对患有早期精神病的人进行基于正念干预的有效性:一个多站点随机对照试验
Arlene G MacDougall1, Joshua C Wiener2, Klajdi Puka2
1Department of Psychiatry, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada; Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada; Lawson Health Research Institute, London, Ontario, Canada.
Schizophrenia research
|January 30, 2024
概括
正念大使计划 (MAP) 在短期内有效地减少了早期精神病患者的负面精神病症状. 这种基于正念的干预措施有望促进康复和改善结果.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 心理健康 心理健康
背景情况:
- 早期精神病是一个关键的发育时期,影响长期结果.
- 消极精神病症状是早期精神病管理的一个重大挑战.
- 基于正念的干预措施 (MBI) 显示出减少症状的潜力.
研究的目的:
- 评估正念大使计划 (MAP) 在减少负面精神病症状方面的有效性.
- 评估MAP对提升早期精神病患者的正念技能的影响.
- 为了确定MAP是否比通常的治疗 (TAU) 有优势.
主要方法:
- 一项实用随机对照试验 (RCT) 涉及59名参与者,涉及三个早期精神病干预 (EPI) 计划.
- 参与者被随机分配到接受MAP (3个月每周1小时的会议) 或TAU.
- 对负面症状 (SNS) 和正念技能 (KIMS) 的评估是在基线,3个月和6个月进行的.
主要成果:
- 与TAU相比,3个月后,MAP显著减少了负面症状 (p=0.019).
- 这一显著的负面症状减少差异在6个月后没有维持 (p=0.54).
- 在3个月或6个月后,没有观察到MAP对正念技能 (KIMS) 的显著影响.
结论:
- 在早期精神病中,MAP在减少负面精神病症状方面表现出短期的有效性.
- 通过像MAP这样的MBI早期减少负面症状,可能有助于长期康复.
- 需要进一步的研究,以优化MBI交付和早期精神病的长期疗效.
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