基于社区的非药物干预对纤维肌痛患者焦虑和抑郁的影响：一项系统综述和网络荟萃分析。

IF 3.7 2区医学 Q1 PSYCHIATRY

Journal of psychiatric research Pub Date : 2025-02-01 DOI:10.1016/j.jpsychires.2025.01.014

Rui Zhang , Hui Li , Tiantian Kong , Ligang Shan , Pengxiang Wang , Yimin Kang , Fan Wang

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引用次数: 0

摘要

背景：纤维肌痛综合征（FMS）常伴有焦虑和抑郁，严重影响患者预后。积极的非药物治疗是主要的治疗方法，但最佳选择仍有争议。方法：我们对随机对照试验进行网络meta分析（NMA），比较了基于29项研究的7项社区非药物干预措施。我们检索了Embase、MEDLINE、PubMed、Scopus、b谷歌Scholar、Web of Science和Cochrane Central Register of Controlled Trials （Central）从数据库建立到2022年3月的数据库。结果：NMA显示，与常规护理相比，6项非药物干预措施中有5项（83.34%）与焦虑显著改善相关，标准化平均差异（SMD）范围从水上运动的-1.14 （95% CI: -1.76至-0.51）到冥想的-0.39 (95% CI: 073-0.05)；7项非药物干预措施中有6项（85.71%）与抑郁症的显著改善相关，其中水上运动的SMD为-1.18 (95% CI: -1.68至-0.68)，教育治疗的SMD为-0.46 （95% CI: -0.86至-0.05）。局限性：首先，由于原研究的语言不同，本研究存在尺度翻译偏差。此外，水上运动组与常规护理组之间缺乏直接比较，第三项包括干预措施缺乏统一的实施标准。结论：与其他社区非药物干预措施相比，水上运动具有明显的优势，可能在改善焦虑和抑郁方面具有最佳效果。该研究方案已在系统评价前瞻性注册（PROSPERO, CRD 42022338406）注册。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The impact of community-based, non-pharmaceutical interventions on anxiety and depression in fibromyalgia: A systematic review and network meta-analysis

Background

Fibromyalgia syndrome (FMS) is often accompanied by anxiety and depression, seriously affecting the prognosis of patients. Active non-pharmacological therapies are the mainstay of treatment, but the optimal choice is still contentious.

Methods

We did a network meta-analysis(NMA) of RCTs and compared 7 community-based non-pharmacological interventions based on 29 studies. We searched Embase, MEDLINE, PubMed, Scopus, Google Scholar, Web of Science, and the Cochrane Central Register of Controlled Trials (CENTRAL) from the database inception to March 2022.

Results

The NMA demonstrated that five out of six (83.34%) non-pharmacological interventions were associated with significant improvement in anxiety compared with usual care, with a standardized mean difference (SMD) ranging from −1.14 (95% CI: −1.76 to −0.51) for aquatic exercise to −0.39 (95% CI: 073–0.05) for meditation; six of the seven non-pharmacological interventions (85.71%) were associated with significant improvement in depression, with SMD ranged from −1.18 (95% CI: −1.68 to −0.68) for aquatic exercise to −0.46 (95% CI: −0.86 to −0.05) for education therapy.

Limitation

First of all, there were scale translation biases in this study caused by the different languages of the original study. In addition, there was a lack of direct comparison between the aquatic exercise group and the routine care group, and the third included intervention measures lacked unified implementation standards.

Conclusion

Aquatic exercise exhibited distinct advantages compared with other community-based non-pharmacological interventions and is likely to have optimal efficacy in improving anxiety and depression. The study protocol is registered with the Prospective Register of Systematic Reviews (PROSPERO, CRD 42022338406).

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来源期刊

Journal of psychiatric research 医学-精神病学

CiteScore

7.30

自引率

2.10%

发文量

622

审稿时长

130 days

期刊介绍： Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;