针对精神分裂症谱系障碍患者的基于正念的干预措施:对文献的系统审查
Michel Sabé1, Raoul Kohler2, Natacha Perez2
1Division of Adult Psychiatry, Department of Psychiatry, University Hospitals of Geneva, 2, Chemin du Petit-Bel-Air, CH-1226 Thonex, Switzerland; Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Schizophrenia research
|December 29, 2023
概括
基于正念的干预措施 (MBI) 通过改善症状和幸福感,对精神分裂症谱系障碍 (SSD) 显示出希望. 然而,程序结构有所不同,需要更标准化的方法来获得最佳的患者结果.
科学领域:
- 精神病学和行为科学
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
背景情况:
- 基于正念的干预 (MBI) 越来越多地用于各种疾病,但对精神病的适应性有限.
- 精神分裂症谱系障碍 (SSD) 治疗缺乏标准化的正念协议,尽管现有计划中报告的异质性.
研究的目的:
- 为了比较精神分裂症谱系障碍 (SSD) 患者使用的不同正念协议的结构元素.
主要方法:
- 在PubMed,Embase和PsycInfo进行了系统的文献搜索,截至2023年3月.
- 该审查遵循了系统审查和元分析 (PRISMA) 的首选报告项目指南.
- 包括22项随机对照试验 (RCT),涉及1500名SSD患者.
主要成果:
- 包括SSD的MBI程序在结构,会议内容,持续时间和讲师资格方面表现出相当大的差异.
- 类似于MBSR的项目主要针对应激反应,而类似于MBCT的项目则专注于精神病症状和复发预防.
- 跨多种方案的常见治疗机制包括注意力训练,情绪/压力调节,分散,自我同情和认知重组.
结论:
- 对于SSD的MBI程序的异质性使结果解释复杂化,但表明潜在的好处,如减少负面症状和住院治疗.
- 未来的研究应该专注于一致的MBI程序,最佳的教学方法,以及精神病患者的具体行动机制.
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