与焦虑相关的疾病中的正念干预和生活质量:系统性审查和元分析
Pedro P Fortes1, Samara Dos Santos-Ribeiro1, Juliana B de Salles-Andrade2
1Anxiety, Obsessions and Compulsions Research Program, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Journal of affective disorders
|December 31, 2024
概括
基于正念的干预措施 (MBI) 可以改善焦虑和相关疾病 (ARDs) 患者的生活质量. 虽然MBI对非黄金标准治疗有效,但与黄金标准干预相比,MBI没有显著差异.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 基于证据的医学基于证据的医学.
背景情况:
- 焦虑和相关疾病 (ARDs) 显著影响患者的生活质量 (QoL).
- 基于正念的干预措施 (MBI) 是对焦虑症状的确立治疗方法.
研究的目的:
- 系统地审查和元分析MBIs对ARD诊断患者的QoL的影响.
- 评估MBI与不同对照组的比较有效性.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析.
- 在主要数据库 (PubMed,PsycINFO,Embase,Web of Science,临床试验) 进行的搜索.
- 纳入标准:在ARD患者的RCT接受MBIs与QoL结果;包括15个RCT与1465名参与者.
主要成果:
- 与一般对照组 (SMD = 0.175) 相比,MBIs显示ARD患者的QOL显著改善.
- 整体医疗干预比非黄金标准干预更有效 (SMD = 0.213).
- 在MBI和黄金标准干预措施 (SMD = 0.061) 之间没有观察到QOL改善的显著差异.
结论:
- MBIs显示出改善焦虑和相关疾病患者的生活质量的潜力.
- 建议使用更大的样本大小进行进一步的研究,以获得更具结论性的发现.
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