Clinical Researches
Effect of psychological interventions on depression in patients with arthritis: a network Meta-analysis
Jin Shida, Liu Peiyuan, Chen Hongbo, Zou Ziqiu, Shang Shaomei
Published 2023-01-26
Cite as Chin J Mod Nurs, 2023, 29(3): 300-311. DOI: 10.3760/cma.j.cn115682-20220222-00793-1
Abstract
ObjectiveTo evaluate the effects of different psychological interventions on depression and pain in patients with arthritis using the method of network Meta-analysis.
MethodsRandomized controlled trials (RCTs) on psychological interventions for arthritis patients were systematically searched in PubMed, Embase, Cochrane Library, CINAHL, Web of Science, PsycINFO, WanFang and CNKI databases. The retrieval time limit was from the establishment of databases to September 30, 2021. The literature was screened according to inclusion and exclusion criteria, and quality was assessed using the Cochrane Manual recommended RCT bias risk assessment tool. STATA 15.0 software was used for network Meta-analysis according to frequency framework.
ResultsA total of 59 RCTS were included, involving 8 psychological interventions and 5 726 patients. For the primary outcome of depression, at post-intervention, the ranking results showed that relaxation was the most likely to be the best intervention. However, in the comparison of different intervention effects, only cognitive behavioral therapy showed statistically significant difference compared with the control group (P<0.05) . At follow-up, the ranking results showed that cognitive behavioral therapy was the most likely to be the best, and the difference was statistically significant compared with the control group (P < 0.05) . After intervention, for the secondary index pain, the ranking results showed that hypnosis intervention was the most likely to be the best, but the intervention effect of relaxation intervention and cognitive behavioral therapy was statistically significant compared with the control group (P< 0.05) . At follow-up, the ranking results showed that the best possibility of receiving commitment therapy was the highest, and the difference was statistically significant compared with the control group (P < 0.05) .
ConclusionsCognitive behavioral therapy has the best effect on depression indicators in arthritis patients, and relaxation intervention and acceptance commitment therapy have the best effects on pain indicators after intervention and at follow-up, respectively. The potential interventions include relaxation intervention and hypnosis intervention, which are worthy of further study.
Key words:
Arthritis; Psychological intervention; Network meta-analysis
Contributor Information
Jin Shida
School of Nursing, Peking University, Beijing 100191, China
Liu Peiyuan
School of Nursing, Peking University, Beijing 100191, China
Chen Hongbo
School of Nursing, Peking University, Beijing 100191, China
Zou Ziqiu
School of Nursing, Peking University, Beijing 100191, China
Shang Shaomei
School of Nursing, Peking University, Beijing 100191, China
