{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T01:26:39Z","timestamp":1780363599070,"version":"3.54.1"},"reference-count":43,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T00:00:00Z","timestamp":1750291200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>This study used meta-analysis to explore the effectiveness of Traditional Chinese Medicine (TCM) emotional nursing intervention on the anxiety and depression of the elderly and factors that might influence this intervention, so as to provide reference for optimizing the effect of TCM emotional nursing for the elderly patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Randomized controlled trials of TCM emotional nursing on improving anxiety and depression symptoms in elderly patients were searched from PubMed, Web of Science, Cochrane Library, Science Direct, China National Knowledge Infrastructure (CNKI), Wanfang Standards Database, and CQVIP. The Cochrane Collaboration\u2019 s tool was adopted for assessing risk of bias of studies, and CMA 3.3 was used for statistical analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty-nine literatures and 40 studies finally met the study standards, including 4,425 patients. The results showed that TCM emotional nursing could improve the anxiety and depression symptoms of the elderly patients with a significant large effect (anxiety: <jats:italic>g<\/jats:italic>\u202f=\u202f2.14, depression: <jats:italic>g<\/jats:italic>\u202f=\u202f2.18). Subgroup analysis and meta-regression analysis showed that scale type, sample size and age of subjects affected the effect of intervention on anxiety. Sample size, age of subjects and course of disease affect the effect of intervention on depression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Traditional Chinese Medicine emotional nursing can significantly improve the symptoms of anxiety and depression in the elderly. Future studies may further focus on the moderators of the Effectiveness of TCM emotional nursing intervention, and optimize the intervention plan.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyg.2025.1535349","type":"journal-article","created":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T05:30:24Z","timestamp":1750311024000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["A meta-analysis on the effectiveness of Traditional Chinese Medicine Emotional Nursing in improving anxiety and depression symptoms in elderly patients"],"prefix":"10.3389","volume":"16","author":[{"given":"Chunxiao","family":"Zhao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuelian","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aihua","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ningya","family":"Huo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siyao","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lizu","family":"Lai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,6,19]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"101873","DOI":"10.1016\/j.cpr.2020.101873","article-title":"The efficacy of cognitive and behavior therapies for insomnia on daytime symptoms: a systematic review and network meta-analysis","volume":"80","author":"Benz","year":"2020","journal-title":"Clin. Psychol. Rev."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"511","DOI":"10.1080\/10503300802621172","article-title":"An introduction to meta-analysis for psychotherapy outcome research","volume":"19","author":"Berkeljon","year":"2009","journal-title":"Psychother. Res."},{"key":"ref3","doi-asserted-by":"crossref","DOI":"10.1002\/9781119558378","volume-title":"Introduction to meta-analysis","author":"Borenstein","year":"2021"},{"key":"ref4","first-page":"132","article-title":"The impact of disease treats and culture beliefs on intercultural group assistance","volume":"1","author":"Chang","year":"2023","journal-title":"Chin. Soc. Psychol. Rev."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"214","DOI":"10.13457\/j.cnki.jncm.2013.06.079","article-title":"Experience of traditional Chinese emotional nursing in patients with senile pulmonary heart disease","volume":"45","author":"Chen","year":"2013","journal-title":"J. New Chin. Med."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1336","DOI":"10.3969\/j.issn.1009-5519.2023.08.015","article-title":"Meta-analysis of the prevalence of frailty in elder hypertention patients","volume":"39","author":"Cheng","year":"2023","journal-title":"J. Modern Med. Health"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"S131","DOI":"10.1098\/rsbl.2003.0144","article-title":"Evidence that disgust evolved to protect from risk of disease","volume":"271","author":"Curtis","year":"2004","journal-title":"Proc. R. Soc. Lond. Ser. B Biol. Sci."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"629","DOI":"10.1136\/bmj.315.7109.629","article-title":"Bias in meta-analysis detected by a simple, graphical test","volume":"315","author":"Egger","year":"1997","journal-title":"BMJ"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1117","DOI":"10.1037\/bul0000305","article-title":"Interventions for suicide and self-injury: a meta-analysis of randomized controlled trials across nearly 50 years of research","volume":"146","author":"Fox","year":"2020","journal-title":"Psychol. Bull."