Treatment Effects of Massage Therapy in Depressed People: A Meta-Analysis
Treatment Effects of Massage Therapy in Depressed People: A Meta-Analysis
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DOI：
10.4088/jcp.09r05009blu
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发表时间：
2010-07-01
影响因子：
5.3
通讯作者：
Yen, Yung-Chieh
中科院分区：
文献类型：
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作者：
Hou, Wen-Hsuan;Chiang, Pai-Tsung;Yen, Yung-Chieh
目的：结合近期研究资料，系统探讨推拿疗法对抑郁症患者的治疗效果。数据来源:一项针对抑郁症患者按摩治疗的随机对照试验（rct）的荟萃分析使用了PubMed， EMBASE, PsycINFO，和CINAHL电子数据库从成立到2008年7月的检索术语来源于医学副标题术语（MeSH）按摩结合MeSH抑郁手检索也检查了相关文章的参考书目检索文章限于随机对照试验/临床试验和人类受试者没有语言限制。研究选择：我们从246篇检索文献中纳入17项研究，共786人。排除对婴儿或孕妇进行其他干预、联合治疗和按摩的试验。数据提取：两名评论者独立进行初步筛选，并以Jadad量表评估质量指标。数据由另一名评论者根据发表年份、参与者特征和结局提取。17项rct质量为中等，平均质量评分为6.4 （SD = 0.85）。固定效应和随机效应模型的合并标准化平均差异分别为0.76 （95% CI, 0.61 - 0.91）和073 (95% CI, 052-0.93)，均表明治疗组与对照组相比显著有效。这些研究之间的差异显示可能存在异质性(tau(2)= 0.06, Cochran chi（2)(16) = 2577, P = 0.06）结论：按摩治疗与抑郁症状的缓解有显著相关性。然而，在进一步的研究中，建议采用标准化的按摩治疗方案、各种抑郁评定量表和目标人群[J] .临床精神病学2010；71(7)。894-901 (C)版权所有2010年医师研究生出版社，Inc
Objective: To systematically investigate the treatment effects of massage therapy in depressed people by incorporating data from recent studies.Data Sources: A meta-analysis of randomized controlled trials (RCTs) of massage therapy in depressed people was conducted using published studies from PubMed, EMBASE, PsycINFO, and CINAHL electronic database from inception until July 2008 The terms used for the search were derived from medical subheading term (MeSH) massage combined with MeSH depression Hand searching was also checked for bibliographies of relevant articles Retrieval articles were constrained to RCTs/clinical trials and human subjects No language restrictions were imposed.Study Selection: We included 17 studies containing 786 persons from 246 retrieved references. Trials with other intervention, combined therapy, and massage on infants or pregnant women were excludedData Extraction: Two reviewers independently performed initial screen and assessed quality indicators by Jadad scale Data were extracted on publication year, participant characteristics, and outcomes by another single reviewerData Synthesis: All trials showed positive effect of massage therapy on depressed people Seventeen RCTs were of moderate quality, with a mean quality score of 6.4 (SD = 0 85). The pooled standardized mean difference in fixed- and random-effects models were 0 76 (95% CI, 0 61-0 91) and 073 (95% CI, 052-0.93), respectively Both indicated significant effectiveness in the treatment group compared with the control group. The variance between these studies revealed possible heterogeneity (tau(2)=0 06, Cochran chi(2)(16) = 25 77, P = .06) Conclusions: Massage therapy is significantly associated with alleviated depressive symptoms. However, standardized protocols of massage therapy, various depression rating scales, and target populations in further studies are suggested J Clin Psychiatry 2010;71(7).894-901 (C) Copyright 2010 Physicians Postgraduate Press, Inc