PMID- 33692715
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210312
IS  - 1664-1078 (Print)
IS  - 1664-1078 (Electronic)
IS  - 1664-1078 (Linking)
VI  - 12
DP  - 2021
TI  - Comparative Effectiveness of Multiple Psychological Interventions for 
      Psychological Crisis in People Affected by Coronavirus Disease 2019: A Bayesian 
      Network Meta-Analysis.
PG  - 577187
LID - 10.3389/fpsyg.2021.577187 [doi]
LID - 577187
AB  - Objective: The objective of our current research is to compare the different 
      psychological interventions and distinguish the most effective way to treat 
      psychological crisis according to different clinical manifestations in people 
      affected by coronavirus disease 2019 (COVID-19). No previous systematic review 
      has provided a comprehensive overview by performing a Bayesian network 
      meta-analysis of this current topic. Method: A systematic review and a Bayesian 
      network meta-analysis were conducted on randomized controlled trials (RCTs), 
      non-RCTs, case-control studies, self-controlled case series (SCCS), cohort 
      studies, and cross-sectional studies of all the available interventions for 
      psychological crisis in people affected by COVID-19. We searched the electronic 
      databases EMBASE, PubMed, Web of Science, PsycINFO, and Cochrane Library, as well 
      as the Chinese databases such as Sinomed, Chinese Biomedicine Literature (CBM), 
      Chinese Scientific Journal Database (VIP), WanFang Database, and China National 
      Knowledge Infrastructure (CNKI), from 2019 to April 30, 2020. The main outcomes 
      were self-rating anxiety scale (SAS), self-rating depression scale (SDS), patient 
      health questionnaire (PHQ-9), and symptom checklist (SCL-90). The study is 
      registered with Inplasy, number 202050076. Result: Sixteen self-controlled case 
      series (SCCS) comprising 1,147 participants compared five different psychological 
      interventions with four different measurement scales were included in this study. 
      For effectiveness, all the psychological therapies were significantly more 
      effective than before intervention. Our results showed that supportive therapy 
      (ST), which is adjusted to the COVID-19-related mental crisis, is the best 
      treatment compared with behavioral therapy (BT), nursing-based psychological 
      therapy (NBPT), traditional Chinese medicine therapy (TCMT), and COVID-19-related 
      standard training (CRST) at reducing the anxiety-related symptoms assessed by 
      SAS. When measured by SDS, BT was better than ST and NBPT treatment for reducing 
      the depression symptoms. And ST was better than BT and ST+BT as assessed by 
      PHQ-9. In the end, the last network meta-analysis indicated that NBPT was more 
      effective than ST by the measurement of SCL-90. Conclusion: Our research 
      suggested the potential effectiveness of psychological interventions for 
      decreasing psychological crisis in people affected by COVID-19 and try to 
      introduce the best effective treatment options for clinical practice according to 
      the clinical manifestations of psychological problems, but further confirmation 
      from high-quality RCTs is needed.
CI  - Copyright (c) 2021 Yang, Sun, Hu, Tang, Zhang and Lin.
FAU - Yang, Yang
AU  - Yang Y
AD  - Affiliated Jiangmen Traditional Chinese Medicine Hospital of Jinan University, 
      Jinan University, Guangzhou, China.
AD  - Integrated Chinese and Western Medicine Postdoctoral Research Station, Jinan 
      University, Guangzhou, China.
FAU - Sun, Shaodan
AU  - Sun S
AD  - Department of Pharmacology of Traditional Chinese Medicine, The Second Affiliated 
      Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
AD  - The Postdoctoral Research Station, Guangzhou University of Chinese Medicine, 
      Guangzhou, China.
FAU - Hu, Shaowen
AU  - Hu S
AD  - Shenzhen Bao'an Traditional Chinese Medicine Hospital Group, Guangzhou University 
      of Chinese Medicine, Shenzhen, China.
FAU - Tang, Chunzhi
AU  - Tang C
AD  - Clinical Medical College of Acupuncture and Rehabilitation, Guangzhou University 
      of Chinese Medicine, Guangzhou, China.
FAU - Zhang, Yimin
AU  - Zhang Y
AD  - School of Traditional Chinese Medicine, Jinan University, Guangzhou, China.
FAU - Lin, Haibo
AU  - Lin H
AD  - Affiliated Jiangmen Traditional Chinese Medicine Hospital of Jinan University, 
      Jinan University, Guangzhou, China.
LA  - eng
PT  - Systematic Review
DEP - 20210222
PL  - Switzerland
TA  - Front Psychol
JT  - Frontiers in psychology
JID - 101550902
PMC - PMC7937808
OTO - NOTNLM
OT  - COVID-19
OT  - affected people
OT  - network meta-analysis
OT  - psychological crisis
OT  - psychological intervention
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2021/03/12 06:00
MHDA- 2021/03/12 06:01
PMCR- 2021/02/22
CRDT- 2021/03/11 06:35
PHST- 2020/06/28 00:00 [received]
PHST- 2021/01/19 00:00 [accepted]
PHST- 2021/03/11 06:35 [entrez]
PHST- 2021/03/12 06:00 [pubmed]
PHST- 2021/03/12 06:01 [medline]
PHST- 2021/02/22 00:00 [pmc-release]
AID - 10.3389/fpsyg.2021.577187 [doi]
PST - epublish
SO  - Front Psychol. 2021 Feb 22;12:577187. doi: 10.3389/fpsyg.2021.577187. eCollection 
      2021.