为青少年和年轻成年人提供基于正念的修改压力减轻干预措施,治疗炎症性肠病:评估可行性,可接受性和有效性
Jacqueline Doyle1, Mark Shevlin2, Megan Hitchcock3
1GI Division, University College London Hospitals NHS Foundation Trust, London, UK.
一个经过修改的基于正念的减轻压力 (MBSR) 计划显示,对患有炎性肠病 (IBD) 的青少年有临床益处,改善了生活质量和正念意识. 然而,有限的采用表明广泛实施面临挑战.
科学领域:
- 精神病学是一个精神病学.
- 胃肠病学 胃肠病学
- 正念研究 研究正念研究
背景情况:
- 炎症性肠病 (IBD) 显著影响青少年的心理健康.
- 压力管理干预措施对于改善年轻IBD患者的生活质量至关重要.
研究的目的:
- 评估针对IBD青少年修改的基于正念的压力减轻 (MBSR) 计划的可行性,可接受性和有效性.
- 评估MBSR对疾病严重程度,心理压力和正念意识的影响.
主要方法:
- 一项随机对照试验,涉及58名患有IBD的青少年 (15-24岁).
- 参与者被分配到一个为期8周的修改MBSR计划或等待名单对照组.
- 包括疾病严重程度 (HBI),生活质量 (IMPACT-III) 和正念意识 (MAAS) 在内的结果在干预前和后被评估.
主要成果:
- 虽然没有统计学意义,但在疾病严重程度 (HBI减少),生活质量 (IMPACT-III增加) 和正念意识 (MAAS增加) 中观察到临床改善.
- 参与者报告说他们喜欢这个小组,生活质量有所改善,并且感觉与自己的身体更紧密地联系在一起.
- 招聘和 attrition 挑战被注意到,影响研究的力量来检测长期变化.
结论:
- 经过修改的MBSR计划被参与的IBD青少年认为是可以接受的,据报道对症状和幸福感产生了积极的影响.
- 接受率有限和消耗率高凸显了将MBSR整合到IBD青少年繁忙的第三级服务中的障碍.
- 需要进行进一步的研究,以解决已识别的障碍,并优化对这一群体的MBSR交付.
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