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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 | Elevation of C-reactive protein in people with prehypertension显示文摘 | King DE Egan BM Mainous AG 3rd | 2004 | J Clin Hypertens (Greenwich)2004，6，10： | 1 |
| 3 | The association of vitamin D deficiency and insufficiency with diabetic nephropathy implications for health disparities显示文摘 | Diaz VA Mainous AG Carek PI | 2009 | Jam Board Fam Med2009，22，5： | 1 |
| 4 | Electromyographic biofeed- back for neuromuscular reeducation in the hemiplegic stroke patient: a meta-analysis显示文摘 | Schleenbaker RE Mainous AG 3rd | 1993 | Arch Phys Med Rehabil1993，74，12： | 1 |
| 5 | Prehypertension and insulin resistance in a nationally representative adult population显示文摘 | Player MS Mainous AG Diaz VA | 2007 | J Clin Hypertens(Greenwich)2007，9，6： | 1 |
| 6 | Use of statins and blood oressure显示文摘 | King D K Mainous A G 3rd Egan B M | 2007 | Am J Hypertens2007，20，： | 1 |
| 7 | Dietary fiber for the treatment of type 2 diabetes mellitus: a meta-analysis 显示文摘 | Post RE Mainous AG 3rd King DE | 2012 | J Am Board Fam Med2012，25，： | 1 |
| 8 | Combining serum biomarkers:the association of C-reactive protein,insulin sensitivity,and homocysteine with cardiovascular disease history in the general US population显示文摘 | Cummings DM King DE Mainous AG Geesey ME | 2006 | Eur J Cardiovasc Prev Rehabil2006，13，2： | 1 |
| 9 | Osteradinecrosis of the mandible:treatment with hyperbaric显示文摘 | Mainous EG Hart GB | 1975 | Oxygen Arch Otolaryngol1975，101，： | 1 |
| 10 | Prehyperten- sion and mortality in a nationally representative cohort显示文摘 | Mainous AG 3^nd Everett CJ Liszka H | 2004 | Am J Cardiol2004，94，12： | 1 |
| 11 | The effect of conti-nuity of care on emergency 98 department use 显示文摘 | Gill J M Mainous A G I Nsereko M | 2000 | Ar-chives of Family Medicine2000，9，： | 1 |
| 12 | Leiomyosarcoma of the mandible: A casereprot 显示文摘 | Krishnan V Miyaji CM and Mainous EG | 1991 | J Oral Maxillofac Surg1991，49，： | 1 |
| 13 | The association of vita- min D deficiency and insufficiency with diabetic nephropathy: im- plications for health disparities显示文摘 | Diaz VA Mainous AG 3rd Carek PJ | 2009 | J Am Board Fam Med2009，22，5： | 1 |
| 14 | Impact of exchange variables on exit,voice, loyalty, and neglect:An integrative model of responses to declining job satisfaction显示文摘 | Rusbult C E Farrell D Rogers G and Mainous A | 1988 | Academy of Management Journal1988，31，： | 1 |
| 15 | The origin of bone formed by heterotopic periosteal autografts 显示文摘 | Nishimura T Simmons D J Mainous EG | 1997 | J Oral Maxillofac Surg1997，55，11： | 1 |
| 16 | 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 |
| 17 | Leukocyte telomere length and coronary artery calcification显示文摘 | Mainous AG 3rd Codd V Diaz VA | 2010 | Athe- rosclerosis2010，210，1： | 1 |
| 18 | Long-term prognostic value of resting heart rate in subjects with prehypertension显示文摘 | King DE Everett CJ Mainous AG 3rd | 2006 | Am J Hypertens2006，19，： | 1 |
| 19 | Patient knowledge of upper respiratory infection显示文摘 | Mainous AG III Zoroob RJ Haynes DM | 1997 | J FamPract1997，45，1： | 1 |
| 20 | 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 |
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