产前正念训练和怀孕期间的感知意识,孕妇有高血压疾病的风险
Meghan Sharp1,2, L G Ward1,2,3, Madison Pomerantz2
1Women's Medicine Collaborative, The Miriam Hospital, Providence, Rhode Island, USA.
Journal of integrative and complementary medicine
|July 8, 2024
概括
正念训练 (MT) 在高血压风险的孕妇中改善了整体感知意识. 接受MT治疗的参与者报告说,他们对身体感觉的担忧较小,这表明减少妊娠高血压疾病的潜在机制.
科学领域:
- 精神病体医学是一种精神病体医学.
- 综合医学是一个整体的医学.
- 妇女健康 妇女健康
背景情况:
- 互感觉意识,即对身体感觉的感知,对健康至关重要.
- 正念训练 (MT) 已经显示出提高整感知意识的潜力.
- 妊娠高血压障碍 (HDP) 是一个重大问题,而整体感知意识可能发挥作用.
研究的目的:
- 检查正念训练 (MT) 与高血压风险的孕妇内整体感知意识的变化之间的关联.
- 探索通过电话交付的MT干预的可行性和可接受性.
- 调查潜在的精神病学机制,将MT与降低高血压风险联系起来.
主要方法:
- 试点随机对照试验 (RCT) 的二次分析.
- 29名有HDP病史的孕妇被随机分配到为期8周的电话交付的MT干预或通常的产前护理.
- 在干预之前和之后收集了定量 (互感意识的多维评估 - MAIA) 和定性 (个人访谈) 数据.
主要成果:
- 与通常护理组相比,MT组的参与者报告说,在调整了基线整体感知意识和妊娠年龄后,他们对干预后的身体感觉的担忧明显减少.
- 定性数据表明,在MT组中,身体和呼吸感觉的意识有所提高,能够注意到血压变化,并加强了对思想的非判断性观察.
- 对于患HDP风险的孕妇来说,MT干预是可行的和可以接受的.
结论:
- 正念训练可以提高怀孕期间注意到身体感觉并对身体感觉做出健康反应的能力.
- 间接感知意识是一种潜在的机制,通过这种机制,正念可以影响血压调节并减少HDP的流行.
- 这些发现支持将基于正念的干预措施纳入患有高血压疾病风险的人的产前护理.
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