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犬类探访项目对老年人抑郁症状的管理作用:一项荟萃分析。

Dog Visiting Programs for Managing Depressive Symptoms in Older Adults: A Meta-Analysis.

机构信息

Center for Behavioral Sciences and Mental Health.

Department of Environment and Health, Istituto Superiore di Sanità, Rome, Italy.

出版信息

Gerontologist. 2020 Jan 24;60(1):e66-e75. doi: 10.1093/geront/gny149.

DOI:10.1093/geront/gny149
PMID:30476083
Abstract

BACKGROUND AND OBJECTIVES

Depressive symptoms are highly prevalent in older adults and may contribute to functional impairment at old age. Animal-assisted interventions (AAIs), including interventions involving dog visiting, are increasingly recognized as an innovative approach to ameliorate social, behavioral, psychological, and physical outcomes among older adults. However, available data on their potential to manage depressive symptoms in the aging population are not clear cut. The aim of this review was to conduct a meta-analysis of all prospective controlled studies evaluating the effects of dog visiting on depressive symptoms in older adults.

RESEARCH DESIGN AND METHODS

A comprehensive literature search was conducted on the electronic databases PubMed and Scopus. Included articles were published between 1980 and 2017 and report controlled empirical studies of dog visiting interventions to ameliorate depressive symptoms in older adults.

RESULTS

There was substantial heterogeneity between included studies, which varied in their methodological quality, sample size, and other key features. Notwithstanding such methodological variety, results all go in the same direction and indicate a large beneficial effect of interventions involving dog visiting on depressive symptoms.

DISCUSSION AND IMPLICATIONS

This analysis confirms the potential value of dog visiting in ameliorating depressive symptoms in institutionalized and noninstitutionalized older adults. This is in line with previous research indicating AAIs as promising complementary programs for preserving/enhancing emotional and behavioral function in aged individuals. More research is still needed to allow AAIs to be effectively introduced in clinical practice.

摘要

背景和目的

抑郁症状在老年人中普遍存在,可能导致老年人的功能障碍。动物辅助干预(AAIs),包括涉及犬类探访的干预措施,越来越被认为是改善老年人社会、行为、心理和身体结局的一种创新方法。然而,关于它们在老年人群中管理抑郁症状的潜力的可用数据并不明确。本综述的目的是对所有前瞻性对照研究进行荟萃分析,评估犬类探访对老年人抑郁症状的影响。

研究设计和方法

对电子数据库 PubMed 和 Scopus 进行了全面的文献检索。纳入的文章发表于 1980 年至 2017 年之间,报告了控制犬类探访干预措施以改善老年人抑郁症状的实证研究。

结果

纳入研究之间存在很大的异质性,这些研究在方法学质量、样本量和其他关键特征方面存在差异。尽管存在这种方法学上的差异,但结果都指向同一个方向,表明涉及犬类探访的干预措施对抑郁症状有很大的有益影响。

讨论和意义

这项分析证实了犬类探访在改善机构化和非机构化老年人抑郁症状方面的潜在价值。这与先前的研究一致,表明 AAIs 是保护/增强老年人情感和行为功能的有前途的补充方案。仍需要更多的研究,以便 AAIs 能够有效地引入临床实践。

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