基于正念的实践在工人解决心理健康状况:一个系统的审查
Quentin Durand-Moreau1, Tanya Jackson1, Danika Deibert1
1Division of Preventive Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Safety and health at work
|October 11, 2023
概括
正念实践对工人心理健康的有效性不确定. 这次审查没有发现实质性的证据表明,正念技术显著改善了被诊断为精神健康状况的员工的抑郁或焦虑.
科学领域:
- 职业健康 职业健康 职业健康
- 精神病学是一个精神病学.
- 基于证据的医学基于证据的医学.
背景情况:
- 正念技术被探索为潜在的治疗工具,在劳动力中的心理健康状况.
- 这些干预措施对被诊断患有精神健康问题的工人的有效性尚不清楚.
研究的目的:
- 系统地审查随机对照试验,评估基于正念的实践对工人的心理健康结果的影响.
- 为了评估正念干预措施的有效性与非正念干预措施相比,对于有心理健康状况的就业人员.
主要方法:
- 随机对照试验的系统审查.
- 纳入标准:被诊断患有精神健康状况的工人,任何正念干预与非正念干预.
- 结果措施:经过验证的精神病学评分表;异质性排除了元分析.
主要成果:
- 包括两个研究. 一个显示在抑郁症的边际改善,但恶化了与接受和承诺治疗 (ACT) 的焦虑.
- 与认知行为疗法相比,ACT加上工作场所对话干预 (WDI) 或基于正念的认知疗法没有观察到明显的心理健康改善.
- 研究之间的大量异质性阻止了元分析.
结论:
- 这一系统性审查没有发现有力的证据支持基于正念的实践的使用,以实现对工人的心理健康结果的持久和实质性的改善.
- 需要进一步的研究来澄清正念干预在职业心理健康中的作用和有效性.
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