一项关于正念冥想在治疗多发性硬化症失眠方面的试点,随机,安慰剂对照研究
Joseph B Guarnaccia1, Valentine Y Njike2, Anne Dutton3
1Multiple Sclerosis Treatment Center, Griffin Hospital, 350 Seymour Ave., Suite 1C, Derby, Connecticut, 06418, USA. cthealthcarealliance@gmail.com.
BMC neurology
|July 11, 2023
概括
与睡眠卫生相比,正念训练显著改善了多发性硬化症 (MS) 患者的失眠严重程度和生活质量. 这些发现表明,正念是治疗MS患者慢性失眠的可行方法.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
背景情况:
- 多发性硬化症 (MS) 是一种慢性神经疾病,通常与睡眠障碍有关,包括失眠.
- 慢性失眠会对MS患者的生活质量和症状管理产生负面影响.
- 基于正念的压力减轻 (MBSR) 已经显示出减轻痛苦和改善情绪调节的承诺.
研究的目的:
- 为了比较正念训练 (MBSI-I) 与睡眠卫生 (SH) 在改善慢性失眠PWMS患者的睡眠和生活质量的有效性.
- 评估睡眠效率 (SE),自我报告的睡眠质量 (PSQI),失眠严重程度 (ISI) 和生活质量 (MSQLI) 的变化.
主要方法:
- 一项随机对照试验涉及53名PWMS患有慢性失眠.
- 参与者被分配到10周的MBSI-I或单个SH会话中.
- 通过FitbitTM测量的主要结果 (SE);通过PSQI,ISI和MSQLI评估的次要结果在10周和16周.
主要成果:
- 失眠严重性指数 (ISI) 评分在MBSI-I组与10周后的SH组相比显著改善.
- 在MBSI-I组中,在10周和16周的PSQI和ISI中观察到显著的改善.
- 生活质量指标,包括疲劳,心理健康和认知功能,有利于正念干预组.
结论:
- 基于正念的失眠压力干预 (MBSI-I) 在PWMS中对失眠,睡眠质量和生活质量产生有益影响.
- 正念训练可能是一种有效的非药物干预,用于治疗多发性硬化症患者的慢性失眠.
- 需要对更大的样本进行进一步的研究,以证实这些试点发现.
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