注意力提高认知功能:对111个随机对照试验的元分析
Nur Hani Zainal1,2, Michelle G Newman3
1Department of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Health psychology review
|August 14, 2023
概括
基于正念的干预 (MBI) 对全球认知和注意力和工作记忆等特定认知技能显示出小到中等的好处. 这些改进实际上是有意义的,特别是对于精神病症状的个体.
科学领域:
- 认知神经科学 认知神经科学
- 心理学 心理学 心理学
- 行为科学 行为科学
背景情况:
- 现有的研究缺乏对基于正念的干预措施 (MBI) 和它们对全球和特定认知功能的影响的全面元分析.
- 了解MBI所影响的精确认知领域对于优化其应用至关重要.
研究的目的:
- 系统地评估MBI在全球认知和15个不同的认知子领域的有效性.
- 确定影响MBI在认知增强中的有效性的调节者.
主要方法:
- 进行了一项对111项随机对照试验 (RCT) 的元分析,涉及9538名从未冥想过的参与者.
- 包括测量客观或主观认知功能的研究,主要关注正念技能培训.
- 采用强大的差异估计和调节器分析,控制治疗忠实度.
主要成果:
- MBIs对全球认知,执行注意力,工作记忆精度,抑制精度,转移精度,持续注意力和主观认知功能产生了小到中等的显著影响.
- 没有观察到对执行功能延迟指数,口语流,处理速度,情节性记忆或认知错误的显著影响.
- 治疗效应在患有精神病症状升高的个体,医疗样本和面对面的分娩中更为明显.
结论:
- 在全球认知和关键认知子领域上,MBI的效果总是小到中等,实际上是有意义的.
- 这些好处在基于执行功能的准确性和持续注意力的测量中尤其明显,而不是基于延迟的测量.
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