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The effect of Tai Chi/Qigong on depression and anxiety symptoms in adults with Cancer: A systematic review and meta-regression.
Sun, Fengqin; Li, Li; Wen, Xiaodong; Xue, Yuan; Yin, Jianchun.
Afiliación
  • Sun F; Anji County Experimental Junior Middle School, Huzhou City, Zhejiang Province, China.
  • Li L; Institue for Sport and Health, Harbin Sport University, Harbin, Heilongjiang Province, China.
  • Wen X; School of Sport and Physical Education, Shanghai Normal University, Shanghai, Shanghai, China.
  • Xue Y; School of Sport and Physical Education, Shanghai Normal University, Shanghai, Shanghai, China.
  • Yin J; School of Sport and Physical Education, Shanghai Normal University, Shanghai, Shanghai, China. Electronic address: yjchun@shnu.edu.cn.
Complement Ther Clin Pract ; 56: 101850, 2024 Aug.
Article en En | MEDLINE | ID: mdl-38626582
ABSTRACT

OBJECTIVE:

We expand on prior systematic reviews of Tai chi/Qigong (TCQ) practice on depression or anxiety symptoms in adults with cancer to estimate the mean effect of TCQ on depression and anxiety in randomized controlled trials. Additionally, we perform moderator analysis to examine whether effects vary based on patient features, TCQ stimuli properties, or characteristics of research design.

METHODS:

Guided by PRISMA guidelines, we located articles published before August 31, 2023 using a combination of electronic database search and a complementary manual search through reference lists of articles and published reviews. Two separate multilevel meta-analyses with random-effects model were employed to estimate the overall effect of TCQ on depression and anxiety respectively. Further, multilevel meta-regression analysis was utilized to examine moderating effects based on moderators derived from patient features, TCQ stimuli properties, or characteristics associated with research design. Meta-analyses were performed in R4.0.0 and certainty of evidence with GRADEpro software.

RESULTS:

The TCQ intervention yielded a standardized mean effect size of 0.29 (95% CI, 0.18 to 0.40) for anxiety, indicating homogeneity among the included studies. Conversely, for depression, the standardized mean effect size was 0.35 (95% CI, 0.14 to 0.55), signifying heterogeneity reductions were larger when the trial primary outcome, predominantly function-related outcomes, changed significantly between the TCQ and control group.

CONCLUSIONS:

TCQ practice exhibits small-to-moderate efficacy in alleviating depression and anxiety symptoms among cancer patients and survivors. Moreover, patients with depressive symptoms for whom TCQ intervention coupled with improvements in function-related outcomes manifested greater antidepressant effect.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ansiedad / Taichi Chuan / Depresión / Qigong / Neoplasias Límite: Adult / Humans Idioma: En Revista: Complement Ther Clin Pract Asunto de la revista: ENFERMAGEM / OBSTETRICIA / PERINATOLOGIA / TERAPIAS COMPLEMENTARES Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ansiedad / Taichi Chuan / Depresión / Qigong / Neoplasias Límite: Adult / Humans Idioma: En Revista: Complement Ther Clin Pract Asunto de la revista: ENFERMAGEM / OBSTETRICIA / PERINATOLOGIA / TERAPIAS COMPLEMENTARES Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido