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艺术治疗对乳腺癌患者焦虑和抑郁的影响:一项更新的荟萃分析。

The effects of art therapy on anxiety and depression in breast cancer patients: An updated meta-analysis.

机构信息

Department of Fine Arts Education, College of Fine Arts, Jiamusi University, Jiamusi, China.

Department of Neurology, The First Affiliated Hospital of Jiamusi University, Jiamusi, China.

出版信息

Eur J Cancer Care (Engl). 2020 Sep;29(5):e13266. doi: 10.1111/ecc.13266. Epub 2020 May 25.

DOI:10.1111/ecc.13266
PMID:32452121
Abstract

OBJECTIVE

In this meta-analysis, we aimed to investigate the effects of art therapy on anxiety and depression in patients with breast cancer.

METHODS

Electronic databases were searched for relevant studies through December 2019. Standardised mean differences (SMDs) were calculated as the effects of art therapy on improvement of anxiety and depression in women with breast cancer. The meta-analysis included nine studies involving a total of 446 participants.

RESULTS

The summary SMD of art therapy for anxiety was -1.02 (95% confidence interval (CI), -2.08 to 0.04; p = .06). The pooled SMD of art therapy for depression was -0.73 (95% CI, -1.45 to -0.01; p = .046). In the age subgroup analysis, the summary SMD of art therapy for anxiety was -1.30 (95% CI, -2.45 to -0.14; p = .03) for a mean age of more than 55 years. The summary SMD of art therapy for depression was -1.01 (95% CI, -1.95 to -0.05; p = .04) for a mean age of less than 55 years.

CONCLUSION

This meta-analysis revealed that art therapy demonstrates positive effects on depression but not anxiety in patients with breast cancer. There appears to be a critical age period for art therapy to alleviate anxiety or depression in these patients.

摘要

目的

在这项荟萃分析中,我们旨在探讨艺术疗法对乳腺癌患者焦虑和抑郁的影响。

方法

通过 2019 年 12 月对电子数据库进行检索,以寻找艺术疗法对改善乳腺癌女性焦虑和抑郁的相关研究。采用标准化均数差(SMD)作为艺术疗法对改善乳腺癌女性焦虑和抑郁的效果。荟萃分析纳入了 9 项研究,共 446 名参与者。

结果

艺术疗法对焦虑的汇总 SMD 为-1.02(95%置信区间(CI),-2.08 至 0.04;p=0.06)。艺术疗法对抑郁的汇总 SMD 为-0.73(95%CI,-1.45 至 -0.01;p=0.046)。在年龄亚组分析中,对于平均年龄超过 55 岁的患者,艺术疗法对焦虑的汇总 SMD 为-1.30(95%CI,-2.45 至 -0.14;p=0.03)。对于平均年龄小于 55 岁的患者,艺术疗法对抑郁的汇总 SMD 为-1.01(95%CI,-1.95 至 -0.05;p=0.04)。

结论

这项荟萃分析表明,艺术疗法对乳腺癌患者的抑郁有积极影响,但对焦虑没有影响。对于这些患者,艺术疗法缓解焦虑或抑郁似乎存在一个关键的年龄阶段。

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