精神障碍的普拉那亚玛的有效性:随机对照试验的系统审查和元分析
Christian Mütze1, Dietmar Mitzinger1, Heidemarie Haller1
1Center for Integrative Medicine and Planetary Health, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
的呼吸技巧Pranayama对心理障碍症状的严重性和生活质量有短期的好处. 然而,由于偏差风险很高,它应该补充标准治疗,而不是取代标准治疗.
科学领域:
- 综合医学
- 精神病学
- 呼吸系统医学
背景情况:
- 精神疾病是全球严重的健康负担.
- 传统的练习,包括 (呼吸) 越来越多地被探索其治疗潜力.
- 关于普拉那亚玛对心理健康的有效性和安全性的证据需要进行系统的评估.
研究的目的:
- 系统地审查和对精神障碍患者的Pranayama有效性和安全性的证据进行元分析.
- 评估对症状严重性,生活质量和抑郁症的影响.
- 为了比较和被动控制和标准护理.
主要方法:
- 在PubMed,PsycINFO和中央数据库进行系统的文献搜索,直到2024年4月.
- 包括6项随机对照试验,涉及517名患有PTSD,抑郁症和混合非精神疾病的患者.
- 使用标准化平均差异 (SMD) 和偏差风险 (RoB) 评估的意图治疗 (ITT) 和每协议 (PP) 数据的元分析.
主要成果:
- 与被动对照组相比,Pranayama显著降低了症状的严重程度 (ITT SMD = - 0.27;PP SMD = - 0.35).
- 在与常规治疗相比时,观察到类似的症状严重程度降低.
- 在PP分析中,与被动对照相比,pranayama显著改善了生活质量 (SMD=0. 59),但没有发现对抑郁症有显著影响.
- 使用快节奏呼吸技术的不良反应更为常见.
结论:
- 普拉那亚玛治疗精神疾病的短期效果是很明显的.
- 在包含的研究中存在偏差的高风险需要谨慎; 冥想不应取代标准疗法.
- 需要进一步研究以确定长期影响和全面评估不良事件.
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