Guangzhou University of Chinese Medicine, Guangzhou, 510006, China.
First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, 300193, China; National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, 300193, China.
Complement Ther Clin Pract. 2024 Nov;57:101886. doi: 10.1016/j.ctcp.2024.101886. Epub 2024 Jul 28.
This study aims to ascertain the effectiveness of creative art therapy (CAT) in alleviating symptoms of postpartum depression (PPD).
A systematic review of all randomized controlled trials of CAT for PPD was conducted. Eight bibliographic databases, namely, PubMed, The Cochrane Library, Embase, Web of Science, CNKI, Wanfang Database, VIP Database, and China Biomedical Literature Database were searched digitally, while Google Scholar database was searched manually for a comprehensive literature search. The search period is from the establishment of the database to May 2024. Literature screening and data extraction were conducted independently by two researchers, and the risk of bias in the included studies was evaluated. Finally, RevMan5.3 software and STATA 15.1 software were used for meta-analysis.
Twelve studies, including 1633 patients, were included in this review. The results of our meta-analysis revealed that the intervention group was significantly better than the control group in depression [SMD = -0.882, 95 % CI: -1.256 to -0.508, P ＜ 0.001][WMD = 0.680, 95 % CI: 0.407-0.953, P ＜ 0.001], anxiety [SMD = -0.712, 95 % CI: -1.405 to -0.019, P = 0.044], and personal state [WMD = -5.180, 95 % CI: -5.869 to -4.491, P ＜ 0.001][SMD = 0.388, 95 % CI: 0.132-0.643, P = 0.003], and the difference was statistically significant. Sensitivity analysis revealed that the above results were stable.
CAT (music and creative games) was found to be effective in relieving depression, anxiety, and personal state in patients with PPD. Though CAT appears to be worthy of clinical application, more high-quality and large-sample studies are required to explore various aspects in the current context.
本研究旨在确定创意艺术疗法（CAT）在缓解产后抑郁症（PPD）症状方面的有效性。
对所有关于 CAT 治疗 PPD 的随机对照试验进行了系统评价。数字检索了 8 个书目数据库，包括 PubMed、Cochrane 图书馆、Embase、Web of Science、CNKI、万方数据库、维普数据库和中国生物医学文献数据库，同时手动检索了 Google Scholar 数据库以进行全面文献检索。检索时间为从数据库建立到 2024 年 5 月。两位研究人员独立进行文献筛选和数据提取，并对纳入研究的偏倚风险进行评估。最后，使用 RevMan5.3 软件和 STATA 15.1 软件进行荟萃分析。
本综述纳入了 12 项研究，共 1633 名患者。荟萃分析结果显示，干预组在抑郁[SMD=-0.882，95%CI：-1.256 至-0.508，P＜0.001][WMD=0.680，95%CI：0.407-0.953，P＜0.001]、焦虑[SMD=-0.712，95%CI：-1.405 至-0.019，P=0.044]和个体状态[WMD=-5.180，95%CI：-5.869 至-4.491，P＜0.001][SMD=0.388，95%CI：0.132-0.643，P=0.003]方面均显著优于对照组，差异具有统计学意义。敏感性分析表明，上述结果较为稳定。
CAT（音乐和创意游戏）可有效缓解 PPD 患者的抑郁、焦虑和个体状态。尽管 CAT 似乎值得临床应用，但需要更多高质量和大样本的研究来探索当前环境下的各个方面。
