Kim Sohyun Angela, Yoo Madelyn, Martin Noah, Stark Susan, Devine Megen, Chen Szu-Wei
School of Medicine Program in Occupational Therapy, Washington University in St. Louis, St. Louis, MO, USA.
Disabil Rehabil. 2024 Dec 28:1-12. doi: 10.1080/09638288.2024.2444482.
To examine the effects of leisure participation on mental health for middle-aged and older adults with physical disabilities.
A systematic review conducted in March-May 2022 with an updated search in February 2024 retrieved data from MEDLINE, CINAHL, PsycInfo, and EMBASE. Inclusion criteria included a study population with a mean age ≥45 years and with physical disability, and original, peer-reviewed literature. Exclusion criteria included non-community-dwelling participants, participants outside the specified age range, review studies, intervention studies not focused on leisure or intrinsically motivated activities, and studies without full text. The Oxford 2011 Levels of Evidence, NIH study quality assessment tool, and Cochrane ROBINS-I tools were used to assess the evidence strength and the risk of bias. A data extraction table was created to analyze and synthesize the results.
Eleven articles with 18,681 total participants were thoroughly reviewed. Most studies were longitudinal survey, cohort, and cross-sectional studies. Evidence indicates that leisure participation benefits mental health (depression, anxiety, happiness, and well-being) and other health-related outcomes.
Findings should be interpreted with caution due to lack of high-level evidence. Future research should consider alternative study designs in addition to RCTs to better capture the individualized nature of leisure activities.
探讨休闲参与对身体残疾的中老年人心理健康的影响。
于2022年3月至5月进行了一项系统综述，并于2024年2月进行了更新检索，从MEDLINE、CINAHL、PsycInfo和EMBASE中检索数据。纳入标准包括平均年龄≥45岁且身体残疾的研究人群，以及原创的、经同行评审的文献。排除标准包括非社区居住参与者、指定年龄范围以外的参与者、综述研究、不专注于休闲或内在动机活动的干预研究，以及没有全文的研究。使用牛津2011证据水平、美国国立卫生研究院研究质量评估工具和Cochrane ROBINS-I工具来评估证据强度和偏倚风险。创建了一个数据提取表来分析和综合结果。
对11篇文章进行了全面综述，共有18,681名参与者。大多数研究为纵向调查、队列研究和横断面研究。证据表明，休闲参与有益于心理健康（抑郁、焦虑、幸福和幸福感）以及其他与健康相关的结果。
由于缺乏高级别证据，研究结果应谨慎解读。未来的研究除了随机对照试验外，还应考虑其他研究设计，以更好地把握休闲活动的个性化特点。
