Wang Wei Chun, Zhang Anthony Lin, Rasmussen Bodil, Lin Li-Wei, Dunning Trisha, Kang Seung Wan, Park Byung-Joo, Lo Sing Kai
Faculty of Health, Medicine, Nursing and Behavioural Sciences, Deakin University, Australia.
J Acupunct Meridian Stud. 2009 Sep;2(3):171-81. doi: 10.1016/S2005-2901(09)60052-2.
This systematic review aimed to critically appraise published clinical trials designed to assess the effect of Tai Chi on psychosocial well-being.
Databases searched included MEDLINE, CINAHL, EMBASE, HEALT, PsycINFO, CISCOM, the Cochrane Central Register of Controlled Trials of the Cochrane Library, and dissertations and conference proceedings from inception to August 2008.
Methodological quality was assessed using a modified Jadad scale. A total of 15 studies met the inclusion criteria (i.e. English publications of randomized controlled trials with Tai Chi as an intervention and psychological well-being as an outcome measure), of which eight were high quality trials. The psychosocial outcomes measured included anxiety (eight studies), depression (eight studies), mood (four studies), stress (two studies), general mental health three studies), anger, positive and negative effect, self-esteem, life satisfaction, social interaction and self-rated health (one study each).
Tai Chi intervention was found to have a significant effect in 13 studies, especially in the management of depression and anxiety. Although the results seemed to suggest Tai Chi is effective, they should be interpreted cautiously as the quality of the trials varied substantially. Furthermore, significant findings were shown in only six high quality studies. Moreover, significant between group differences after Tai Chi intervention was demonstrated in only one high quality study (the other three significant results were observed in non-high quality studies). Two high quality studies in fact found no significant Tai Chi effects.
It is still premature to make any conclusive remarks on the effect of Tai Chi on psychosocial well-being.
本系统评价旨在严格评估已发表的旨在评估太极拳对心理社会幸福感影响的临床试验。
检索的数据库包括MEDLINE、CINAHL、EMBASE、HEALT、PsycINFO、CISCOM、Cochrane图书馆的Cochrane对照试验中央注册库，以及从创刊至2008年8月的学位论文和会议论文集。
采用改良的Jadad量表评估方法学质量。共有15项研究符合纳入标准（即以太极拳作为干预措施、心理健康作为结局指标的随机对照试验的英文出版物），其中8项为高质量试验。所测量的心理社会结局包括焦虑（8项研究）、抑郁（8项研究）、情绪（4项研究）、压力（2项研究）、总体心理健康（3项研究）、愤怒、正负效应、自尊、生活满意度、社会交往和自评健康（各1项研究）。
在13项研究中发现太极拳干预有显著效果，尤其是在抑郁和焦虑的管理方面。尽管结果似乎表明太极拳有效，但由于试验质量差异很大，这些结果应谨慎解读。此外，仅在6项高质量研究中显示出显著结果。而且，仅在1项高质量研究中证明了太极拳干预后组间有显著差异（其他3项显著结果在非高质量研究中观察到）。实际上有2项高质量研究未发现太极拳有显著效果。
就太极拳对心理社会幸福感的影响做出任何确定性结论仍为时过早。
