，171，： | 1 |
| 19 | Prognosis of inv(16)/t(16;16)acute myeloid leukemia(AML):a survey of 110 cases from the French AML Intergroup显示文摘 | Delaunay J Vey N Leblanc T | 2003 | Blood2003，102，2： | 1 |
| 20 | Behavioral Aspects of Chronic Illness in Children and Adolescents显示文摘 | LeBlanc LA Goldsmith T Patel DR | 2003 | Pediatr Clin North Am2003，50，4： | 1 |
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