远程传递基于正念的认知疗法,用于自发冠状动脉剖析幸存者
Christina M Luberto1,2, Maria Lopes1, Joanna G Cloutier1
1Health Promotion and Resiliency Intervention Research Center, Massachusetts General Hospital, Boston, MA, United States.
Translational behavioral medicine
|October 21, 2025
概括
基于正念的认知疗法 (MBCT) 在自发冠状动脉剖析 (SCAD) 幸存者中显示出减少复发恐惧 (FOR) 的承诺. 这项可行性研究表明,UpBeat-MBCT是可接受和有效的,需要进一步调查.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 行为科学 行为科学
背景情况:
- 自发冠状动脉剖析 (SCAD) 幸存者经常经历复发的恐惧 (FOR),对临床结果产生负面影响.
- 现有的FOR干预措施,如基于正念的认知疗法 (MBCT),尚未专门针对SCAD幸存者进行调整.
研究的目的:
- 评估为SCAD幸存者量身定制的MBCT干预 (UpBeat-MBCT) 的可行性,可接受性和初步效果.
主要方法:
- 一个单臂可行性研究,涉及参加8周组MBCT干预的SCAD幸存者.
- 数据收集包括干预前后调查,动作图和日常日记,以评估心理,行为,睡眠和身体活动的变量.
- 可行性和可接受性是主要结果,而心理和行为变量的变化是探索性的.
主要成果:
- 在处理情绪激活问题后,精细的UpBeat-MBCT干预在第二组中显示出高保留率 (90%) 和满意度 (8.3/10).
- 观察到FOR的显著改善,效果大小为中大 (d=0.72).
- 参与者报告说他们非常愿意推该计划 (91%).
结论:
- UpBeat-MBCT是第一个专门为SCAD幸存者设计的FOR干预.
- 该研究支持SCAD幸存者群体MBCT方法的可行性,可接受性和益处,当讨论得到适当管理时.
- 需要进一步的研究来验证这些发现在更大的人群中.
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