Centro Asociado Cochrane Ecuador, Facultad de Ciencias de la Salud Eugenio Espejo, Universidad UTE, Quito 170129, Ecuador.
Centro de Investigación en Salud Pública y Epidemiología Clínica (CISPEC), Universidad UTE, Quito 170129, Ecuador.
J Environ Public Health. 2020 Mar 19;2020:9523127. doi: 10.1155/2020/9523127. eCollection 2020.
Good mental health is related to mental and psychological well-being, and there is growing interest in the potential role of the built environment on mental health, yet the evidence base underpinning the direct or indirect effects of the built environment is not fully clear. The aim of this overview is to assess the effect of the built environment on mental health-related outcomes. . This study provides an overview of published systematic reviews (SRs) that assess the effect of the built environment on mental health. We reported the overview according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Databases searched until November 2019 included the Cochrane Database of Systematic Reviews, EMBASE, MEDLINE (OVID 1946 to present), LILACS, and PsycINFO. Two authors independently selected reviews, extracted data, and assessed the methodological quality of included reviews using the Assessing Methodological Quality of Systematic Reviews-2 (AMSTAR-2). . In total, 357 records were identified from a structured search of five databases combined with the references of the included studies, and eleven SRs were included in the narrative synthesis. Outcomes included mental health and well-being, depression and stress, and psychological distress. According to AMSTAR-2 scores, the quality assessment of the included SRs was categorized as "high" in two SRs and as "critically low" in nine SRs. According to the conclusions of the SRs reported by the authors, only one SR reported a "beneficial" effect on mental health and well-being outcomes. . There was insufficient evidence to make firm conclusions on the effects of built environment interventions on mental health outcomes (well-being, depression and stress, and psychological distress). The evidence collected reported high heterogeneity (outcomes and measures) and a moderate- to low-quality assessment among the included SRs.
良好的心理健康与心理和心理幸福感有关,人们对建筑环境对心理健康的潜在作用越来越感兴趣,但建筑环境对心理健康的直接或间接影响的证据基础尚不完全清楚。本综述的目的是评估建筑环境对与心理健康相关的结果的影响。本研究概述了评估建筑环境对心理健康影响的已发表系统评价 (SR)。我们根据系统评价和荟萃分析的首选报告项目 (PRISMA) 指南报告了综述。截至 2019 年 11 月,搜索的数据库包括 Cochrane 系统评价数据库、EMBASE、MEDLINE(OVID 1946 年至今)、LILACS 和 PsycINFO。两名作者独立选择综述、提取数据,并使用评估系统评价方法学质量-2 (AMSTAR-2) 评估纳入综述的方法学质量。从五个数据库的结构化搜索与纳入研究的参考文献相结合,共确定了 357 条记录,其中包括 11 项系统评价进行叙述性综合。结果包括心理健康和幸福感、抑郁和压力以及心理困扰。根据 AMSTAR-2 评分,纳入的 SR 质量评估有两项被归类为“高”,九项被归类为“极低”。根据作者报告的 SR 结论,只有一项 SR 报告对心理健康和幸福感结果有“有益”影响。关于建筑环境干预对心理健康结果(幸福感、抑郁和压力以及心理困扰)的影响,没有足够的证据得出明确的结论。所收集的证据报告了纳入的 SR 之间存在高度异质性(结果和措施)和中等到低质量评估。