Koroglu Sevgi, Durat Gülgün
Faculty of Health Sciences, Department of Psychiatric Nursing, Sakarya University, Sakarya, Turkey.
Arch Womens Ment Health. 2025 Feb;28(1):95-111. doi: 10.1007/s00737-024-01484-8. Epub 2024 Jul 3.
Violence against women is a common public health problem and causes negative mental health outcomes. Mind-body therapies aim to positively affect a person's mental health by focusing on the interaction between mind, body, and behavior. Therefore, this study aims to evaluate the effect of mind-body therapies on women's mental health.
Randomized controlled trials published in the last 20 years comparing mind-body therapies with active control or waiting lists in women victims of violence were included. Pubmed, Cochrane, Scopus, Web of Science, and CINAHL databases were searched until August 2023. The random effects model and fixed effects model were used for data analysis. The heterogeneity of the study was assessed using the I index, and publication bias was assessed using Egger's test and funnel plot.
Twelve eligible studies with a sample size of 440 women victims of violence were selected. Mind-body therapies led to a statistically significant reduction in anxiety scores (SMD: 1.95, 95% CI: 1.01, 2.89), depression scores (SMD: 1.68, 95% CI: 0.83, 2.52) and posttraumatic stress scores (SMD: 0.95, 95% CI: 0.73, 1.18). There was a high level of heterogeneity in the outcome for anxiety (I = 85.18), a high level of heterogeneity for depression (I = 88.82), and a low level of heterogeneity for PTSD (I = 19.61). Results of subgroup analysis based on the number of sessions showed that eight or fewer sessions reduced anxiety (SMD: 3.10, 95% CI: 1.37, 4.83) and depression scores (SMD: 3.44, 95% CI: 1.21, 5.68), while PTSD scores did not change.
Evidence suggests that mind-body therapies may reduce anxiety, depression, and PTSD in women victims of violence.
针对妇女的暴力行为是一个常见的公共卫生问题,并会导致负面的心理健康结果。身心疗法旨在通过关注心理、身体和行为之间的相互作用来对一个人的心理健康产生积极影响。因此,本研究旨在评估身心疗法对妇女心理健康的影响。
纳入过去20年发表的将身心疗法与积极对照或等待名单进行比较的针对暴力行为女性受害者的随机对照试验。检索了PubMed、Cochrane、Scopus、Web of Science和CINAHL数据库,直至2023年8月。采用随机效应模型和固定效应模型进行数据分析。使用I指数评估研究的异质性,并使用Egger检验和漏斗图评估发表偏倚。
选择了12项符合条件的研究,样本量为440名暴力行为女性受害者。身心疗法导致焦虑评分(标准化均数差:1.95,95%置信区间:1.01,2.89)、抑郁评分(标准化均数差:1.68,95%置信区间:0.83,2.52)和创伤后应激评分(标准化均数差:0.95,95%置信区间:0.73,1.18)在统计学上显著降低。焦虑结局存在高度异质性(I = 85.18),抑郁存在高度异质性(I = 88.82),创伤后应激障碍存在低度异质性(I = 19.61)。基于疗程数的亚组分析结果显示,8个或更少疗程可降低焦虑(标准化均数差:3.10,95%置信区间:1.37,4.83)和抑郁评分(标准化均数差:3.44,95%置信区间:1.21,5.68),而创伤后应激障碍评分未改变。
有证据表明身心疗法可能会降低暴力行为女性受害者的焦虑、抑郁和创伤后应激障碍。