舞蹈运动疗法对轻度认知障碍患者抑郁状况影响的Meta分析

Effects of Dance Movement Therapy on Depression in Mild Cognitive Impairment: A Meta-Analysis

摘要: 目的：系统评价舞蹈运动疗法对轻度认知障碍患者抑郁状况的影响。方法：计算机检索Cochrane、PubMed、Embase、中国知网、万方、维普等中英文数据库中关于舞蹈运动疗法治疗轻度认知障碍患者抑郁状况的随机对照试验，时限均自建库至2021年4月18日。所得数据采用RevMan5.3结合Stata15.1软件进行meta分析。结果：共纳入8篇文献，共763例患者。Meta分析结果显示：舞蹈运动疗法有助于缓解轻度认知障碍患者抑郁状况(SMD = −0.74, 95% CI: −1.07~−0.40, P < 0.001)；同时亚组分析发现，不同国家[中国(SMD = −0.69, 95% CI: −1.24~−0.40, P = 0.010)、亚洲(除中国以外的国家) (SMD = −1.07, 95% CI: −1.92~−0.21, P = 0.010)]、干预周期[≤4个月(SMD = −0.90, 95% CI: −1.47~−0.33, P = 0.002)、>4个月(SMD = −0.76, 95% CI: −1.15~−0.83, P = 0.001)]，舞蹈运动疗法对其抑郁状况的减轻均具有统计学意义(P < 0.05)。结论：舞蹈运动疗法能够显著缓解轻度认知障碍患者抑郁状况。

Abstract: Objective: To systematically evaluate the effect of dance movement therapy on depression in mild cognitive impairment. Methods: Six electronic literature databases were searched to retrieve eli-gible observational research: CNKI, VIP, Wan-fang, Cochrane library, PubMed, EMBASE, from the inception of the databases up to 18 April 2021. The meta-analyst software (RevMan5.3 and Stata15.1) was used to conduct the meta-analysis. Results: A total of 8 articles were included, with a total of 763 patients. Meta-analysis showed that dance movement therapy decreases depression in mild cognitive impairment (SMD = −0.74, 95% CI: −1.07~−0.40, P < 0.001). At the same time, subgroup analysis results showed that different countries [China (SMD = −0.86, 95% CI: −1.24~−0.40, P = 0.010), Asia (except China) (SMD = −1.07, 95% CI: −1.92~−0.21, P = 0.010)], total intervention duration [≤ 4 months (SMD = −0.90, 95% CI: −1.47~−0.33, P = 0.002), > 4 months (SMD = −0.76, 95% CI: −1.15~−0.83, P = 0.001)], dance movement therapy had statistical signifi-cance in reducing depression (P < 0.05). Conclusion: Dance movement therapy can significantly reduce depression in mild cognitive impairment.