哪种类型和剂量基于正念的干预措施对慢性疼痛最有效? 一个系统的审查和网络元分析
Mengting Zhu1, Samuel Yeung-Shan Wong1, Claire Chenwen Zhong1
1The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, 30-32 Ngan Shing Street, Sha Tin, New Territories, Hong Kong, China.
Journal of psychosomatic research
|February 26, 2025
概括
基于正念的压力减轻对慢性疼痛和抑郁症有效. 一个为期8周的计划,每周有90-120分钟的会议,是控制疼痛,功能和情绪的最佳剂量.
科学领域:
- 整合和补充医学是整合和补充医学.
- 疼痛管理 疼痛管理
- 心理健康 心理健康
背景情况:
- 慢性疼痛对全球个人和经济产生重大影响.
- 基于正念的干预措施 (MBI) 对慢性疼痛有希望,但最佳类型和剂量尚不清楚.
研究的目的:
- 为了比较不同MBI治疗慢性疼痛的临床有效性.
- 确定MBI的最佳剂量 (类型,持续时间,频率) 以治疗慢性疼痛.
主要方法:
- 随机效应双对元分析和网络元分析综合了68项研究 (5,339名参与者) 的数据.
- 结果包括疼痛强度,身体功能和抑郁症.
- 发现被分类使用一个部分上下文框架.
主要成果:
- 基于正念的减轻压力 (MBSR) 在疼痛强度 (SMD -0.76) 和抑郁症 (SMD -0.77) 中显著改善.
- 以正念为导向的恢复增强 (MORE) 对身体功能最有效 (SMD-1.42),尽管确定性很低.
- 一个为期8周的计划,每周一次,每次90-120分钟,被认为是治疗疼痛,功能和抑郁症的最佳方案.
结论:
- MBSR是一种高效的MBI,用于治疗慢性疼痛和相关抑郁症.
- 特定的MBI类型和剂量可以针对不同的慢性疼痛结果进行优化.
- 研究结果支持基于证据的指导方针,用于在慢性疼痛管理中标准化MBI课程结构.
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