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1683","DOI":"10.1007\/s10803-019-03927-z","article-title":"The effects of early intervention on social communication outcomes for children with autism Spectrum disorder: a meta-analysis","volume":"50","author":"Fuller","year":"2020","journal-title":"J. Autism Dev. Disord."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1186\/s13102-024-00947-w","article-title":"Effect of physical activity for reducing anxiety symptoms in older adults: a meta-analysis of randomized controlled trials","volume":"16","author":"Goodarzi","year":"2024","journal-title":"BMC Sports Sci. Med. Rehabil."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"d5928","DOI":"10.1136\/bmj.d5928","article-title":"The Cochrane Collaboration\u2019s tool for assessing risk of bias in randomised trials","volume":"343","author":"Higgins","year":"2011","journal-title":"BMJ"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1016\/j.bbi.2020.07.016","article-title":"Factors related to mental health of inpatients with COVID-19 in Wuhan, China","volume":"89","author":"Hu","year":"2020","journal-title":"Brain Behav. Immunity"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1111\/camh.12113","article-title":"Effectiveness of mindfulness in improving mental health symptoms of children and adolescents: a meta-analysis","volume":"20","author":"Kallapiran","year":"2015","journal-title":"Child Adolesc. Mental Health"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"126","DOI":"10.3969\/j.issn.1672-2779.2017.19.055","article-title":"Systematic evaluation on the effect of TCM emotional nursing for improving anxiety of patients with tumor","volume":"15","author":"Kang","year":"2017","journal-title":"Chin. Med. Modern Dist. Educ. China"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"1295342","DOI":"10.3389\/fpubh.2023.1295342","article-title":"The effects of different types of tai chi exercise on anxiety and depression in older adults: a systematic review and network meta-analysis","volume":"11","author":"Kuang","year":"2024","journal-title":"Front. Public Health"},{"key":"ref17","first-page":"627","article-title":"Psychiatrist and pioneer of the death-and-dying movement","volume":"329","author":"K\u00fcbler-Ross","year":"2004","journal-title":"Bmj"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"1124344","DOI":"10.3389\/fpsyt.2023.1124344","article-title":"Effect of mindfulness on anxiety and depression in insomnia patients: a systematic review and meta-analysis","volume":"14","author":"Li","year":"2023","journal-title":"Front. Psych."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"451","DOI":"10.11886\/scjsws20200619002","article-title":"Intervention effect of TCM emotional nursing on the anxiety and depression of patients with stroke: a meta-analysis","volume":"33","author":"Li","year":"2020","journal-title":"Sichuan Mental Health"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"606","DOI":"10.13192\/j.issn.1000-1719.2015.03.066","article-title":"Clinical efficacy on TCM emotional care to improve depressive symptoms in post-stroke depression patients: a systematic review","volume":"42","author":"Liang","year":"2015","journal-title":"Liaoning J. Trad. Chin. Med."},{"key":"ref21","doi-asserted-by":"publisher","first-page":"W-65","DOI":"10.7326\/0003-4819-151-4-200908180-00136","article-title":"The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration","volume":"151","author":"Liberati","year":"2009","journal-title":"Ann. Intern. Med."},{"key":"ref22","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3969\/j.issn.2095-5898.2021.12.002","article-title":"Trends of population aging in China and the world as a whole","volume":"9","author":"Liu","year":"2021","journal-title":"Scient. Res. Aging"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"95","DOI":"10.13729\/j.issn.1671-7813.Z20221966","article-title":"Application of traditional Chinese medicine emotional nursing in elderly diabetes","volume":"37","author":"Liu","year":"2023","journal-title":"J. Pract. Tradit. Chin. Med."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"36","DOI":"10.3969\/j.issn.2095-0616.2021.05.010","article-title":"Meta-analysis of emotional nursing in treating post-stroke depression","volume":"11","author":"Liu","year":"2021","journal-title":"Chin. Med. Phar."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"265","DOI":"10.15912\/j.cnki.gocm.2019.07.226","article-title":"Psychological analysis and experience of nursing intervention for thoracolumbar fracture patients of different age groups","volume":"17","author":"Ma","year":"2019","journal-title":"Guide Chin. Med."},{"key":"ref26","doi-asserted-by":"publisher","first-page":"480","DOI":"10.16367\/j.issn.1003-5028.2019.03.0120","article-title":"Meta-analysis of the intervention effect of emotional nursing of TCM on emotional disorders of breast Cancer patients","volume":"39","author":"Ma","year":"2019","journal-title":"Henan Tradit. Chin. Med."},{"key":"ref27","doi-asserted-by":"publisher","first-page":"e0197102","DOI":"10.1371\/journal.pone.0197102","article-title":"Systematic review and meta-analysis of mental health first aid training: effects on knowledge, stigma, and helping behaviour","volume":"13","author":"Morgan","year":"2018","journal-title":"PLoS One"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"245","DOI":"10.15912\/j.cnki.gocm.2020.05.206","article-title":"A systematic evaluation of emotional nursing to improve the clinical effect of stroke patients","volume":"18","author":"Niu","year":"2020","journal-title":"Guide Chin. Med."