School of Health and Society, University of Salford, United Kingdom; Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool Stadium, Seasider's Way, Blackpool, Lancashire, FY1 6JX, United Kingdom.
Faculty of Health, Social Care and Medicine, Edge Hill University, United Kingdom.
J Affect Disord. 2021 Mar 1;282:962-973. doi: 10.1016/j.jad.2020.12.080. Epub 2020 Dec 25.
Depression is a common mental health disorder, the symptoms of which can disrupt functioning and lead to reduced participation in everyday activities. Occupational therapy is routinely provided for people with such difficulties; however, the evidence underpinning this intervention for depression has yet to be systematically assessed.
A systematic review of the effectiveness of occupational therapy for people with a diagnosis of depression, using the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) was undertaken. Seven databases were searched using terms for depression combined with terms associated with occupational therapy. Due to heterogeneity in study design and outcome measures, a best evidence synthesis was undertaken as an alternative to meta-analysis.
Of 1962 articles identified, 63 full texts were assessed and six met the inclusion criteria. Studies were carried out in Canada, Germany, the Netherlands, Taiwan and the United Kingdom. There was strong evidence for the effectiveness of occupational therapy return-to-work interventions for improving depression symptomology, limited evidence for occupational therapy lifestyle interventions for reducing anxiety and suicidal ideation, and limited evidence for improving work participation. No studies evaluated individualised client-centred occupational therapy, highlighting a gap in research.
Incomplete reporting within studies and heterogeneity prevented meta-analysis. English language restrictions were applied.
Whilst overall the evidence base for occupational therapy for depression is limited, strong evidence was found for the effectiveness of occupational therapy return-to-work interventions, which is important given the costs associated with mental ill-health and work absence. Further research is needed to strengthen the evidence base.
抑郁症是一种常见的心理健康障碍，其症状会扰乱功能，导致日常活动参与度降低。职业疗法通常用于治疗有此类困难的人群；然而，这种干预措施治疗抑郁症的证据尚未得到系统评估。
采用系统评价抑郁症患者职业疗法效果的首选报告项目和荟萃分析（PRISMA）进行了系统评价。使用与抑郁症相关的术语与职业疗法相关的术语，对 7 个数据库进行了搜索。由于研究设计和结果测量的异质性，作为荟萃分析的替代方法进行了最佳证据综合。
在 1962 篇文章中，有 63 篇全文进行了评估，其中 6 篇符合纳入标准。研究在加拿大、德国、荷兰、中国台湾和英国进行。职业治疗重返工作岗位干预措施在改善抑郁症症状方面有强有力的证据，职业治疗生活方式干预措施在降低焦虑和自杀意念方面有有限的证据，改善工作参与度方面的证据有限。没有研究评估个性化以客户为中心的职业治疗，突出了研究中的空白。
研究中报告不完整和异质性妨碍了荟萃分析。应用了英语语言限制。
尽管针对抑郁症的职业治疗的总体证据基础有限，但发现了职业治疗重返工作岗位干预措施有效性的有力证据，鉴于与心理健康和缺勤相关的成本，这一点很重要。需要进一步的研究来加强证据基础。
