Lara Carneiro, Filipe Manuel Clemente, João Gustavo Claudino, José Ferreira, Rodrigo Ramirez-Campillo, José Afonso
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引用次数: 0
摘要
背景：冲浪疗法在改善心理健康方面越来越受欢迎。然而，能够证实这些说法的研究证据却很有限。因此，本系统综述旨在评估随机或非随机研究，分析与非运动对照和/或替代干预相比，冲浪疗法在改善精神疾病症状方面的疗效，并找出证据差距，为未来研究提供依据：方法：遵循 PRISMA 2020 报告指南。资格标准包括任何年龄和性别、明确诊断患有任何精神疾病、接受冲浪疗法并与非运动对照组和/或替代干预措施进行比较的参与者。主要结果包括从基线到干预后精神疾病症状的变化。任何随机或非随机试验设计均在考虑之列。我们检索了 Cochrane Library、CINAHL、EMBASE、PubMed、Scopus、SPORTDiscus 和 Web of Science 数据库（2023 年 12 月 7 日），没有语言或出版日期限制，也没有过滤。由于研究的异质性，无法进行荟萃分析；因此，对单项研究结果进行了叙述性综合分析：在 5,666 条记录中，有三项随机对照研究被纳入审查范围。总体而言，三项研究结果表明，将冲浪疗法与等待对照组或其他基于自然的运动干预措施（徒步旅行疗法）进行比较，没有可靠的一致证据表明心理健康症状有所改善。证据的确定性应被视为非常低，因为它是基于三项随机对照试验得出的：尽管我们认为冲浪疗法是一种有趣的方法，但有力的证据却很少。我们讨论了未来设计良好的对照研究路线：无资金报告：ProCORMBERCO CRD42021277060.
Surf therapy for people with mental health disorders: a systematic review of randomized and non-randomized controlled trials.
Background: Surf therapy is gaining popularity for improving mental health. However, there is limited research evidence to substantiate these claims. Therefore, this systematic review aimed to assess randomized or non-randomized studies analyzing the efficacy of surf therapy in improving symptoms of mental illness compared to non-exercising controls and/or alternative intervention, and to identify evidential gaps to inform future research.
Methods: PRISMA 2020 reporting guidelines were followed. Eligibility criteria included participants of any age and sex, explicitly diagnosed with any mental health disorder, while exposed to surf therapy and compared to non-exercising controls and/or alternative interventions. The primary outcome consisted of changes in symptoms of mental illness scored from baseline to post-intervention. Any randomized or non-randomized trial design was considered. We searched Cochrane Library, CINAHL, EMBASE, PubMed, Scopus, SPORTDiscus and Web of Science databases (December 7, 2023), without language or publication date restrictions and without filters. Risk of bias was assessed using RoB 2. A meta-analysis could not be conducted due to heterogeneity of the studies; therefore, a narrative synthesis of individual study results was performed.
Results: Of 5,666 records, three randomized controlled studies were included in the review. Overall, the findings of the three studies suggest no robust consistent evidence of improvement in mental health symptoms when comparing surf therapy to wait-list control groups or other nature-based exercise interventions (hike therapy). Certainty of evidence should be considered very low, as it is based on three randomized controlled trials.
Conclusion: Although we believe that surf therapy provides an interesting approach, robust evidence is scarce. Routes for future well-designed, controlled studies are discussed.
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