短期运动锻炼对毒品成瘾者心理健康干预效果的Meta分析  

Effect of Short-term Exercise Intervention on Mental Health Status of Drug Abusers Under Detoxification:A Meta-analysis

作　　者：陈艳[1,2] 丁洁 吕艳阳 朱子康 施杰 刘琳 CHEN Yan;DING Jie;LV Yanyang;ZHU Zikang;SHI Jie;LIU Lin(School of Exercise Health,Nanjing Sport Institute,Nanjing 210014,China;Collaborative InnovationCenter of“Sports and Health”Project of Jiangsu,Nanjing 210014,China)

机构地区：[1]南京体育学院运动健康学院,南京210014 [2]江苏省“运动与健康”工程协同创新中心,南京210014

出　　处：《体育与科学》2019年第6期46-56,70,共12页Sports & Science

摘　　要：目的:系统评价短期(3个月内)运动锻炼对毒品成瘾者心理健康的干预效果。方法:检索PubMed、EBSCO、Science Direct、Web of Science、Physiotherapy Evidence Database和Cochrane Library、中国知网、万方和维普数据库等数据库中关于运动治疗毒品成瘾者心理健康的随机对照试验(RCT),检索时限从数据库建库至2019年2月。根据纳入和排除标准筛选文献、提取资料并且评价纳入研究的方法学质量后,采用RevMan 5.3和Stata12.0软件进行Meta分析。结果:共纳入15项随机对照试验,共1235例患者。Meta分析结果显示:短期运动干预在治疗毒品成瘾者心理状况的躯体化[MD=-0.50,95%CI(-0.89,-0.11),P=0.01],强迫[MD=-0.40,95%CI(-0.69,-0.10),P=0.008],人际[MD=-0.30,95%CI(-0.49,-0.12),P=0.001],抑郁[MD=-0.42,95%CI(-0.70,-0.15),P=0.003],焦虑[MD=-0.41,95%CI(-0.67,-0.16),P=0.001],敌对[MD=-0.25,95%CI(-0.42,-0.09),P=0.002],恐惧[MD=-0.30,95%CI(-0.45,-0.15),P<0.00001],偏执[MD=-0.24,95%CI(-0.40,-0.08),P=0.004],精神病[MD=-0.26,95%CI(-0.44,-0.07),P=0.006]几方面效果均优于对照组实验,其差异具有统计学意义。结论:在毒品成瘾者心理康复期,短期运动锻炼相比常规康复措施能更好地改善毒品成瘾者心理健康症状,丰富毒品成瘾者的戒毒手段,提高毒品成瘾者康复质量。Purpose:To investigate the effectiveness of Short-term(0-3months)exercise intervention on mental health of drug addicts.Methods:The randomized controlled trials on exercise detoxification were retrieved from PubMed,EBSCO,Science Direct,Web of Science,Physiotherapy Evidence Database,Cochrane Library,CNKI,WANFANG Date,Chongqing VIP until February,2019.The inclusion and exclusion criteria were used to select literature,extract data and evaluate the methodological quality of included studies.The Meta analysis was performed by using RevMan 5.3software and Stata12.0software.Results:Fifteen RCTs were included,involving 1235participants.Meta-analysis results showed that:the somatization[MD=-0.50,95% CI(-0.89,-0.11),P=0.01],obsessive compulsive[MD=-0.40,95% CI(-0.69,-0.10),P=0.008],interpersonal sensitivity[MD=-0.30,95%CI(-0.49,-0.12),P=0.001],depression[MD=-0.42,95%CI(-0.70,-0.15),P=0.003],anxiety[MD=-0.41,95%CI(-0.67,-0.16),95% CI(-0.67,-0.16),P=0.001],hostility[MD=-0.25,95% CI(-0.42,-0.09),P=0.002],phobic anxiety[MD=-0.30,95% CI(-0.45,-0.15),P<0.0001],paranoid ideation[MD=-0.24,95%CI(-0.40,-0.08),P=0.004],psychoticism[MD=-0.26,95% CI(-0.44,-0.07),P=0.006]of drug abusers’mental state of short-term exercise intervention treatment are superior to Conventional treatment group.Conclusion:Short-term exercise intervention has the significant advantage in improving the mental health of drug addicts.

关 键 词：运动干预 心理健康 毒品成瘾者 随机对照试验 META分析 

分 类 号：G804.82[文化科学—运动人体科学]