身心疗法对女性暴力受害者心理健康的影响:荟萃分析

IF 3.2 3区 医学 Q2 PSYCHIATRY
Sevgi Koroglu, Gülgün Durat
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引用次数: 0

摘要

目的:暴力侵害妇女是一个常见的公共健康问题,会对心理健康造成负面影响。身心疗法旨在通过关注心理、身体和行为之间的相互作用,对人的心理健康产生积极影响。因此,本研究旨在评估身心疗法对女性心理健康的影响:方法:纳入过去 20 年间发表的随机对照试验,这些试验比较了身心疗法与积极控制或等待名单对受暴力侵害妇女的影响。对 Pubmed、Cochrane、Scopus、Web of Science 和 CINAHL 数据库进行了检索,直至 2023 年 8 月。数据分析采用随机效应模型和固定效应模型。研究的异质性采用 I2 指数进行评估,发表偏倚采用 Egger 检验和漏斗图进行评估:结果:共选取了 12 项符合条件的研究,样本量为 440 名女性暴力受害者。心身疗法可显著降低焦虑评分(SMD:1.95,95% CI:1.01,2.89)、抑郁评分(SMD:1.68,95% CI:0.83,2.52)和创伤后应激评分(SMD:0.95,95% CI:0.73,1.18)。焦虑症结果的异质性较高(I2 = 85.18),抑郁症结果的异质性较高(I2 = 88.82),创伤后应激障碍结果的异质性较低(I2 = 19.61)。基于疗程次数的亚组分析结果显示,8次或更少的疗程可降低焦虑(SMD:3.10,95% CI:1.37,4.83)和抑郁评分(SMD:3.44,95% CI:1.21,5.68),而创伤后应激障碍评分没有变化:有证据表明,身心疗法可以减轻受暴力侵害妇女的焦虑、抑郁和创伤后应激障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The impact of mind-body therapies on the mental health of women victims of violence: A meta-analysis.

Purpose: Violence against women is a common public health problem and causes negative mental health outcomes. Mind-body therapies aim to positively affect a person's mental health by focusing on the interaction between mind, body, and behavior. Therefore, this study aims to evaluate the effect of mind-body therapies on women's mental health.

Methods: Randomized controlled trials published in the last 20 years comparing mind-body therapies with active control or waiting lists in women victims of violence were included. Pubmed, Cochrane, Scopus, Web of Science, and CINAHL databases were searched until August 2023. The random effects model and fixed effects model were used for data analysis. The heterogeneity of the study was assessed using the I2 index, and publication bias was assessed using Egger's test and funnel plot.

Results: Twelve eligible studies with a sample size of 440 women victims of violence were selected. Mind-body therapies led to a statistically significant reduction in anxiety scores (SMD: 1.95, 95% CI: 1.01, 2.89), depression scores (SMD: 1.68, 95% CI: 0.83, 2.52) and posttraumatic stress scores (SMD: 0.95, 95% CI: 0.73, 1.18). There was a high level of heterogeneity in the outcome for anxiety (I2 = 85.18), a high level of heterogeneity for depression (I2 = 88.82), and a low level of heterogeneity for PTSD (I2 = 19.61). Results of subgroup analysis based on the number of sessions showed that eight or fewer sessions reduced anxiety (SMD: 3.10, 95% CI: 1.37, 4.83) and depression scores (SMD: 3.44, 95% CI: 1.21, 5.68), while PTSD scores did not change.

Conclusion: Evidence suggests that mind-body therapies may reduce anxiety, depression, and PTSD in women victims of violence.

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来源期刊
Archives of Women's Mental Health
Archives of Women's Mental Health 医学-精神病学
CiteScore
8.00
自引率
4.40%
发文量
83
审稿时长
6-12 weeks
期刊介绍: Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.
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