当前,人类社会正在进入一个人-机-物三元融合的万物智能互联时代,信息通信网络作为支撑和实现“万物智联”的关键信息基础设施,正经历着前所未有的变革,其发展的能力水平深刻影响着人们的生活方式、经济发展和社会进步。人工智能(artificial intelligence,AI)技术与信息通信网络技术深度融合,使智能信息网络(intelligent information network,IIN)成为网络智能化演进发展的必然趋势。面向智能时代复杂场景的多样化应用需求,网络应具备主动适应内外部条件变化的能力,具有自主学习、自主优化、自主管理和自主演进等典型特征,可进一步提升网络服务的及时性、有效性和个性化,满足智能时代的服务需求。
目的对网络认知行为疗法在围生期孕妇负性情绪中的应用的相关研究进行范围综述,同时指出现有研究的局限性,并提出发展对策,以期为今后研究提供参考。方法以乔安娜布里格斯研究所发布的范围综述指南为方法学框架,检索建库至2024年7月1日的中国知网、万方、PubMed、Web of Science等8个中英文数据库,对获得文献进行整理和分析。结果共纳入18篇文献。网络认知行为疗法实施干预者多为心理学家,干预方式多为治疗师部分参与的形式,干预平台多为网站和应用程序,干预内容以心理健康教育、情绪监测、认知重建、行为激活训练、解决问题等为核心。有15项研究证明网络认知行为疗法是有效的,有3项研究显示网络认知行为疗法对于改善围生期孕妇负性情绪虽然是无效的,但是围生期孕妇对治疗是有反应的。结论网络认知行为疗法可有效改善围生期孕妇负性情绪,但是长期效果不明确,未来研究可扩大样本量,并长期随访其效果。
Objective:Cancer survivors have experienced subjective cognitive impairment(SCI)when they received cancer diagnoses or treatments.Their psychosocial and emotional statuses were also impacted.With the advancement of web technologies,web-based cognitive interventions have been implemented in the management and the alleviation of the SCI,the psychosocial distress,and the emotional distress in cancer survivors.This review aimed to summarize the intervention contents of web-based cognitive interventions for SCI,and to explore the effects of the interventions on SCI,psychosocial status,and emotional health.Methods:Six databases(CINAHL Plus,Cochrane Library,Embase,APA PsycInfo,PubMed and CNKI)were searched from the establishment of databases up to December 2023.Literature references were also manually searched for related articles.Results:This review contained 21 studies that covered the contents of web-based cognitive interventions,such as computer-assisted cognitive training,online cognitive rehabilitation,cognitive behavior therapy with the Internet,telehealth physical exercise,and web-based mindfulness interventions.The effects of web-based cognitive interventions positively impacted SCI for cancer survivors.Also,these interventions showed varying degrees of effectiveness in alleviating psychosocial and emotional distresses.Conclusion:By summarizingfive types of cognitive intervention contents delivered via web technology,this review demonstrated that web-based cognitive interventions optimized SCI and overall psychosocial and emotional statuses for the cancer survivors.It is recommended that future research focus on the development of customized web-based cognitive interventions for individuals with SCI,along with their psychosocial and emotional statuses.
目的评价基于网络的认知行为疗法对乳腺癌患者负性情绪的疗效。方法检索国内外数据库:PubMed、Embase、Cochrane library、Web of science、Ovid、中国知网、中国生物医学文献数据库、万方、维普自建库至2023年2月公开发表的关于网络认知行为疗法治疗乳腺癌患者负性情绪的随机对照试验。根据纳排标准进行文献筛选、质量评价以及数据提取。采用Rev Man 5.4软件进行Meta分析。结果共纳入7篇文献、1151例患者。Meta分析结果显示,基于网络认知行为疗法干预后,干预组在减轻乳腺癌患者焦虑[SMD=-0.15,95%CI(-0.27,-0.02),P<0.05]、抑郁[SMD=-0.19,95%CI(-0.31,-0.07),P<0.05]效果优于对照组。结论基于网络的认知行为疗法可有效改善乳腺癌患者的负性情绪。
