在社区中患有抑郁症和/或焦虑症的高血压患者进行基于正念的干预:一种随机对照试验
Hailiang Zhang1,2,3, Xiangrong Zhang4, Xiaomei Jiang5
1Center for Laboratory and Simulation Training, School of Public Health, Center for Evidence-Based Medicine, Gansu University of Chinese Medicine, Lanzhou, 730101, Gansu, China.
基于正念的干预措施有效地减少了高血压患者的抑郁和焦虑症状. 这项研究还显示,血压和自我效能的显著改善.
科学领域:
- 临床心理学 临床心理学
- 心脏病学 心脏病学
- 行为医学是一种行为医学.
背景情况:
- 高血压通常与精神健康状况 (如抑郁和焦虑) 一起发生.
- 基于正念的干预措施 (MBI) 在治疗慢性疾病方面表现有前途.
研究的目的:
- 评估10周MBI对高血压和并发性抑郁症和/或焦虑症患者的有效性.
- 评估MBI对心理健康症状,血压和自我效能的影响.
主要方法:
- 对60名患有抑郁症/焦虑症的高血压患者进行了为期10周的MBI.
- 干预组接受了MBI,而对照组接受了标准的健康教育.
- 使用PHQ-9 (抑郁症),GAD-7 (焦虑症),血压,自我有效性尺度和健康意识尺度来衡量结果.
主要成果:
- 与对照组相比,MBI组在PHQ-9 (21.1%) 和GAD-7 (17.8%) 的得分显著降低.
- 在MBI组中,缩血压下降了12.24 mm Hg.
- 在MBI组中,自我效能和对身体和心理健康的认识显著改善.
结论:
- 短期的MBI在高血压患者中为抑郁和/或焦虑提供了适度的缓解.
- 在这种人群中,MBI有效降低血压并提高自我效能.
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