心灵和思想的正念:基于正念的降血压随机临床试验对抑郁症症状进行随机临床试验
Surenmaa Sukhbaatar1, Shufang Sun2, Matthew M Scarpaci3
1Department of Epidemiology, Brown University School of Public Health.
概括
基于正念的血压降低 (MB-BP) 计划有效降低了成年人患有高血压的抑郁症状. 对于有童年被忽视或虐待历史的个人来说,福利特别明显.
科学领域:
- 行为医学是一种行为医学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 血压升高 (BP) 是一个重要的公共卫生问题.
- 抑郁症症状经常与高血压同时发生,影响整体健康.
- 清醒的自我调节技能可能为管理这两种情况提供了一种新的方法.
研究的目的:
- 评估基于正念的血压降低 (MB-BP) 计划对患有高血压的成年人抑郁症状的疗效.
- 探索儿童虐待或忽视历史是否会减轻该计划对抑郁症的影响.
主要方法:
- 一项随机对照试验涉及201名患有高血压 (≥120/80毫米) 的成年人.
- 参与者被分配到6个月的MB-BP计划 (n=101) 或增强的常规护理 (n=100) 中.
- 在MB-BP计划中,训练参与者注意力自我调节技能,应用于BP和抑郁症决定因素.
主要成果:
- 在6个月内,MB-BP组的抑郁症状显著减少 (1.65分),与对照组相比 (p < .05).
- 探索性分析表明,在父母忽视程度较高的参与者中,抑郁症症状的减少更大 (p相互作用 = .011).
- 对于那些在童年遭受虐待的人来说,抑郁症症状的显著改善被观察到 (p相互作用 = .079).
结论:
- 该MB-BP计划是有效的减少抑郁症症状在高血压的个体.
- 初步发现表明,早期的逆境,特别是忽视,可能会放大MB-BP对抑郁症的益处.
- 清醒的自我调节为共患性高血压和抑郁症提供了一个有前途的干预策略.
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