对创伤后应激障碍的超越冥想进行系统审查和元分析
David W Orme-Johnson1, Vernon A Barnes2, Brian Rees3
1Faculty Emeritus, Maharishi International University, Fairfield, IA 52556, USA.
Medicina (Kaunas, Lithuania)
|April 26, 2025
概括
超越冥想 (TM) 在不同的人群中显著降低了PTSD症状. 这种技术表现出很大的效果大小,优于其他冥想类型,比一些标准疗法更快地表现出结果.
科学领域:
- 精神病学和行为科学
- 补充和替代医学 补充和替代医学
背景情况:
- 以前的元分析表明,超越冥想 (TM) 对减轻PTSD症状具有很大的效果大小 (g = -1.13).
- 这项后续研究旨在通过内部控制进一步描述TM的影响.
研究的目的:
- 评估超越冥想 (TM) 作为治疗创伤后应激障碍 (PTSD) 的疗效.
- 将TM的有效性与其他治疗方法进行比较,并评估其作用速度.
主要方法:
- 按照Prisma指南进行系统的文献搜索,确定了15个针对PTSD的TM受控试验.
- 包括的研究包括所有年龄组的军事和平民人口.
- 使用随机效应模型计算效应大小.
主要成果:
- 超越冥想 (TM) 与其他治疗方法相比,显示了g = -1.01 (95% CI = -1.29至 -0.74) 的综合效果大小.
- 发现TM不劣于长期暴露疗法,并且表现出明显更快的结果.
- 分析表明,在研究中没有明显的偏差风险和一致的影响.
结论:
- 超越冥想 (TM) 为各种人群提供了临床上有意义的PTSD症状减少.
- 这些发现支持TM作为平民和军事人员中PTSD的可行治疗选择.
- 建议进行进一步的III期多站点研究,将TM与已建立的第一线PTSD治疗方法进行比较.
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