A systematic narrative review of discursive therapies research: considering the value of circumstantial evidence

Chenail, Ronald J.; DeVincentis, Melissa; E, Kiviat Harriet; Somers, Cynthia

doi:10.1093/med/9780199592753.003.0013

Cited by 1 publication

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“…Futhermore, NET is beneficial for individuals and families dealing with a wide range of medical conditions, such as eating disorders [ 22 ], stress associated with illness [ 23 ], chronic pain [ 24 ], and diabetes [ 25 ]. Because of its low operator requirements, high adaptability, and positive impact on some mental diseases [ 26 , 27 ], NET can be provided by individuals without training in the mental health profession. Clinical studies have shown that NET, like other cognitive behavioral therapies, can alleviate depression in patients [ 28 ].…”

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confidence: 99%

Effects of Narrative Exposure Therapy for Treating Depressive and Anxious Disorders: A Systematic Review and Meta-Analysis

Geng,

Zhang,

Zhang

et al. 2024

Psychiatry Investig

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Objective Narrative exposure therapy (NET) has been used in various contexts for the treatment of the effects of trauma, with promising results in clinical trials. However, its effects on anxiety and depression are still unclear. The present study is a systematic review and meta-analysis of the effects of NET on depression and anxiety.Methods The Embase, Cumulative Index of Nursing and Allied Health Literature, PubMed, Web of Science core collection, Cochrane Library, Chinese National Knowledge Infrastructure, Chinese Biomedical Database, and Wangfang databases were searched from the earliest records to March 2023. Two researchers independently screened the literature, extracted data, evaluated the risk of bias, and cross-checked the data. Meta-analysis was performed using the program RevMan 5.3.Results Eleven randomized controlled trials with a total of 754 participants were included in the study. The results showed that NET reduced both the depression (standard mean difference [SMD]=-0.51, 95% confidence interval [CI] -0.73–-0.29, p<0.00001) and anxiety (SMD=-0.65, 95% CI -1.13–-0.18, p=0.007) scores of the patients. Furthermore, NET was found to alleviate negative emotions associated with guilt (mean difference [MD]=-3.60, 95% CI -5.52–-1.68, p=0.0005) and negative change (MD=-5.80, 95% CI -9.76–-1.83, p=0.004).Conclusion This analysis showed that NET can alleviate depression and anxiety. It may thus be used in clinical settings to alleviate patients’ negative feelings and aid their overall recovery.

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