基于正念的压力减轻用于治疗静脉偏头痛:一项前性试点研究
Eric J Formeister1, James Mitchell2, Roseanne Krauter3
1Head and Neck Surgery and Communication Sciences, Duke University School of Medicine, Durham, USA.
Cureus
|March 21, 2025
概括
基于正念的压力减轻 (MBSR) 有效地减少了前体偏头痛 (VM) 患者的头和改善了他们的生活质量. 这项试点研究表明,MBSR是管理VM症状的有希望的干预措施.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 综合医学是一个整体的医学.
背景情况:
- 静脉偏头痛 (VM) 是一种具有挑战性的神经疾病,其特点是经常出现头和偏头痛症状.
- 目前VM的治疗选择可能有限,需要探索补充疗法.
- 基于正念的压力减轻 (MBSR) 已经显示出在治疗慢性疾病和与压力相关的症状方面的潜力.
研究的目的:
- 评估基于正念的虚拟压力减轻 (MBSR) 计划的实施和有效性.
- 评估MBSR对诊断为前体偏头痛 (VM) 的患者头症状和生活质量的影响.
主要方法:
- 一项前性,非受控的队列研究,涉及20名VM的成年患者.
- 一个为期八周的虚拟MBSR计划,包括指导冥想和教学课程.
- 使用验证的问卷 (DHI,CFQ,PHQ-9,GAD-7,VM-PATHI,PROMIS) 和每日的分数进行干预前后的评估.
主要成果:
- 所有参与者完成了这项研究,在头障碍指数 (DHI),认知失败问卷 (CFQ),患者健康问卷-9 (PHQ-9),一般焦虑障碍-7 (GAD-7),VM患者评估工具和障碍清单 (VM-PATHI) 和PROMIS分数 (p<0.01,p=0.03对于CFQ) 中观察到显著改善.
- 在为期八周的MBSR治疗期间,平均每日的严重程度得分显著下降 (调整后r2=0.32;p<0.001).
- 在24天的治疗前引入期内,每日头得分没有显著变化 (调整后r2=0.03;p=0.54).
结论:
- 虚拟MBSR程序在减少VM患者的头负担方面表现出高效.
- 对于患有前庭偏头痛的人来说,MBSR显著改善了生活质量指标.
- 建议进行进一步的随机对照试验,以证实VM管理中MBSR的这些有希望的发现.
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