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Efficacy of remotely delivered evidence-based psychosocial treatments for schizophrenia-spectrum disorders: A series of systematic reviews and meta-analyses
Background: Schizophrenia is among the most persistent and debilitating mental health conditions worldwide. The American Psychological Association (APA) has identified 10 psychosocial treatments with evidence for treating schizophrenia and these treatments are typically provided in person. However, in-person services can be challenging to access for people living in remote geographic locations. Remote treatment delivery is an important option to increase access to services; however, it is unclear whether evidence-based treatments for schizophrenia are similarly effective when delivered remotely. Study design: The current study consists of a series of systematic reviews and meta-analyses examining the evidence-base for remote-delivery of each of the 10 APA evidence-based treatments for schizophrenia. Results: Of the 10 treatments examined, only cognitive remediation (CR), cognitive-behavioral therapy (CBT), and family psychoeducation had more than 2 studies examining their efficacy for remote delivery. Remote delivery of CBT produced moderate effects on symptoms (g = 0.43) and small effects on functioning (g = 0.26). Remote delivery of CR produced small-moderate effects on neurocognition (g = 0.35) and small effects on functioning (g = 0.21). There were insufficient studies of family psychoeducation with equivalent outcome measures to assess quantitatively, however, studies of remotely delivered family psychoeducation suggested that it is feasible, acceptable, and potentially effective. Conclusions: Overall, the evidence-base for remotely delivered treatment for schizophrenia is limited. Studies to date suggest that remote adaptations may be effective; however, more rigorous trials are needed to assess efficacy and methods of remote delivery that are most effective.
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Global trends and future prospects of e-waste research: a bibliometric analysis
Electronic waste (e-waste) has been widely studied by scholars all over the world, but the research topics and development trends in this field are still unclear. This study aimed to explore the status quo, hot topics, and future prospects in the field of e-waste. Data of publications were downloaded from the Web of Science Core Collection. We used CiteSpace V, Histcite, and VOSviewer to analyze literature information. A total of 2800 papers in e-waste research were identified, and the number of publications increased rapidly after 2004. Six thousand five hundred seventy-three authors participated in the e-waste research, but 70.01% of the authors published only 1 article. The most productive country in this field was China (1146 publications), and the most productive institution was the Chinese Academy of Sciences (370 publications). The Waste Management (225 publications) was the most productive journal, and Environment Science & Technology (9704 co-citations) was the most co-cited journal. The main hot topics in e-waste field were management and recycling of e-waste in developing countries, health risk assessment after exposure to organic pollutants, degradation and recovery of waste metal materials, and impact of heavy metals on children's health. The frontier topic was degradation.
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