《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2023, Vol. 29 ›› Issue (9): 1004-1011.doi: 10.3969/j.issn.1006-9771.2023.09.002
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ZHANG Jingya1, ZOU Min1,2(), SUN Hongwei1,2, SUN Changlong1, ZHU Juntong1
Received:
2023-09-05
Published:
2023-09-25
Online:
2023-10-26
Contact:
ZOU Min
E-mail:zou_min@163.com
Supported by:
CLC Number:
ZHANG Jingya, ZOU Min, SUN Hongwei, SUN Changlong, ZHU Juntong. Effect of psychological intervention on anxiety or depression in children and adolescents with hearing impairment: a systematic review[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1004-1011.
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纳入文献 | 资格标准 | 随机分配 | 分配隐藏 | 基线相似 | 被试施盲 | 治疗师施盲 | 评估者施盲 | 流失率< 15% | ITT意向治疗分析 | 组间统计比较 | 报告点测量和变异量值 | 总分 |
---|---|---|---|---|---|---|---|---|---|---|---|---|
肖小静等[ | √ | √ | √ | √ | √ | √ | √ | √ | 7 | |||
许京菁等[ | √ | √ | √ | √ | √ | √ | √ | 6 | ||||
安秀蓉等[ | √ | √ | √ | √ | √ | √ | √ | 6 | ||||
Pourmohamadreza-Tajrishi等[ | √ | √ | √ | √ | √ | √ | √ | √ | 7 | |||
Ahmadi等[ | √ | √ | √ | √ | √ | √ | √ | √ | 7 | |||
Gharashi等[ | √ | √ | √ | √ | √ | √ | √ | 6 | ||||
Nakpong 等[ | √ | √ | √ | √ | √ | √ | √ | √ | 7 | |||
Mahmoodi等[ | √ | √ | √ | √ | √ | √ | √ | 6 |
"
纳入文献 | 国家 | 样本特征 | 情绪 问题 | 干预方式 | 比较 | 结局指标 | 测量工具 |
---|---|---|---|---|---|---|---|
肖小静等[ | 中国 | 对照组:n = 52,年龄5~12岁,中、重度听力损失 观察组:n = 52,年龄6~12岁,中、重度听力损失 | 抑郁 焦虑 | 对照组采用常规干预(交流、安抚),观察组采用TF-CBT 每次60 min,每天1次,每周4 d。共12周 | 与对照组相比,观察组焦虑、抑郁等情绪改善 | 干预后,观察组SAS评分和SDS评分均降低 | SAS、SDS |
许京菁等[ | 中国 | 单侧人工耳蜗植入术后 对照组:n = 52,年龄3~6岁,助听听阈18~46 dBHL 观察组:n = 51,年龄3~6岁,助听听阈18~44 dBHL | 抑郁 | 两组均采用语言康复干预,观察组另外采用家庭支持教育 干预频率等未说明 | 与对照组相比,观察组抑郁情绪改善 | 干预后,观察组DSRSC得分降低 | DSRSC |
安秀蓉等[ | 中国 | 单侧人工耳蜗植入术后 对照组:n = 32,年龄3~8岁,助听听阈24~57 dBHL 观察组:n = 31,年龄3~9岁,助听听阈27~59 dBHL | 社交焦虑 | 两组均采用听觉言语训练,观察组另外采用共享决策引导下的家庭参与管理 干预6个周期 | 与对照组相比,观察组社交焦虑心理状态改善 | 干预后,观察组SASC总分、害怕否定、社交回避及苦恼评分均降低 | SASC |
Pourmohamadreza-Tajrishi等[ | 伊朗 | 听力损失程度不详 对照组:n = 20,年龄12~14岁 观察组:n = 20,年龄12~14岁 | 焦虑 抑郁 | 对照组无干预 观察组采用情绪智力训练,每次50 min,每周2次,共6周 | 观察组促进心理健康,焦虑和抑郁情绪改善 | 干预后,观察组焦虑、抑郁和心理健康评分均降低 | GHQ-28 |
Ahmadi等[ | 伊朗 | 听力损失程度不详 对照组:n = 12,年龄12~16岁 观察组:n = 12,年龄12~16岁 | 社交焦虑 | 对照组无干预 观察组采用自信团体训练,共10次 | 与对照组相比,观察组社交焦虑改善 | 干预后,观察组社交焦虑总分降低 | SPIN |
Gharashi等[ | 伊朗 | 听力损失程度不详 对照组:n = 15,年龄7~11岁 观察组:n = 15,年龄7~11岁 | 焦虑 抑郁 | 对照组无干预 观察组采用CBT,每周2 h,共8周 | 观察组听障儿童焦虑、抑郁情绪改善 | 干预后,观察组焦虑和抑郁评分均降低 | HADS |
Nakpong 等[ | 泰国 | 听力损失程度不详 对照组:n = 5,年龄3~15岁 研究组:n = 5,年龄3~15岁 | 焦虑 | 对照组无干预 观察组采用互动多媒体游戏,每周1 h,共12周 | 观察组情绪自我控制、同理心、生活满意度和平静改善 | 观察组情绪自我控制、同理心、生活满意度和平静评分升高 | TEIST |
Mahmoodi等[ | 伊朗 | 对照组:n = 15,年龄7~12岁,较好耳听力损失35~90 dBHL 观察组:n = 15,年龄7~12岁,较好耳听力损失35~90 dBHL | 焦虑 | 对照组无干预 观察组采用认知行为团体游戏治疗,共10次 | 观察组焦虑情绪改善 | 观察组分离焦虑、社交恐惧、强迫冲动行为、惊恐障碍、广泛性焦虑障碍和躯体伤害障碍评分均降低 | SCAS |
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