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Effects of nonpharmacological interventions on depressive symptoms and depression among nursing students: A systematic review and meta-analysis.

Complementary therapies in clinical practice
February 1, 2019
Dandan Chen et al. (7 authors)
Journal ArticleMeta-AnalysisSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to determine whether nonpharmacological interventions, including mindfulness, could effectively improve depressive symptoms and depression in nursing students.

Results Summary

The meta-analysis found that mindfulness interventions and stress management programs were common and effective, showing moderate improvements in depressive symptoms compared to control groups. Short-term interventions were particularly beneficial, and Asian nursing students showed significant improvements.

Population

Nursing students

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
nonpharmacological interventions
decrease
depressive symptoms and depression
nursing students
-
significantly moderate improvements
#1
mindfulness interventions
decrease
depression
nursing students
-
effective
#2
stress management programs
decrease
depression
nursing students
-
effective
#3
short-term interventions
decrease
depression
nursing students
-
beneficial
#4
nonpharmacological interventions
decrease
depression
Asian nursing students
-
great improvements
#5
Abstract

OBJECTIVES: We aim to examine whether nonpharmacological interventions could effectively improve depressive symptoms and depression to provide more treatment options for nursing students. METHODS: PubMed, the Cochrane Library, EMBase, Web of Science, PsycINFO, and three Chinese electronic databases were comprehensively searched for papers that were published from January 1990 through March 2018. Quality assessment, sensitivity analysis and heterogeneity were performed. RESULTS: In our review, 13 controlled trials met the inclusion criteria. The meta-analysis indicated that the depressive symptoms and depression of nursing students in the intervention groups showed significantly moderate improvements compared with the control groups. Three subgroup analyses showed that mindfulness interventions and stress management programs were common and effective, short-term interventions were beneficial to depression, nonpharmacological interventions had great improvements for Asian nursing students and more rigorous researches on methodological quality are recommended. CONCLUSION: Nonpharmacological interventions can serve as promising complementary and alternative approaches in reducing the depressive symptoms and depression of nursing students.

Medical Subject Headings (MeSH)
HumansDepressionMindfulnessStudents, NursingControlled Clinical Trials as Topic
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations8
Citations/Year1.3
Relative Citation Ratio0.72
NIH Percentile38.3%
Research Impact Scores
APT Score0.25
Weight Score2.13
Normalized Score0.66
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