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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 | Diffusive and convective solute clearances during continuous renal replacement therapy at various dialysate and ultrafiltration flow rates 显示文摘 | Brunet S Leblanc M Geadah D | 1999 | Am J Kidney Dis1999，34，： | 2 |
| 3 | Thephytomining and environmental significance of hyperaccumulation of thallium by Iberis intermedia from southern France显示文摘 | LEBLANC M PETIT D DERAM A | 1999 | Economic Geology1999，94，1： | 1 |
| 4 | Diffusive and convective solute clearances during continuous renal replancement therapy at various dialysate and uhrafihration flow rates显示文摘 | Brunet S Leblanc M Geadah D | 1999 | Am J Kidney Dis1999，34，3： | 1 |
| 5 | Polypropylene degra- dation : Theoretical and experimental investigations 显示文摘 | Bertin D Leblanc M Marque S R A | 2010 | Polym Degrad Stab2010，95，5： | 1 |
| 6 | Alteration of CD44 and cadherins expression Possible association with augmented aggressiveness and invasiveness of endometrial cacrinoma显示文摘 | Leblanc M Poncelet C Soriano D | 2007 | Virchows Aich2007，438，1： | 1 |
| 7 | 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 |
| 8 | Fiber grating sensors 显示文摘 | A D Kersey M A Davis H J Patrick M LeBlanc K P Koo C G Askins M A Putnam E J Friebele | 1997 | Lightwave Technology1997，15，8： | 1 |
| 9 | Glucose given after hypoxic ischemia does not affect brain injury in piglets显示文摘 | Huang M Patel D | 1994 | Stroke1994，25，： | 1 |
| 10 | The phytomining and environmental significance of hyperaccumulation of thallium by iberis intermedia from Southern France 显示文摘 | LEBLANC M PETIT D DERAM A | 1999 | Economic Geology1999，94，1： | 1 |
| 11 | Diffusive and convective solute clearances during continuous renal replacement therapy at various dialysate and ultrafiltration flow rates 显示文摘 | Brunet S Leblanc M Geadah D | 1999 | Am J Kidney Dis1999，34，3： | 1 |
| 12 | 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 |
| 13 | Passband brodening of integrated arrayed waveguide filters using multimode interference couplers显示文摘 | Amersfoort M R Soole J B D LeBlance H P | 1996 | Electron Lett1996，32，5： | 1 |
| 14 | Y-piece Temperature and Humidification during Mechanical Ventilation显示文摘 | Solomita M Daroowalla F Leblanc D S | 2009 | Respir Care2009，54，4： | 1 |
| 15 | Electrochemical Sensors and Biosensors显示文摘 | Kimmel D W LeBlanc G Meschievitz M E | | 0，，02： | 1 |
| 16 | Treatment with tamoxi- fen reduces hypoxic-ischemic brain injury in neonatal rats显示文摘 | Feng Y Fratkins J D LeBlanc M H | 2004 | Eur J Pharmacol2004，484，1： | 1 |
| 17 | The potential of Thlaspi caerulescens for phytoremediation of contaminated soils显示文摘 | ROBINSON B H LEBLANC M PETIT D BROOKS R R KIRKMAN J H GREGG P E H | 1998 | Plant Soil1998，203，： | 1 |
| 18 | 显示文摘 | LEBLANC M PETIT D DERAM A | 1999 | Economic Geology1999，94，1： | 1 |
| 19 | A hybrid technique for compression testing at intermediate strain rates显示文摘 | LeBlanc M Lassila D | 1996 | ExperimentTechniques1996，20，5： | 1 |
| 20 | Alteration of CD44 and cadherins expression:possible association width augmented aggressiveness and invasiveness of endometrial carcinoma显示文摘 | Poncelet C Sorano D | 2001 | Virchows Arch2001，438，1： | 1 |
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