对基于正念的减轻压力治疗干预对创伤后应激障碍影响的元分析
Xinmin Jiang1, Minghui Zhang2, Jiaqi Wang2
1College of Stomatology, Qilu Medical University, Zibo, CHN.
Cureus
|November 3, 2025
概括
基于正念的压力减轻 (MBSR) 显著改善生活质量,并减少患者的抑郁和PTSD症状. 这一元分析证实了MBSR.
科学领域:
- 精神病学和行为科学
- 临床心理学 临床心理学
- 基于证据的医学 基于证据的医学
背景情况:
- 创伤后应激障碍 (PTSD) 是一种使人虚弱的疾病,对心理健康有重大影响.
- 目前对PTSD的治疗方法在有效性上有所不同,需要探索补充疗法.
- 基于正念的压力减轻 (MBSR) 已成为应对与压力有关的疾病的潜在干预措施.
研究的目的:
- 系统地评估基于正念的压力减轻 (MBSR) 在治疗创伤后应激障碍 (PTSD) 的有效性.
- 综合来自随机对照试验 (RCT) 的研究结果,研究PTSD患者的MBSR.
- 评估MBSR对抑郁症,生活质量,正念和PTSD症状严重性的影响.
主要方法:
- 对RCT进行了全面的分析,使用PubMed,Web of Science和Embase的数据,截至2025年2月6日.
- 该分析包括了9个合格的RCT,涉及832名参与者.
- 使用RevMan 5.4软件进行统计分析,计算标准化平均差异 (SMD) 和置信区间.
主要成果:
- 与对照组相比,MBSR干预导致PTSD患者的抑郁症得分显著降低 (SMD = -0.25,P = 0.0006).
- 在生活质量 (SMD = 0.40,P = 0.008) 和正念 (五方面正念问卷,SMD = 0.41,P < 0.00001) 中观察到显著改善.
- MBSR显著减少了PTSD症状,包括PTSD检查清单得分 (SMD = -1.28,P = 0.02) 和临床医生管理的PTSD等级得分 (SMD = -0.23,P = 0.004).
结论:
- 基于正念的压力减轻 (MBSR) 是一种有效的干预措施,可以减少抑郁症和PTSD症状的严重程度.
- 在被诊断患有PTSD的个体中,MBSR显著提高了生活质量和正念.
- 这些发现支持将MBSR纳入PTSD管理的综合治疗计划.
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