針對老年人抑鬱和焦慮的團體藝術干預：系統評價和薈萃分析

Group arts interventions for depression and anxiety among older adults: a systematic review and meta-analysis

——《自然/心理健康》2025年，第3卷，第3期——

Volume 3, Issue 3, 2025

【摘要】在這項系統評價和薈萃分析中，我們評估了團體藝術干預對減少老年人（年齡>55歲，無痴呆症）抑鬱和焦慮的有效性。在團體藝術干預中，人們共同參與共同的藝術體驗（例如，跳舞或繪畫）。截至2024年2月，通過電子數據庫搜索確定了50項對照研究（隨機：42項，非隨機：8項）。共納入39項研究。36項研究調查了團體藝術干預對抑鬱的影響（n=3,360），10項研究調查了焦慮（n=949）。亞組分析評估了參與者、背景、干預和研究特徵是否調節了干預-結果關係。使用適當的工具（RoB-2、ROBINS-1）評估偏倚風險。團體藝術干預與抑鬱症狀的中度減少（Cohen d = 0.70，95%置信區間 (CI) =0.54–0.87，P<0.001）和焦慮症狀的中度減少（d=0.76，95% CI=0.37–1.52，P<0.001）相關，儘管抑鬱症研究存在出版偏見。經過修剪和填充調整後，抑鬱的效果仍然存在（d=0.42；CI=0.35–0.50；P<0.001）。環境調節了這種影響：與社區相比（d=0.51，95% CI=0.32–0.70，P<0.001），在養老院進行團體藝術干預時，抑鬱的減少幅度更大（d=1.07，95% CI=0.72–1.42，P<0.001）。研究結果表明，團體藝術是解決老年人抑鬱和焦慮的有效干預措施。

[Abstract] In this systematic review and meta-analysis, we assessed the efficacy of group arts interventions, where individuals engage together in a shared artistic experience (for example, dance or painting), for reducing depression and anxiety among older adults (> 55 yr without dementia). Fifty controlled studies were identified via electronic databases searched to February 2024 (randomised: 42, non-randomised: 8). Thirty-nine studies were included. Thirty-six studies investigated the impact of group arts interventions on depression (n = 3,360) and ten studies investigated anxiety (n = 949). Subgroup analyses assessed whether participant, contextual, intervention and study characteristics moderated the intervention–outcome relationship. Risk of bias was assessed with appropriate tools (RoB-2, ROBINS-1). Group arts interventions were associated with a moderate reduction in depression (Cohen’s d = 0.70, 95% confidence interval (CI) = 0.54–0.87, P < 0.001) and a moderate reduction in anxiety (d = 0.76, 95% CI = 0.37–1.52, P < 0.001), although there was publication bias in the depression studies. After a trim and fill adjustment, the effect for depression remained (d = 0.42; CI = 0.35–0.50; P < 0.001). Context moderated this effect: There was a greater reduction in depression when group arts interventions were delivered in care homes (d = 1.07, 95% CI = 0.72–1.42, P < 0.001) relative to the community (d = 0.51, 95% CI = 0.32–0.70, P < 0.001). Findings indicate that group arts are an effective intervention for addressing depression and anxiety among older adults.

論文原文：Elizabeth A. Quinn, Emma Millard & Janelle M. Jones (2025). Group arts interventions for depression and anxiety among older adults: a systematic review and meta-analysis. Nature / Mental Health, Volume 3,  Issue 3, Pages 374–386. Published: 05 March 2025.

https://doi.org/10.1038/s44220-024-00368-1

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