基于正念的干预可以减少PTSD症状吗? 一个雨审查
Branislav Jovanovic1, Dana Rose Garfin2
1Department of Psychological Science, University of California, Irvine, 4201 Social & Behavioral Sciences Gateway, Irvine, CA 92697, United States.
Journal of anxiety disorders
|May 18, 2024
概括
基于正念的干预措施 (MBI) 在减少创伤后应激障碍 (PTSD) 症状方面表现出适度的有效性. 然而,许多系统性审查评估MBI对PTSD缺乏方法严格性,表明需要提高研究质量.
科学领域:
- 精神病学和行为科学
- 证据综合和研究方法研究方法.
背景情况:
- 创伤后应激障碍 (PTSD) 是一种普遍和慢性精神健康状况.
- 基于正念的干预措施 (MBI) 正在探索减轻PTSD症状,但它们的有效性仍在争论中.
- 现有的MBI对PTSD的系统性审查 (SR) 尚未全面评估其质量.
研究的目的:
- 进行总体审查,总结和评估现有的MBI对PTSD的SR质量.
- 综合SRs的方法严格性,并评估MBI对PTSD的整体疗效.
主要方法:
- 一项综合性审查确定了MBI对PTSD的69个SR (27个元分析).
- AMSTAR2工具评估了每个SR的方法严格性.
- 一项元元分析估计了MBI对PTSD症状的整体影响大小.
主要成果:
- 大多数SRs (65.2%) 被评估为非严格,具有偏差评估和数据提取风险的常见限制.
- 在减少PTSD症状方面,MBI表现出中等效果大小 (SMD=0.41),与二线治疗相比.
- 效率在不同MBI类型和控制条件中保持一致.
结论:
- 虽然MBI对PTSD的疗效中等,但证据的质量往往受到SRs方法论上的弱点的影响.
- 在MBI研究PTSD方面,急需更高质量的SR和改进的方法严格性.
- 未来的研究应该专注于提高系统审查和评估PTSD MBIs的初级研究的质量.
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