自闭症谱系障碍患者的基于正念的干预措施:一个系统的文献综述
Luca Simione1,2, Alessandro Frolli1, Francesca Sciattella2
1Dipartimento di Scienze Umanistiche e Sociali Internazionali, Università degli Studi Internazionali, 00147 Rome, Italy.
Brain sciences
|October 25, 2024
概括
基于正念的干预措施 (MBI) 显示出改善自闭症谱系障碍 (ASD) 患者心理健康和社会技能的希望. 然而,需要更多高质量的研究,特别是针对年轻人.
科学领域:
- 神经科学和心理学 神经科学和心理学
- 临床心理学 临床心理学
- 发展心理学 发展心理学
背景情况:
- 基于正念的干预措施 (MBI) 越来越多地被认为具有解决自闭症谱系障碍 (ASD) 挑战的潜力.
- 这些挑战包括ASD个体经历的认知,情感和社会困难.
- 本综述系统地评估了MBI对ASD患者及其照顾者的有效性.
研究的目的:
- 系统地审查基于正念的干预措施 (MBI) 对自闭症谱系障碍 (ASD) 患者的疗效.
- 检查MBI对ASD个体认知,情感和社会方面的影响.
- 评估MBI对ASD患者的护理人员的实用性.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 在MEDLINE数据库中进行文献搜索.
- 包含侧重于正念原则的纵向/干预研究,具有定量结果;排除混合干预.
- 使用Cochrane ROBINS-I工具进行偏差风险评估.
主要成果:
- 包括37项研究,按干预目标分类:成年人 (12),儿童/青少年 (9),护理人员/工作人员 (13),和组合 (5).
- 有证据表明,MBI对于ASD患者及其护理人员的可行性和实用性.
- 总体而言,研究质量低,需要谨慎的建议.
结论:
- 在患有自闭症的个体中,MBI显示出积极的结果,包括减少心理痛苦,减少行为问题,以及改善认知/社会技能.
- 一个显著的局限性是为年轻患者提供MBI的稀缺性,因此在普遍认可方面需要谨慎.
- 迫切需要针对不同ASD子组量身定制的干预措施,并扩大对教育工作者的支持.
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