基于正念的干预措施来解决癌症后的性功能:系统性审查和元分析
Lauren A Zimmaro1,2, Andrew Nicklawsky3, Stephen J Lepore4
1Department of Medicine, Division of Medical Oncology, School of Medicine, University of Colorado, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. lauren.zimmaro@cuanschutz.edu.
基于正念的干预措施 (MBI) 在改善癌症幸存者的性功能方面表现有前途,特别是女性. 需要进一步研究严格的设计来证实这些积极的影响.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 性健康 性的健康
背景情况:
- 癌症治疗经常导致性功能障碍.
- 基于正念的干预措施 (MBI) 是这些问题的潜在治疗选择.
- 在癌症幸存者中,MBI对性功能的有效性需要彻底检查.
研究的目的:
- 系统地审查和对癌症幸存者的性问题进行基于正念的干预措施 (MBI) 的元分析.
- 描述MBIs的特征并评估MBIs在这个群体中的有效性.
主要方法:
- 在数据库中搜索了癌症幸存者的实验性和准实验性MBI试验,使用经过验证的性功能措施.
- 由独立审稿人进行的研究选择,数据提取和质量评估.
- 综合研究特征和效果大小,使用随机效应模型进行元分析.
主要成果:
- 包括12项试验,其中大多数 (75%) 具有偏见的低/中等风险,主要包括女性 (66%).
- 所有研究都报告了MBI后至少一个性功能领域的改善,75%显示所有领域都有好处.
- 对女性性功能指数 (FSFI) 的元分析表明,女性性功能显著改善.
结论:
- 基于正念的干预措施 (MBI) 显示了提高癌症幸存者的性功能,特别是女性的潜力.
- 严格的随机对照试验 (RCT) 设计和增加的人口多样性对于进一步验证至关重要.
- 解决知识差距对于证明MBI在这个群体中的有效性至关重要.
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