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  "work": {
    "type": "RDN",
    "kind": "note",
    "key": "mccarrick-2021",
    "id": "TAP-RDN-0074",
    "locale": "zh",
    "path": "/zh/research/mccarrick-2021/",
    "title": "TAP 导读: Health effects of psychological interventions for worry and rumination: A meta-analysis",
    "description": "36 项随机干预研究（合计 5,098 人）显示，心理干预平均减少持续性认知：总体 g=−0.42，担忧 g=−0.41，反刍 g=−0.58；健康行为的合并效应为 g=0.31。持续性认知与健康行为效应之间的联系，在移除一个有影响的研究后才显著；与身体健康结局效应的联系未显著。没有哪一种干预在持续性认知结局上明确优于其他类型。",
    "rights": "© The Allostasis Project。保留所有权利。除法律允许的例外外，转载或改编需另行授权。",
    "version": "1.0",
    "updatedAt": "2026-11-10",
    "editorial": {
      "contentType": "evidence-review",
      "reviewState": "draft",
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      "reviewedVersion": null,
      "updatedAt": "2026-11-10",
      "version": "1.0",
      "byline": "team",
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      "workflow": {
        "ai": {
          "usage": "used",
          "system": "OpenAI Codex",
          "scope": "AI-assisted research and bilingual synthesis. Source access, manuscript versions and unresolved numerical discrepancies are specified in the reading notes. No human scientific review is recorded for this edition.",
          "version": "1.0",
          "tasks": [
            "Source retrieval, evidence extraction and comparison",
            "Bilingual synthesis and editorial preparation"
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      "revisions": []
    },
    "original": {
      "id": "mccarrick-2021",
      "title": "Health effects of psychological interventions for worry and rumination: A meta-analysis",
      "authors": "Dane McCarrick · Andrew Prestwich · Arianna Prudenzi · Daryl B. O’Connor",
      "journal": "Health Psychology",
      "year": "2021",
      "url": "https://doi.org/10.1037/hea0000985",
      "doi": "10.1037/hea0000985",
      "pmid": "34410760"
    },
    "references": [
      {
        "id": "mccarrick-2021",
        "title": "Health effects of psychological interventions for worry and rumination: A meta-analysis",
        "authors": "Dane McCarrick · Andrew Prestwich · Arianna Prudenzi · Daryl B. O’Connor",
        "journal": "Health Psychology",
        "year": "2021",
        "url": "https://doi.org/10.1037/hea0000985",
        "doi": "10.1037/hea0000985",
        "pmid": "34410760"
      }
    ],
    "sections": [
      {
        "id": "finding",
        "title": "研究发现",
        "paragraphs": [
          "36 项随机干预研究（合计 5,098 人）显示，心理干预平均减少持续性认知：总体 g=−0.42，担忧 g=−0.41，反刍 g=−0.58；健康行为的合并效应为 g=0.31。持续性认知与健康行为效应之间的联系，在移除一个有影响的研究后才显著；与身体健康结局效应的联系未显著。没有哪一种干预在持续性认知结局上明确优于其他类型。"
        ]
      },
      {
        "id": "limits",
        "title": "范围与局限",
        "paragraphs": [
          "36 项随机试验，包括 3 项整群试验；以成人为主，也纳入学校儿童、两项广泛性焦虑障碍研究及四项睡眠困扰研究。不是单一临床人群。",
          "多数认知与健康结局来自自报，研究偏倚风险多为不明确或较高，且存在异质性。研究层面的效应关联不能替代个体层面的中介检验，也不能证明预防慢性疾病。接受稿对身体健康合并效应列出 g=0.23、95% CI 0.15–0.31，同时在结果与讨论中称其不显著，数值和文字不一致；此项显著性解释保留待核。"
        ]
      },
      {
        "id": "sample",
        "title": "研究人群与样本",
        "paragraphs": [
          "36 项 RCT，5,098 人；31 项成人研究、5 项学校儿童研究，平均女性比例约 70.4%。"
        ]
      },
      {
        "id": "exposure",
        "title": "暴露或干预",
        "paragraphs": [
          "非药物心理干预与对照；包括认知行为／接纳承诺疗法、行动计划、正念／放松、心理脱离等，不能据此给方法排出统一名次。"
        ]
      },
      {
        "id": "outcomes",
        "title": "观察结局",
        "paragraphs": [
          "持续性认知总体 g=−0.42（95% CI −0.51 至 −0.33）；担忧 −0.41（−0.51 至 −0.30）；反刍 −0.58（−0.84 至 −0.32）；健康行为 0.31（0.21–0.42）。健康行为以睡眠相关指标为主。身体健康效应的文字／区间矛盾见局限。"
        ]
      },
      {
        "id": "duration",
        "title": "时间范围",
        "paragraphs": [
          "原综述检索截至 2019-11-23；认知、身体健康和健康行为的测量时点各异，平均距干预首次暴露约 49、99 和 143 天，不能当作疗效出现的统一时间。"
        ]
      },
      {
        "id": "funding",
        "title": "研究资金来源",
        "paragraphs": [
          "第一作者博士研究获英国 Economic and Social Research Council（ESRC）资助；论文同时说明该研究未获公共、商业或非营利机构的专项拨款，未列项目编号。"
        ]
      },
      {
        "id": "conflicts",
        "title": "研究利益关系",
        "paragraphs": [
          "作者声明没有利益冲突。"
        ]
      },
      {
        "id": "basis",
        "title": "导读范围",
        "paragraphs": [
          "White Rose 收录的 74 页接受稿：正文方法、主要结果、讨论、披露及随文附带的补充分析；与已发表论文书目和摘要对照。接受稿不等同于出版社排版版本，身体健康结果的内部不一致保留待核。原综述注册号 CRD42019119381。"
        ],
        "links": [
          {
            "label": "White Rose 接受稿及版本说明",
            "url": "https://eprints.whiterose.ac.uk/id/eprint/178862/"
          },
          {
            "label": "APA 补充材料",
            "url": "https://supp.apa.org/psycarticles/supplemental/hea0000985/hea0000985_supp.html"
          },
          {
            "label": "PubMed 记录",
            "url": "https://pubmed.ncbi.nlm.nih.gov/34410760/"
          }
        ]
      }
    ]
  }
}