基于群体的艺术干预对晚年抑郁症的有效性:随机对照试验的系统审查和元分析
Mohamad Azhdarloo1, Raziyeh Ataei2, Saeed Mokhtari Masoumi Alamdarloo3
1Marvdasht Branch, Islamic Azad University, Marvdasht, Iran.
BMC medicine
|February 24, 2026
概括
基于艺术的干预措施显著减少了老年人的抑郁症. 接受性艺术活动的效果强于积极的艺术活动,为老年人群的心理健康提供了一个有前途的非药物治疗方法.
科学领域:
- 老年学是一门学科.
- 心理健康 心理健康
- 创意艺术疗法 创意艺术疗法
背景情况:
- 抑郁症是老年人中普遍存在的心理健康障碍,生活质量下降,医疗保健成本增加.
- 以艺术为基础的干预措施是一个有前途的非药物治疗策略,可以提高老年人群的精神健康.
研究的目的:
- 系统地审查和元分析基于艺术的干预措施在减少55岁及以上成年人抑郁症的有效性.
主要方法:
- 一个系统的审查和元分析,遵循PRISMA指南.
- 包括任何艺术干预措施 (音乐,舞蹈,视觉艺术) 的随机对照试验 (RCT),用于55岁以上成人抑郁症.
- 搜索主要数据库;提取数据和两名独立审查员评估的偏见风险;用于聚合分析的随机效应元分析.
主要成果:
- 37个涉及3791名参与者的RCT被纳入了元分析.
- 与对照组相比,以艺术为基础的干预措施显著降低了抑郁水平 (SMD = -0.93,p < 0.001),具有很高的异质性 (I2 = 91.7%).
- 接受性干预显示出比积极干预 (SMD = -0.67) 的效果更强 (SMD = -1.97);在效果大小和年龄,会议数量或干预持续时间之间没有发现显著的关联.
结论:
- 基于艺术的干预措施有效地减少了老年人的抑郁症,作为现有心理健康策略的宝贵补充.
- 建议进行进一步的高质量试验,以确认益处并优化干预措施的交付,因为研究设计异质和质量可变.
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