基于正念的干预对缓解精神病患者复发的预防的影响:一项随机对照试验
Christy Lai Ming Hui1, Charlie Cheuk Lam Wong2, Eddie Chi Yuen Lui2
1Department of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, University of Hong Kong, Hong Kong SAR, China. christy@lmhui.com.
Schizophrenia (Heidelberg, Germany)
|December 20, 2024
概括
与精神教育相比,基于正念治疗精神病的干预 (MBI-p) 并没有显著减少精神病复发. 然而,MBI-p改善了正念技能,而精神教育提高了功能,表明了组合干预的潜力.
科学领域:
- 临床心理学 临床心理学
- 精神病学是一个精神病学.
- 基于正念的干预措施
背景情况:
- 压力是精神病复发的主要触发因素.
- 基于正念的干预措施 (MBI-p) 在增强应激弹性和福祉方面表现有前途.
- 之前的试点研究表明,MBI-p有潜力改善精神病患者的治疗结果.
研究的目的:
- 评估为期7周的基于正念的精神病干预 (MBI-p) 在预防一年后复发的有效性.
- 将MBI-p与缓解精神病患者的7周精神教育计划进行比较.
- 评估二次结果,包括精神病理学,功能,正念和心理社会因素.
主要方法:
- 一个多站点,单盲,1年随机对照试验 (RCT) 涉及152名完全缓解的精神分裂症或非情感精神病患者.
- 参与者被随机分配到接受MBI-p或精神教育计划.
- 结果在干预前,干预后和每月一次评估一年,重复率和严重程度是主要结果.
主要成果:
- 在MBI-p和精神教育组之间的复发率或严重性方面没有发现显著差异.
- MBI-p在正念方面有所改善,特别是对内在经验的观察和非反应性.
- 与MBI-p相比,精神教育在提高整体功能和心理社会功能方面显示出更大的好处.
结论:
- 在香港缓解精神病患者中,MBI-p的第一个RCT并没有发现它在预防复发方面优于精神教育.
- 心理教育在应对压力的有效性,在疫情期间可能被放大,以及多因素的复发原因可能解释了这些发现.
- 结合MBI-p和精神教育可能提供一种协同方法,以提高预防精神病复发的治疗疗效.
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