基于正念的干预措施对精神分裂症患者的洞察力和耻辱的影响:系统性审查和元分析
Xiaoxin Gao1, Lixiu Wu2, Guolin Jin1
1Seventh Ward, The Second People's Hospital of Lishui, Lishui, Zhejiang, China.
Frontiers in psychiatry
|December 25, 2025
概括
基于正念的干预措施显著改善了精神分裂症患者的洞察力,并减少了精神分裂症患者的耻辱感. 这些发现表明,接受这些疗法的人的治疗坚持和社会功能得到了改善.
科学领域:
- 精神病学是一个精神病学.
- 心理健康 心理健康
- 临床心理学 临床心理学
背景情况:
- 精神分裂症是一种严重的精神障碍,其特点是洞察力受损和严重的社会耻辱.
- 基于正念的干预措施 (MBI) 在解决心理困扰和改善福祉方面表现有前途.
研究的目的:
- 系统地评估基于正念的干预措施在改善精神分裂症患者的洞察力和减少耻辱感方面的有效性.
主要方法:
- 进行了随机对照试验 (RCT) 和准RCT的系统审查和元分析.
- 数据从多个数据库提取到2025年6月,包括11个RCT和2个准RCT,共有2899名参与者.
- 统计分析使用标准化平均差异 (SMD) 与随机效应模型,其中异质性是显著的.
主要成果:
- 基于正念的干预措施显著改善了精神分裂症患者的洞察力 (SMD=1.05,P < 0.00001).
- 与对照组相比,干预组观察到污名的显著减少 (SMD=-0.81,P < 0.00001).
结论:
- 基于正念的干预措施有效地提高了洞察力,并减轻了精神分裂症的耻辱感.
- 这些干预措施有可能改善治疗坚持,康复参与和社会功能.
- 建议进一步进行高质量的长期RCT,以巩固这些发现.
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