针对癌症成年人的抑郁,焦虑和压力的基于正念的干预:一个分层子组元分析
Kenni Wojujutari Ajele1, Erhabor Sunday Idemudia1
1Faculty of Humanities, North-West University, Mafikeng, South Africa.
Psycho-oncology
|March 13, 2026
概括
基于正念的干预措施显著降低了癌症患者的抑郁,焦虑和压力. 修改干预措施和乳腺癌干预措施显示出最大的益处,支持它们在心理社会护理中的作用.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
背景情况:
- 在癌症患者中,心理困扰是常见的.
- 基于正念的干预措施 (MBIs),如MBSR和MBCT,用于缓解这些症状.
- 之前的审查没有全面分析MBI在不同环境中的有效性.
研究的目的:
- 评估MBI对癌症成年人抑郁,焦虑和压力的有效性.
- 根据干预类型,持续时间,癌症群体和地理区域对MBI影响进行分层.
主要方法:
- 45项随机对照试验 (RCT) 的系统审查和元分析,包括7395名参与者.
- 从2010年1月到2025年7月,搜索了六个数据库.
- 分析数据使用随机效应元分析与子组分析.
主要成果:
- 经验测试显著减少了抑郁症 (g = -0.92),焦虑 (g = -1.06) 和压力 (g = -1.50).
- 修改后的MBIs显示出最大的影响 (g = -1.57),其次是MBSR (g = -0.72) 和MBCT (g = -0.68).
- 乳腺癌患者和北美和亚洲的患者观察到最强烈的效应.
结论:
- 双眼镜在减少癌症成年人的心理痛苦方面是有效的.
- 修改后的MBI和针对乳腺癌患者的MBI特别有前途.
- 研究结果支持将MBI整合到癌症治疗中,但需要更多多样化的研究.
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