Wang Xiaohui, Ding Rui, Luo Rui
School of Social Work, China University of Labor Relations, Beijing, China.
The Chinese University of Hong Kong, Hong Kong, China.
Glob Ment Health (Camb). 2024 Dec 2;11:e116. doi: 10.1017/gmh.2024.89. eCollection 2024.
Psychodrama (PD), supported by extensive global research, is increasingly becoming a vital method for alleviating psychological symptoms and promoting mental well-being in diverse populations across China. However, comprehensive evidence based on rigorous interventions is currently lacking.
This article systematically reviews the literature on randomized controlled experimental intervention studies of PD in the Chinese Mainland from 1982 to 2023.
Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses framework, this article included seven studies (N = 332, 25 effect sizes). The results demonstrate that PD interventions have a promotional effect (standardized mean difference SMD = 0.768, 95% CI [0.591, 0.946]) across different age groups and settings in randomized controlled trial interventions. In accordance with previous literature, we categorized the effect sizes into two major groups: illness reduction (IR) and health promotion (HP). Subgroup analysis based on these two categories revealed consistent findings. In the IR category, the overall effect size was notably significant (SMD = -0.711, 95% CI [-0.976, -0.446]), and in the HP category, the overall effect was also highly significant (SMD = 0.889, 95% CI [0.705, 1.074]). This finding aligns with previous research in other nations, supporting the significant effectiveness of PD as a counseling method in alleviating psychological illnesses and promoting mental health within the Chinese context.
PD serves not only as a therapeutic tool but also as a preventive and developmental intervention. Moving forward, there is a call for increased emphasis on standardized and randomized controlled experimental studies to further the advancement of PD within China.
心理剧（PD）在全球范围内得到广泛研究支持，在中国不同人群中，它正日益成为缓解心理症状和促进心理健康的重要方法。然而，目前缺乏基于严格干预的全面证据。
本文系统回顾了1982年至2023年中国大陆关于心理剧随机对照实验干预研究的文献。
按照系统评价与Meta分析的首选报告项目框架，本文纳入了七项研究（N = 332，25个效应量）。结果表明，在随机对照试验干预中，心理剧干预在不同年龄组和环境中均具有促进作用（标准化均数差SMD = 0.768，95%CI[0.591，0.946]）。根据以往文献，我们将效应量分为两大类：疾病减轻（IR）和健康促进（HP）。基于这两类的亚组分析得出了一致的结果。在IR类别中，总体效应量显著（SMD = -0.711，95%CI[-0.976，-0.446]），在HP类别中，总体效应也非常显著（SMD = 0.889，95%CI[0.705，1.074]）。这一发现与其他国家先前的研究一致，支持了心理剧作为一种咨询方法在中国背景下缓解心理疾病和促进心理健康方面的显著有效性。
心理剧不仅是一种治疗工具，也是一种预防和发展性干预措施。展望未来，呼吁更加重视标准化和随机对照实验研究，以推动心理剧在中国的进一步发展。
