Effects of dance intervention on health-related outcomes in patients with depression in Mainland China: A network meta-analysis

초록

Objective: The objective of this study was to systematically analyze the effects of different dance or dance integrated with other modalities on depressed patients in China to identify the most effective dance-based intervention. Methods: Eight databases were searched for screening randomized controlled trials. Quality assessment was performed with the Rob-2 and network meta-analysis was conducted with Stata 17.0. Results: Nineteen studies were included. Dance movement therapy(DMT) combined with Chinese dance elements (CDE) was ranked as the most effective intervention for depression (SUCRA=99.7 %). DMT combined with drugs was the most effective intervention for anxiety (SUCRA=87.7 %) and self-efficacy (SUCRA=78.8 %). Drawing therapy combined with dance intervention and drugs was the most effective intervention for improving quality of life (SUCRA=98.2 %). DMT combined with psychological intervention and drugs was the most effective intervention for positive coping (SUCRA=90.9 %). Egger's test confirmed the robustness of this research. Conclusions: DMT combined with CDE demonstrated the highest efficacy in improving depression, highlighting the importance of incorporating regional culture into dance therapy. DMT combined with drugs showed the most substantial improvements in anxiety and self-efficacy, reinforcing the recommendation that patients should keep pharmacological treatment. Drawing therapy combined with dance intervention and drugs had the most significant impact on quality of life, suggesting that patients should be encouraged to do more activities. DMT combined with psychological intervention and drugs was the most effective for positive coping. This indicates that psychological counseling is also important. To address multifaceted challenges, targeted intervention should be developed to meet diverse and complex needs comprehensively for patients.

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