在患有炎症性肠道疾病的患者中对心理并发症进行基于正念的干预:系统性审查和元分析
1Department of Gastroenterology, The First People's Hospital of Wenling, 317500 Taizhou, Zhejiang, China.
基于正念的干预训练有效地减少了焦虑和抑郁,同时在短期内改善了炎症性肠病患者的生活质量. 需要进一步的研究来证实长期益处.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 基于证据的医学基于证据的医学.
背景情况:
- 炎症性肠病 (IBD) 是一种慢性疾病,与严重的心理困扰有关,包括焦虑和抑郁,对患者的生活质量产生负面影响.
- 基于正念的干预措施 (MBI) 被认为具有减轻压力和改善心理健康的潜力.
研究的目的:
- 系统地审查和分析基于正念的干预训练对被诊断患有炎症性肠道疾病的患者焦虑,抑郁和生活质量的影响.
主要方法:
- 在多个数据库 (PubMed, Web of Science, Cochrane Library, Google Scholar, CNKI, Wanfang, Embase) 进行了全面的文献搜索,截至2023年5月.
- 随机对照试验调查了MBI对IBD患者的影响进行了选,并使用ReviewManager 5.4分析数据进行了元分析.
主要成果:
- 分析包括14项涉及1030名IBD患者的研究.
- 与对照组相比,正念干预显著降低了IBD患者的焦虑 (SMD = -0.73) 和抑郁 (SMD = -0.60).
- 在接受正念干预的患者中,生活质量明显改善 (SMD = 0.66).
结论:
- 基于正念的干预训练在改善焦虑,抑郁和炎症性肠道疾病患者的生活质量方面表现出短期的有效性.
- 对IBD患者的MBIs的长期影响需要通过额外的随机对照试验进行进一步的研究.
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