a Medical-Scientific Faculty, Private University in the Principality of Liechtenstein , Triesen , FL , USA.
b Department of Psychology, College of Science , University of Arizona , Tucson , AZ , USA.
Int J Hyperthermia. 2019;36(1):573-581. doi: 10.1080/02656736.2019.1612103.
To systematically summarize the findings from research studies examining the effects of whole-body hyperthermia (WBH) interventions on mood and symptoms of depression. Systematic literature search of online and offline databases (e.g., Pubmed, Web of Knowledge, Cochrane, academic libraries). Risk of bias assessment and secondary analysis of effect sizes. Clinical studies with a pre/post-intervention design and outcome measures for mood and depression as accepted in the S-3 guidelines (Association of Scientific Medical Societies in Germany). Study characteristics and outcomes (means and standard deviations) from participants receiving at least one WBH intervention. A total of 7 studies and 148 subjects with a mean age of 46 years (36-56 years) were identified. Three out of seven studies utilized hot baths and 4/7 infrared heating. Study duration ranged from 1 to 6 weeks with one or multiple interventions and an average treatment time of 66.37 min (42.55-140). Risk of bias analysis revealed small sample biases and lack of control groups in 3/7 studies. About 21 study end-points were extracted with 19 resulting in effects sizes (Cohen's ) of 0.8 or greater. Target temperatures between 38 °C and 39 °C and slower increase in core body temperature during the intervention resulted in larger treatment effects. WBH is a promising alternative treatment for depression with low risk for adverse reactions and side effects but still lacking sufficient evidence for general recommendations for clinical practice. However, as all other interventions have failed, the studies to date can provide a framework for clinical application.
系统总结研究全身热疗(WBH)干预对情绪和抑郁症状影响的研究结果。对在线和离线数据库(例如 Pubmed、Web of Knowledge、Cochrane、学术图书馆)进行系统文献检索。风险评估和次要分析效应大小。采用 S-3 指南(德国科学医学协会联合会)中接受的情绪和抑郁的预/后干预设计和结果测量的临床研究。至少接受一次 WBH 干预的参与者的研究特征和结果(平均值和标准差)。共确定了 7 项研究和 148 名参与者,平均年龄为 46 岁(36-56 岁)。其中 3 项研究使用了热水浴,4/7 项研究使用了红外线加热。研究持续时间从 1 周到 6 周不等,单次或多次干预,平均治疗时间为 66.37 分钟(42.55-140 分钟)。风险分析显示,3/7 项研究存在样本量小和缺乏对照组的偏倚。共提取了约 21 个研究终点,其中 19 个产生了效应大小(Cohen's )大于 0.8。目标温度在 38°C 和 39°C 之间,干预期间核心体温升高较慢,治疗效果更大。WBH 是一种有前途的替代治疗抑郁症的方法,不良反应和副作用风险低,但仍缺乏足够的证据支持临床实践的一般建议。然而,由于其他所有干预措施都失败了,迄今为止的研究可以为临床应用提供框架。