Abstract：
This paper reviews and summarises the evidence of short-term psychosocial interventions (up to 12 sessions delivered within less than eight weeks) on anxiety, depression, and emotional distress in palliative patients in inpatient settings. We screened publications from the following five databases, Embase, PubMed, PsycINFO, Web of Science, and CINAHL, from their inception to 10 September 2021. The eligible studies included controls receiving standard palliative care, actively treated controls, and wait-list controls. Nine studies met the eligibility criteria and reported the effects of five psychosocial interventions in a total of N = 543 patients. We followed PRISMA-guidelines for outcome reporting and the Cochrane Risk of Bias Assessment Tool for assessing study quality. This paper used the network meta-analysis to compare multiple treatments by providing greater statistical power and the cross-validation of observed treatment effects, using the R package BUGSnet. Compared to control groups, the following psychosocial interventions in inpatient settings showed to be superior: life review interventions were the best ranked treatment for improving anxiety and distress, while the top ranked treatment for reducing depression was outlook intervention. The short-term psychosocial interventions investigated in this meta-analysis, especially life review intervention, are feasible and can potentially improve anxiety, depression, and distress in palliative inpatients and should therefore be offered in inpatient settings.
摘要：
本文回顾并总结了短期心理社会干预（在不到八周的时间内进行了多达12个疗程）对焦虑的证据，抑郁症,住院姑息患者的情绪困扰。我们从以下五个数据库中筛选出版物，Embase,PubMed,PsycINFO,WebofScience,和CINAHL，从成立到2021年9月10日。符合条件的研究包括接受标准姑息治疗的对照，积极治疗的对照，和等待列表控件。9项研究符合资格标准，并报告了5项心理社会干预措施在总共543名患者中的效果。我们遵循PRISMA结果报告指南和Cochrane偏差风险评估工具来评估研究质量。本文使用网络荟萃分析通过提供更大的统计能力和观察到的治疗效果的交叉验证来比较多种治疗。使用R包BUGSnet。与对照组相比，以下在住院患者环境中的心理社会干预措施显示出优越性：生活回顾干预措施是改善焦虑和痛苦的最佳治疗方法，而降低抑郁的最高治疗方法是展望干预。在这项荟萃分析中调查的短期心理社会干预措施，尤其是生命回顾干预，是可行的，可以改善焦虑，抑郁症,以及姑息性住院患者的痛苦，因此应在住院环境中提供。
