认知行为,基于接受和基于正念的干预措施,用于更年期期间的心理和睡眠相关症状:系统性审查
Amparo de Dios Tapia1, María Rueda-Extremera1, María Cantero-García1
1Universidad a Distancia de Madrid, Facultad de Psicología y Ciencias de la Salud, Spain.
Acta psychologica
|March 10, 2026
概括
认知行为疗法 (CBT) 和基于正念的干预措施显示出与更年期相关的抑郁症,焦虑和失眠的管理有希望. 由于研究异质性,需要进一步的研究来确认它们的有效性.
科学领域:
- 心理学 心理学 心理学
- 妇女健康 妇女健康
- 睡眠医学 睡眠医学
背景情况:
- 更年期经常带来心理压力,包括抑郁,焦虑和失眠,影响生活质量.
- 虽然药物治疗是常见的,但心理方法越来越多地被探索为替代方案.
研究的目的:
- 系统地审查认知行为疗法 (CBT) 和基于接受和正念的干预措施 (ACT,MBSR) 的证据.
- 评估它们在更年期过渡期间对抑郁,焦虑和睡眠的影响.
主要方法:
- 按照PRISMA 2020指南进行系统审查.
- 在主要数据库 (PubMed,PsycInfo,Web of Science,Scopus) 搜索了2014年至2024年的研究.
- 包括CBT,ACT或更年期妇女MBSR的随机和准实验性研究;使用PEDro尺度评估质量;由于异质性而进行叙事合成.
主要成果:
- 十二项研究表明,干预措施减少了抑郁和焦虑,改善了睡眠.
- 认知行为疗法 (CBT) 和治疗失眠的CBT (CBT-I) 显示出一致的益处,特别是对于失眠.
- 基于接受和正念的干预措施显示出有希望的,但结果多样化;中等到高质量的,但观察到显著的异质性.
结论:
- 在更年期期间,CBT和基于正念的干预措施似乎对心理和睡眠问题有益.
- 证据因异质性和缺乏元分析而受到限制.
- 建议进行高质量的试验,标准化结果和更长的随访时间.
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