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对基于正念治疗精神病的干预措施的安全性进行系统审查

Bethany O'Brien-Venus¹, Lyn Ellett², Susanna Burgess-Barr¹

¹Department of Psychology, University of Bath, 10 West, Claverton Down, Bath BA2 7AY, United Kingdom.

Clinical psychology review

|June 8, 2024

概括

对精神病的基于正念的干预 (MBI) 似乎是安全的,可能会减少住院和危机服务的使用. 然而,研究中不一致的危害报告阻碍了全面的利益风险分析.

科学领域:

精神病学是一个精神病学.
心理学心理学心理学
心理健康研究心理健康研究

背景情况:

心理干预的有害结果,包括对精神病的基于正念的干预 (MBI),研究不足.
需要进行系统审查,以评估MBI对精神病的伤害报告和患病率.

研究的目的:

在随机对照试验 (RCT) 中对八种危害指数的报告和流行情况进行系统审查.
对每个危害指数进行风险差异的元分析.

主要方法:

对39项涉及2684名参与者的RCT进行了系统审查.
对八个危害指数进行了风险差异 (RD) 的元分析:死亡,不良事件,住院,放弃研究,治疗未完成,治疗副作用,症状恶化和危机服务使用.

主要成果:

报告危害指数的差异很大;92%的研究报告放弃研究,而0%报告治疗副作用.
分析表明,与MBI组相比,对照组的住院 (RD = -0.136) 和危机服务使用 (RD = -0.160) 的风险更高.
两组之间在不良事件,死亡,症状恶化,治疗未完成,放弃或副作用方面没有发现显著差异.

结论:

对于精神病的MBI似乎是安全的,可能会减少住院和危机服务的使用.
现有研究中不一致和质量差的危害报告限制了全面的利益风险评估.
未来的研究必须始终运行,监控和报告MBI的损害数据.

关键词:

伤害的伤害的伤害进行元分析分析.正念是一种正念.精神错乱是一种精神病.安全的安全的安全的安全的安全.系统性审查系统性审查

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