基于正念的干预对乳腺癌患者抑郁症的影响:系统性审查和元分析
Chuntana Reangsing1,2, Sasinun Punsuwun3, Kristine Keller4
1Mae Fah Luang University, Chiangrai, Thailand.
Integrative cancer therapies
|December 23, 2023
概括
基于正念的干预措施 (MBI) 显著减少乳腺癌妇女的抑郁症状. 结合家庭作业和强大的方法的干预措施显示出更大的有效性.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 行为科学 行为科学
背景情况:
- 乳腺癌诊断经常导致抑郁症状.
- 基于正念的干预措施 (MBI) 在管理心理痛苦方面表现有前途.
- 关于MBI对乳腺癌患者抑郁症的疗效和调节剂的证据需要综合.
研究的目的:
- 系统地审查和分析MBI对乳腺癌妇女抑郁症状的影响.
- 检查潜在的缓解因素,包括参与者特征,研究方法和干预特征.
主要方法:
- 通过2022年11月对12个数据库进行了系统搜索.
- 包括的研究是英语出版的,针对乳腺癌和抑郁症妇女的MBIs随机对照试验.
- 随机效应的元分析被用来计算效应大小 (Hedges' g),并进行调节者分析.
主要成果:
- 纳入了19项涉及2139名参与者的研究. 双面体检显著减少了抑郁症状 (g = 0.48).
- 与没有 (g = 0.20) 相比,在家作业的干预表明了更大的效果 (g = 1.75).
- 隐藏分配和高消耗率缓和了干预效应,在隐藏分配 (g = 0.11) 和较高消耗率 (β = -0.019) 的研究中观察到较低的效应.
结论:
- 在乳腺癌妇女中,MBI在减轻抑郁症状方面具有中等效果.
- 临床医生可能会考虑将MBI作为这种人群中抑郁症管理的辅助治疗方法.
- 干预设计,特别是包括家庭作业,以及方法严格性,如隐藏的分配和消耗管理,影响MBI的有效性.
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