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"274","DOI":"10.1192\/bjp.bp.117.205021","article-title":"Behavioural activation for depression in older people: systematic review and meta-analysis","volume":"211","author":"Orgeta","year":"2017","journal-title":"Br. J. Psychiatry"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"2457","DOI":"10.3390\/su151612457","article-title":"Meta-analysis of implementation intentions interventions in promoting physical activity among university students","volume":"15","author":"Peng","year":"2023","journal-title":"Sustain. For."},{"key":"ref31","doi-asserted-by":"crossref","DOI":"10.1002\/0470870168","volume-title":"Publication bias in meta-analysis: Prevention, assessment and adjustments","author":"Rothstein","year":"2005"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"e2457859","DOI":"10.1001\/jamanetworkopen.2024.57859","article-title":"Exercise interventions for depression, anxiety, and quality of life in older adults with Cancer","volume":"8","author":"Soong","year":"2025","journal-title":"JAMA Netw. Open"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"15347354221147499","DOI":"10.1177\/15347354221147499","article-title":"The efficacy of reminiscence therapy in Cancer-related symptom management: a systematic review and Meta-analysis","volume":"22","author":"Sun","year":"2023","journal-title":"Integr. Cancer Ther."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1111\/j.2044-8260.2011.02024.x","article-title":"Mindfulness-and acceptance-based interventions for anxiety disorders: a systematic review and meta-analysis","volume":"51","author":"V\u00f8llestad","year":"2012","journal-title":"Br. J. Clin. Psychol."},{"key":"ref35","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1002\/wps.20238","article-title":"How important are the common factors in psychotherapy? An update","volume":"14","author":"Wampold","year":"2015","journal-title":"World Psychiatry"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"729","DOI":"10.3969\/j.issn.1000-6729.2015.10.003","article-title":"Brief introduction of TCM psychological treatment concept","volume":"29","author":"Wang","year":"2015","journal-title":"Chin. Ment. Health J."},{"key":"ref37","doi-asserted-by":"publisher","first-page":"1067","DOI":"10.3969\/j.issn.1674-4748.2017.09.015","article-title":"Prospective controlled study on TCM emotional nursing on the bad mood and survival period of elderly patients with liver Cancer","volume":"15","author":"Wang","year":"2017","journal-title":"Chin. Gen. Pract. Nurs."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"e0216588","DOI":"10.1371\/journal.pone.0216588","article-title":"Meta-analyses of positive psychology interventions: the effects are much smaller than previously reported","volume":"14","author":"White","year":"2019","journal-title":"PLoS One"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"431","DOI":"10.3969\/j.issn.1672-9676.2023.03.025","article-title":"A meta-analysis of the effect of perioperative Chinese emotional nursing on postoperative negative emotion intervention in patients with breast cancer","volume":"20","author":"Xiao","year":"2023","journal-title":"Nurs. Pract. Res."},{"key":"ref40","doi-asserted-by":"publisher","first-page":"1066","DOI":"10.13517\/j.cnki.ccm.2014.12.004","article-title":"Study on the effect of traditional Chinese medicine emotional nursing on improving the negative emotions of senile patients with pruritus","volume":"23","author":"Zhang","year":"2014","journal-title":"Chin. J. Convalescent Med."},{"key":"ref41","doi-asserted-by":"publisher","first-page":"344","DOI":"10.3969\/j.issn.1671-3141.2021.17.156","article-title":"Research status and development trend of emotional therapy of traditional Chinese medicine","volume":"21","author":"Zhang","year":"2021","journal-title":"World Latest Med. Informat."},{"key":"ref42","doi-asserted-by":"publisher","first-page":"1864","DOI":"10.1080\/13607863.2023.2214091","article-title":"Does music intervention relieve depression or anxiety in people living with dementia? A systematic review and meta-analysis","volume":"27","author":"Zhang","year":"2023","journal-title":"Aging Ment. Health"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"321","DOI":"10.3390\/ijerph15020321","article-title":"Mindfulness-based Baduanjin exercise for depression and anxiety in people with physical or mental illnesses: a systematic review and Meta-analysis","volume":"15","author":"Zou","year":"2018","journal-title":"Int. J. Environ. Res. Public Health"}],"container-title":["Frontiers in Psychology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2025.1535349\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T05:30:38Z","timestamp":1750311038000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2025.1535349\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,19]]},"references-count":43,"alternative-id":["10.3389\/fpsyg.2025.1535349"],"URL":"https:\/\/doi.org\/10.3389\/fpsyg.2025.1535349","relation":{},"ISSN":["1664-1078"],"issn-type":[{"value":"1664-1078","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,19]]},"article-number":"1535349"}}