瑜伽对于抑郁症干预的Meta分析

Meta-analysis of yoga for major depressed disorder.

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DOI 320.61
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(3)
作者
作者单位

武汉大学人民医院 ;

摘要
【摘要】系统评价和用Meta分析来判断瑜伽治疗抑郁症患者的效果 方法 检索时间为建库至2017年3月20日。计算机检索Pubmed,the Cochrane Library,Elsevier,Wiley,中国知网,万方,维普,查找所有瑜伽治疗抑郁症的病例对照研究同时手检纳入文献的参考文献。按纳入排除标准由两人独立进行RCT的筛选、资料提取和质量评价后,采用RevMan5.1软件进行Meta分析。结果 共纳入16个研究,830例患者,其中瑜伽干预组418人,对照组412人。Meta分析结果如下:瑜伽能明显改善抑郁症[SMD=-1.01,95%CI(-1.49,-0.53),P<0.0001],实验组经过瑜伽干预后抑郁得分明显低于对照组。亚组分析发现短期瑜伽干预和对照组相比,可以一定程度上改善抑郁症[SMD=-0.49,95%CI(-0.84,0.14),P=0.17]结论 瑜伽可明显改善抑郁症,在药物治疗的基础上,不妨考虑瑜伽作为辅助治疗。
Abstract
【Abstract】Object This meta-analysis aimed to evaluate the effect of yoga treatment on major depressed disorder. Method Medline/Pubmed, Cochrane, Elsevier, Wanfang, CNKI were searched through March 2017. Randomized controlled trials (RCTs) of yoga intervention for patients diagnosed with major depressed disorder were included. The outcome was the severity of the depression symptoms. All the statistical analyses were performed by RevMan5.1 software. Results Sixteen RCTs with 830 participants were included. Three RCTs had high risk of bias. Regardless severity of depression, there was moderate evidence for effects of yoga compared to control groups [SMD=-1.01,95%CI(-1.49,-0.53),P<0.0001]. Subgroup analyses revealed evidence of short term effects of yoga compared to control groups [SMD=-0.49,95%CI(-0.84,-0.14),P=0.007]. Conclusion Despite the drawback of the included studied, yoga seems a good choice for MDD patients .
关键词
瑜伽;抑郁症;Meta分析;放松疗法;抑郁程度
KeyWord
yoga; Depression; Meta analysis; Relaxing; Severity of depression
基金项目
页码 432-436
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何静*,王高华,王惠玲,肖玲. 瑜伽对于抑郁症干预的Meta分析 [J]. 国际精神病学杂志. 2018; 45; (3). 432 - 436.

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