目的:帕金森病(PD)是一种影响全球数百万人的神经退行性疾病。舞蹈已成为增强该人群福祉的综合干预措施。这项荟萃分析旨在评估舞蹈对PD患者心理健康和生活质量的影响。
方法:2022年12月检索了三个数据库。包括研究论文,比较了舞蹈与非舞蹈控制对PD患者生活质量或心理健康的影响。两位作者独立筛选了这些研究,提取的数据,并评估合格研究的方法学质量。为了解决研究中效应大小的相互依存关系,采用三级荟萃分析方法对数据进行分析.
结果:共纳入了13项试验,共496名受试者,其中11人接受统计分析。结果表明,与被动对照组相比,舞蹈对心理健康(g=0.43,95%CI=[0.11,0.75])和生活质量(g=0.46,95%CI=[-0.04,0.95])有积极影响。主持人分析显示,非合作舞蹈和总剂量较低的舞蹈干预对心理健康特别有益。
结论:舞蹈干预是提高PD患者心理健康和生活质量的有效生活方式活动。提出了一个理论框架来解释舞蹈对神经学幸福感的影响,社会,物理,和心理学观点。
OBJECTIVE: Parkinson\'s disease (PD) is a neurodegenerative disease that affects millions of individuals worldwide. Dance has emerged as a comprehensive intervention for enhancing well-being in this population. This meta-analysis aimed to assess the effectiveness of dance on mental health and quality of life among individuals with PD.
METHODS: Three databases were searched in December 2022. Research papers comparing the effects of dance with a non-dance control on the quality of life or mental health of individuals with PD were included. Two authors independently screened the studies, extracted data, and assessed methodological quality of eligible studies. To address the interdependence of effect sizes within studies, the three-level meta-analysis approach was employed to analyze the data.
RESULTS: Thirteen trials involving a total of 496 participants were included, with 11 being subjected to statistical analysis. The results indicated that dance had a positive impact on mental health (g = 0.43, 95 % CI = [0.11, 0.75]) and quality of life (g = 0.46, 95 % CI = [-0.04, 0.95]) when compared to passive control groups. Moderator analyses revealed that non-partnered dance and dance interventions with lower total dosages were particularly beneficial for mental health.
CONCLUSIONS: Dance interventions are an effective lifestyle activity for enhancing mental health and quality of life in individuals with PD. A theoretical framework is proposed to explain the impact of dance on well-being from neurological, social, physical, and psychological perspectives.