Network Meta-Analysis Of Exercise Intervention In Psychological State Of Drug Addicts

Objective:To sort out the existing randomized controlled trials of various types of exercise intervention on the mood state of drug addicts at home and abroad and carry out Meta analysis,so as to provide support for the extensive promotion of exercise intervention to improve the mental health of drug addicts and the establishment and development of accurate treatment strategies.Methods:This study is mainly composed of two parts: ordinary Meta method and Network Meta-analysis method.The research steps include: establishing inclusion exclusion criteria,searching the network database by computer,screening through reading topics and abstracts,determining the final literature included in the analysis by reading the full text,evaluating the quality of the literature included in the analysis,conducting meta analysis,and drawing conclusions.All the literatures included in the analysis were randomized controlled trials.The subjects were adult drug addicts diagnosed by Chinese Classification and Diagnostic criteria of Mental Disorders(CCMD-3).They were divided into experimental group(exercise intervention +traditional rehabilitation)and control group(traditional rehabilitation).The observation index was the relevant scales of mental health,depression and anxiety.The search databases include China knowledge Network,VIP,Wanfang Database,China Biomedical Literature Database,Web of Science,EMBASE.com,Pub Med,Cochrane Library,Conference papers Retrieval Database including Chinese and Foreign Conference papers Database,China important Conference papers full-text Database(CPCD).The dissertation retrieval database includes Chinese doctoral thesis full-text database(CDFD)and Chinese excellent master’s thesis full-text database(CMFD).Refer to the standard of Cochrane Handbook for Systematic Review of Interventions(Version 6.1 and GRADE to search and evaluate.Stata15.1 software was used for statistical analysis.Results:A total of 5832 articles were obtained from the preliminary search,4505 articles were excluded through preliminary screening,and 17 articles which met the criteria were finally included.17 articles involved 8 kinds of exercise methods,including 2 Qigong,2 yoga,5 moderate intensity aerobics,4 Taijiquan,1 Taiji rehabilitation exercise,1 aerobics,1 Baduan brocade and 2 aerobics.The results showed that there were 5 articles in Qigong,2 in yoga,5 in moderate intensity aerobics,4 in Taijiquan,1 in calisthenics,1 in eight paragraphs of brocade,and 2 in aerobics.The overall quality of the literature is not high,there are 9 articles with more than 5 points,accounting for 52.9%,and the higher quality literature is less than 30%.The results of ordinary Meta showed that the test group was superior to the control group in anxiety,depression,somatization,phobia,obsessive-compulsive symptoms,interpersonal relationship and hostility(P<0.05),but there was no significant difference in paranoia and psychoticism between the test group and the control group(P>0.05).The funnel chart of anxiety and depression showed asymmetrical distribution,which suggested that there was a greater possibility of publication bias,while the publication bias test results of SCL-90 scale indicated that there was no publication bias.The Network Meta-analysis was used to study the two outcome indexes of anxiety and depression.The results showed that aerobic exercise combined with traditional rehabilitation had the best effect on the anxiety state of drug addicts,followed by aerobics,Qigong,Baduanjin,moderate intensity aerobics,Taijiquan,yoga and Taiji rehabilitation exercises.Aerobic exercise combined with traditional rehabilitation has the best effect on the depressive state of drug addicts,followed by aerobics,aerobics,Baduanjin,yoga,Qigong,medium-intensity aerobics,Taijiquan and Taiji rehabilitation exercises.Conclusions:1.Compared with simple traditional rehabilitation,exercise combined with traditional rehabilitation can further improve the mood state of drug addicts.2.In terms of anxiety,the effect of aerobic exercise combined with traditional rehabilitation is the best,followed by Qigong,Baduanjin,moderate intensity aerobic exercise,Taijiquan,yoga and Taiji rehabilitation exercise.it shows that the combination of aerobic exercise on the basis of traditional rehabilitation is most helpful to improve the anxiety state of drug addicts.3.In the aspect of depression,the effect of traditional rehabilitation combined with aerobic exercise is also the best,followed by aerobics,Baduanjin,yoga,Qigong,medium intensity aerobic exercise,Taijiquan and Taiji rehabilitation exercise.it shows that the combination of traditional rehabilitation and aerobic exercise is also most helpful to improve the depression of drug addicts and has a good value of promotion.