园艺疗法对老年抑郁症患者的疗效：系统评价和荟萃分析。
Effectiveness of horticultural therapy in aged people with depression: A systematic review and meta-analysis.
机构信息
College of Horticulture, China Agricultural University, Beijing, China.
Faculty of Architecture, Building and Planning, University of Melbourne, Melbourne, VIC, Australia.
出版信息
Front Public Health. 2023 Mar 8;11:1142456. doi: 10.3389/fpubh.2023.1142456. eCollection 2023.
BACKGROUND
Depression, an increasing global crisis, has affected many people's daily life, especially for older adults. Horticultural therapy has been widely used in non-pharmacological treatment for patients with depression, with a body of studies demonstrating its therapeutic effects. However, a lack of systematic reviews and meta-analyses makes it difficult to get a holistic picture of this research field.
OBJECTIVES
We aimed to evaluate the reliability of the previous studies and the effectiveness of horticultural therapy (including the intervention of environmental settings, activities, and duration) on older adults with depression.
METHODS
This systematic review was conducted under the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA) guidelines. We searched relevant studies in multiple databases, and the original search was finished on 25 September 2022. We included studies using randomized controlled trials (RCTs) or quasi-experimental designs.
RESULTS
We yielded a total of 7,366 studies and finally included 13 which involved 698 aged people with depression. Results from meta-analysis indicated significant effects of horticultural therapy on reducing depressive symptoms for the older adults. Besides, we found different outcomes among various horticultural interventions (such as environmental setting, activities, and duration). Depression reduction was more effective in care-providing settings than in community settings; participatory activities were more effective in reducing depression than observational activities; intervention of 4-8 weeks might represent the optimal course of treatment compared to interventions more than 8 weeks in duration.
CONCLUSION
We came up with a comprehensive set of recommendations based on the meta-analysis: aged people in care-providing settings with depression could get the most benefit from horticultural therapy by participating in participatory activities for 4-8 weeks.
SYSTEMATIC REVIEW REGISTRATION
https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022363134, identifier CRD42022363134.
背景
抑郁症是一种日益严重的全球性危机，影响了许多人的日常生活，尤其是老年人。园艺疗法已广泛应用于抑郁症患者的非药物治疗，大量研究证实了其疗效。然而，由于缺乏系统评价和荟萃分析，难以全面了解该研究领域。
目的
评估先前研究的可靠性以及园艺疗法（包括环境设置、活动和持续时间的干预）对老年抑郁症患者的疗效。
方法
本系统评价按照《系统评价和荟萃分析报告规范》（PRISMA）指南进行。我们在多个数据库中搜索相关研究，原始检索于 2022 年 9 月 25 日完成。我们纳入了使用随机对照试验（RCT）或准实验设计的研究。
结果
我们共检索到 7366 篇研究，最终纳入了 13 项研究，共涉及 698 名患有抑郁症的老年人。荟萃分析结果表明，园艺疗法对降低老年人的抑郁症状有显著效果。此外，我们发现不同的园艺干预措施（如环境设置、活动和持续时间）有不同的结果。在提供护理的环境中，园艺疗法对降低抑郁的效果优于社区环境；参与性活动比观察性活动更能有效降低抑郁；4-8 周的干预可能比 8 周以上的干预更有效。
结论
根据荟萃分析，我们提出了一套全面的建议：在提供护理的环境中患有抑郁症的老年人，通过参与 4-8 周的参与性活动，可能从园艺疗法中获益最大。
系统评价注册
https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022363134，标识符 CRD42022363134。
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