Table_1_Art-based interventions for women’s mental health in pregnancy and postpartum: A meta-analysis of randomised controlled trials.DOCX

ObjectivePregnant and postpartum women are vulnerable to psychological problems with a high estimated prevalence. To date, there is no meta-analysis that specifically assesses the effectiveness of art-based interventions to improve mental health in pregnant and postpartum women. The objective of this meta-analysis was to assess the efficacy of art-based interventions when delivered to pregnant and postpartum women.
MethodsSystematic literature searches were conducted from the inception to 6 March 2022 in seven English databases, including PubMed, Embase, Cochrane Central Register, CINAHL, ProQuest, Scopus, and Web of Science. Randomised controlled trials (RCTs) reporting art-based interventions targeting the improvement of women’s mental health in pregnancy and postpartum were included. Cochrane risk of bias tool was applied to assess evidence quality.
ResultsTwenty-one randomised controlled trials (RCTs) involving 2,815 participants were eligible for data analysis. A pooled analysis demonstrated that art-based interventions significantly reduced anxiety (SMD = −0.75, 95% CI = −1.10 to −0.40) and depression symptoms (MD = −0.79, 95% CI = −1.30 to −0.28). However, art-based interventions did not alleviate stress symptoms as expected in our findings. Subgroup analysis demonstrated that intervention implementation time, intervention duration and music selected by the participants vs. not could have influence on the efficacy of art-based intervention for anxiety.
ConclusionIn perinatal mental health, art-based interventions may be effective in alleviating anxiety and depression. In the future, we still need to conduct high-quality RCTs to validate our findings and enrich clinical application of art-based interventions.

**研究目的**：孕产妇群体易出现心理问题，且据估算此类问题的患病率较高。截至目前，尚无专门针对艺术干预疗法改善孕产妇心理健康效果的荟萃分析（meta-analysis）。本荟萃分析旨在评估艺术干预疗法应用于孕产妇的临床疗效。
**研究方法**：本研究自各数据库建库起至2022年3月6日，在PubMed、Embase、Cochrane Central Register、CINAHL、ProQuest、Scopus、Web of Science共7个英文数据库中开展系统文献检索。纳入所有报告以改善孕产妇心理健康为目标的艺术干预疗法随机对照试验（randomised controlled trials, RCTs）。采用Cochrane偏倚风险工具（Cochrane risk of bias tool）评估证据质量。
**研究结果**：最终纳入21项随机对照试验，涉及2815名受试者，全部符合数据分析的纳入标准。合并分析结果显示，艺术干预疗法可显著降低焦虑症状（标准化均数差（Standardized Mean Difference, SMD）=-0.75，95%置信区间（Confidence Interval, CI）=-1.10~-0.40）与抑郁症状（均数差（Mean Difference, MD）=-0.79，95%置信区间（Confidence Interval, CI）=-1.30~-0.28）。但本研究结果表明，艺术干预疗法并未如预期般缓解应激症状。亚组分析显示，干预实施时机、干预持续时长以及受试者是否自行选择音乐，可能会对艺术干预疗法改善焦虑症状的疗效产生影响。
**研究结论**：在围产期心理健康领域，艺术干预疗法可有效缓解焦虑与抑郁症状。未来仍需开展高质量随机对照试验以验证本研究结果，并丰富艺术干预疗法的临床应用场景。