第二代正念干预措施对焦虑和抑郁的有效性:系统性审查和元分析
Liucan Xu1, Simon B Goldberg2, Lin Zhang1
1Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan 430079, China; Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Central China Normal University, Wuhan 430079, China; School of Psychology, Central China Normal University, Wuhan 430079, China.
Clinical psychology review
|January 9, 2026
概括
第二代基于正念的干预措施 (SG-MBIs) 有效地减少了成年人的抑郁和焦虑症状. 这些干预措施对临床群体和那些专注于自我同情的人来说特别有前途.
科学领域:
- 精神病学和行为科学 精神病学和行为科学
- 临床心理学 临床心理学
- 基于证据的实践.
背景情况:
- 第二代基于正念的干预措施 (SG-MBIs) 整合了伦理和道德实践.
- SG-MBIs正在成为抑郁和焦虑症状的有希望的治疗方法.
研究的目的:
- 评估SG-MBIs在减少成年人抑郁和焦虑方面的有效性.
- 评估长期影响并确定SG-MBI疗效的缓解因素.
主要方法:
- 对43项关于抑郁症 (n=3756) 和37项关于焦虑症 (n=3199) 的研究进行了元分析.
- 包括涉及临床,健康和混合成年人群的随机对照试验 (RCT).
- 使用随机效应模型合成了效应大小 (Hedges' g),并进行了调节器和灵敏度分析.
主要成果:
- SG-MBIs显著减少了抑郁症 (g=0.59) 和焦虑症 (g=0.61) 的症状.
- 临床人群与健康人群或混合人群相比,表现得更好.
- 长期随访数据显示,抑郁症持续减少,尽管大多数试验都对偏差风险存在"一些担忧".
结论:
- SG-MBIs对于减少抑郁和焦虑是有效的,特别是在临床环境中.
- 结合自我同情的干预措施似乎特别有益.
- 建议使用标准化方案和充足功率的RCT进行进一步的研究,以提高临床适用性.
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