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.
CONCLUSIONS: Evidence suggests that mind-body therapies may reduce anxiety, depression, and PTSD in women victims of violence.
方法:纳入了过去20年发表的随机对照试验,比较了受暴力侵害的女性中身心疗法与主动控制或等待名单。Pubmed,科克伦,Scopus,WebofScience,和CINAHL数据库一直搜索到2023年8月。采用随机效应模型和固定效应模型进行数据分析。使用I2指数评估研究的异质性,使用Egger检验和漏斗图评估发表偏倚。
结果:选择了12项符合条件的研究,样本量为440名暴力女性受害者。身心疗法导致焦虑评分显著降低(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)。焦虑的结果存在高度异质性(I2=85.18),抑郁症的高度异质性(I2=88.82),PTSD的异质性水平较低(I2=19.61)。基于会议次数的亚组分析结果显示,八个或更少的会议减少了焦虑(SMD:3.10,95%CI:1.37,4.83)和抑郁评分(SMD:3.44,95%CI:1.21,5.68),而PTSD评分没有变化。
结论:证据表明身心疗法可以减轻焦虑,抑郁症,和创伤后应激障碍的女性暴力受害者。