6种艺术疗法对卒中后抑郁患者干预效果的网状Meta分析

Six art therapies for the effectiveness of intervention in patients with post-stroke depression:a network Meta-analysis

目的分析不同艺术疗法对卒中后抑郁(post-stroke depression,PSD)患者的干预效果。方法计算机检索中国知网、中国生物医学数据库、万方数据库、维普数据库、Embase、PubMed、The Cochrane Library和Web of Science数据库中关于艺术疗法干预PSD患者效果的随机对照试验,检索时间为自建库至2023年10月1日。由2名研究者独立进行文献筛选、提取数据,采用Stata 16.0软件进行网状Meta分析。结果共纳入36项研究,干预措施包括音乐疗法、作业疗法、绘画疗法、故事疗法、园艺疗法、创造性艺术疗法。网状Meta分析结果显示,作业疗法、故事疗法、音乐疗法干预效果均优于常规治疗,差异有统计学意义(P<0.05),而不同艺术疗法对在抑郁的干预效果差异均无统计学意义(P>0.05)。结论艺术疗法干预可改善PSD患者的抑郁水平,作业疗法成为最优疗法的可能性最大。

Objective:To analyze the intervention effect of different art therapy on patients with post-stroke depression.Methods:Randomized controlled trials on the effects of art therapy on patients with post-stroke depression were searched in CNKI,Chinese Biomedical Database,Wanfang Database,VIP database,Embase,PubMed,The Cochrane Library and Web of Science.The retrieval time was from inception to October 1,2023.Literature screening and data extraction were carried out by 2 researchers independently.Stata16.0 software was used for network Meta-analysis.Results:A total of 36 studies with 6 kinds of interventions including music therapy,occupational therapy,painting therapy,story therapy,horticultural therapy,and creative art therapy were included.The network meta-analysis results showed that occupational therapy,story therapy,and music therapy interventions were better than conventional treatment,and the difference was statistically significant(P<0.05).The other art therapies showed no statistically significant difference(P>0.05).Conclusion:Art therapy intervention to improve the level of depression in patients with post-stroke depression,occupational therapy is the most likely to be the best treatment.In future clinical practice,the application may be given priority.