针对老年人抑郁和焦虑的团体艺术干预：系统评价和荟萃分析 Group arts interventions for depression and anxiety among older adults: a systematic review and meta-analysis
——《自然/心理健康》2025年，第3卷，第3期—— <Nature / Mental Health> Volume 3, Issue 3, 2025
【摘要】在这项系统评价和荟萃分析中，我们评估了团体艺术干预对减少老年人（年龄>55岁，无痴呆症）抑郁和焦虑的有效性。在团体艺术干预中，人们共同参与共同的艺术体验（例如，跳舞或绘画）。截至2024年2月，通过电子数据库搜索确定了50项对照研究（随机：42项，非随机：8项）。共纳入39项研究。36项研究调查了团体艺术干预对抑郁的影响（n=3,360），10项研究调查了焦虑（n=949）。亚组分析评估了参与者、背景、干预和研究特征是否调节了干预-结果关系。使用适当的工具（RoB-2、ROBINS-1）评估偏倚风险。团体艺术干预与抑郁症状的中度减少（Cohen d = 0.70，95%置信区间 (CI) =0.54–0.87，P<0.001）和焦虑症状的中度减少（d=0.76，95% CI=0.37–1.52，P<0.001）相关，尽管抑郁症研究存在出版偏见。经过修剪和填充调整后，抑郁的效果仍然存在（d=0.42；CI=0.35–0.50；P<0.001）。环境调节了这种影响：与社区相比（d=0.51，95% CI=0.32–0.70，P<0.001），在养老院进行团体艺术干预时，抑郁的减少幅度更大（d=1.07，95% CI=0.72–1.42，P<0.001）。研究结果表明，团体艺术是解决老年人抑郁和焦虑的有效干预措施。 [Abstract] In this systematic review and meta-analysis, we assessed the efficacy of group arts interventions, where individuals engage together in a shared artistic experience (for example, dance or painting), for reducing depression and anxiety among older adults (> 55 yr without dementia). Fifty controlled studies were identified via electronic databases searched to February 2024 (randomised: 42, non-randomised: 8). Thirty-nine studies were included. Thirty-six studies investigated the impact of group arts interventions on depression (n = 3,360) and ten studies investigated anxiety (n = 949). Subgroup analyses assessed whether participant, contextual, intervention and study characteristics moderated the intervention–outcome relationship. Risk of bias was assessed with appropriate tools (RoB-2, ROBINS-1). Group arts interventions were associated with a moderate reduction in depression (Cohen’s d = 0.70, 95% confidence interval (CI) = 0.54–0.87, P < 0.001) and a moderate reduction in anxiety (d = 0.76, 95% CI = 0.37–1.52, P < 0.001), although there was publication bias in the depression studies. After a trim and fill adjustment, the effect for depression remained (d = 0.42; CI = 0.35–0.50; P < 0.001). Context moderated this effect: There was a greater reduction in depression when group arts interventions were delivered in care homes (d = 1.07, 95% CI = 0.72–1.42, P < 0.001) relative to the community (d = 0.51, 95% CI = 0.32–0.70, P < 0.001). Findings indicate that group arts are an effective intervention for addressing depression and anxiety among older adults. 论文原文：Elizabeth A. Quinn, Emma Millard & Janelle M. Jones (2025). Group arts interventions for depression and anxiety among older adults: a systematic review and meta-analysis. Nature / Mental Health, Volume 3, Issue 3, Pages 374–386. Published: 05 March 2025. https://doi.org/10.1038/s44220-024-00368-1
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