Chronic pain is a complex condition that is very detrimental to physical and psychological wellbeing. It carries a significant level of disability and economic burden. Pain patients frequently experience comorbid ment...Chronic pain is a complex condition that is very detrimental to physical and psychological wellbeing. It carries a significant level of disability and economic burden. Pain patients frequently experience comorbid mental illness (e.g. depression, anxiety, PTSD, insomnia) and often require psychotherapeutic interventions in addition to medication management. Mindfulness-based interventions (MBIs) have emerged as a means to treat several chronic conditions (e.g. chronic pain, depression, anxiety, substance abuse, stress, insomnia). The objective of this review is to evaluate the current research on the use of MBIs in chronic pain managment. Although there are several controlled trials on the use of MBIs in chronic pain management, only a few studies were found that demonstrated significant effects on pain intensity, quality of life, as well as physical and psychological functioning. Therefore, the current evidence is mixed and there are insufficient data to definitively confirm the full impact of the use of MBIs in chronic pain conditions such as fibromyalgia, chronic low back pain, rheumatoid arthritis, and chronic musculoskeletal pain. The lack of compelling evidence at this time signals a demand for higher quality investigations in this area. Research examining MBIs and concomitant CBT may be of great value in order to synergize and strengthen patient outcomes.展开更多
目的:探索网络正念减压疗法(MBSR)对严重精神障碍患者的照料者焦虑抑郁水平及生活质量的影响。方法:纳入2021年3月在云南省精神病医院封闭病房住院治疗的、诊断为精神分裂症或双相情感障碍患者的照料者93名作为研究对象,使用随机数字表...目的:探索网络正念减压疗法(MBSR)对严重精神障碍患者的照料者焦虑抑郁水平及生活质量的影响。方法:纳入2021年3月在云南省精神病医院封闭病房住院治疗的、诊断为精神分裂症或双相情感障碍患者的照料者93名作为研究对象,使用随机数字表法随机分为两组:对照组47名和MBSR干预组46名。对照组给予健康宣教、康复技能训练,干预组在健康宣教、康复技能训练的基础上给予8周基于网络的MBSR。分别于基线及8周后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、SF-36健康量表(The 36-item Short Form Health Survey)进行效果评价。结果:8周后,两组共脱落13名(对照组7名,干预组6名)。对照组与干预组基线SAS、SDS分值差异无统计学意义(均P>0.05)。8周后,干预组SAS、SDS分值较基线值均降低(均P<0.01),且明显低于对照组(均P<0.01),而对照组较基线值无明显变化(均P>0.05)。对照组与干预组基线SF-36总分及各个维度分值差异均无统计学意义(均P>0.05)。8周后,干预组SF-36总分及各个维度分值较基线时均升高,除生理功能维度外,差异均有统计学意义(均P<0.05),且明显高于对照组(均P<0.01);而对照组较基线时无明显变化(均P>0.05)。结论:网络MBSR可以减轻严重精神障碍患者照料者的焦虑抑郁水平,提高生活质量。展开更多
目的:系统评价正念减压对辅殖助孕患者的干预效果。方法:检索中国知网、中国生物医学文献数据库、万方数据知识服务平台、维普、PubMed、The Cochrane Library、Embase、Web of Science数据库,收集建库至2023年12月发表的有关正念减压...目的:系统评价正念减压对辅殖助孕患者的干预效果。方法:检索中国知网、中国生物医学文献数据库、万方数据知识服务平台、维普、PubMed、The Cochrane Library、Embase、Web of Science数据库,收集建库至2023年12月发表的有关正念减压在辅助生殖助孕患者中应用的随机对照试验。由两名研究者对文献进行筛选、评价和资料提取,并评价纳入研究的偏倚风险。采用RevMan5.4和Stata17.0软件对纳入文献进行数据分析。结果:共纳入9项研究,1642例患者。Meta分析结果显示:与常规治疗相比,正念减压干预有助于改善辅助生殖助孕患者的心理状态,减轻压力知觉,提高生活质量。以抑郁自评量表(SDS)为评价标准[MD=-8.17,95%CI(-9.16,-7.17),P<0.01],以焦虑自评量表(SAS)为评价标准[MD=-8.71,95%CI(-10.24,-7.18),P<0.01],以压力知觉量表(CPSS)为评价标准[MD=-4.38,95%CI(-5.41,-3.35),P<0.01]。健康状况量表(SF-36量表)的4个评价维度:精神健康[MD=17.50,95%CI(15.67,19.33),P<0.01]、精力[MD=12.05,95%CI(10.18,13.92),P<0.01]、生理职能[MD=8.15,95%CI(6.51,9.79),P<0.01]、生理功能[MD=14.50,95%CI(12.65,16.35),P<0.01]。结论:现有证据表明,正念减压对辅助生殖助孕患者干预效果显著,但受本次纳入研究证据数量、质量限制,尚需开展更多有关辅助生殖助孕患者正念减压干预的高质量研究。展开更多
文摘Chronic pain is a complex condition that is very detrimental to physical and psychological wellbeing. It carries a significant level of disability and economic burden. Pain patients frequently experience comorbid mental illness (e.g. depression, anxiety, PTSD, insomnia) and often require psychotherapeutic interventions in addition to medication management. Mindfulness-based interventions (MBIs) have emerged as a means to treat several chronic conditions (e.g. chronic pain, depression, anxiety, substance abuse, stress, insomnia). The objective of this review is to evaluate the current research on the use of MBIs in chronic pain managment. Although there are several controlled trials on the use of MBIs in chronic pain management, only a few studies were found that demonstrated significant effects on pain intensity, quality of life, as well as physical and psychological functioning. Therefore, the current evidence is mixed and there are insufficient data to definitively confirm the full impact of the use of MBIs in chronic pain conditions such as fibromyalgia, chronic low back pain, rheumatoid arthritis, and chronic musculoskeletal pain. The lack of compelling evidence at this time signals a demand for higher quality investigations in this area. Research examining MBIs and concomitant CBT may be of great value in order to synergize and strengthen patient outcomes.
文摘目的:探索网络正念减压疗法(MBSR)对严重精神障碍患者的照料者焦虑抑郁水平及生活质量的影响。方法:纳入2021年3月在云南省精神病医院封闭病房住院治疗的、诊断为精神分裂症或双相情感障碍患者的照料者93名作为研究对象,使用随机数字表法随机分为两组:对照组47名和MBSR干预组46名。对照组给予健康宣教、康复技能训练,干预组在健康宣教、康复技能训练的基础上给予8周基于网络的MBSR。分别于基线及8周后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、SF-36健康量表(The 36-item Short Form Health Survey)进行效果评价。结果:8周后,两组共脱落13名(对照组7名,干预组6名)。对照组与干预组基线SAS、SDS分值差异无统计学意义(均P>0.05)。8周后,干预组SAS、SDS分值较基线值均降低(均P<0.01),且明显低于对照组(均P<0.01),而对照组较基线值无明显变化(均P>0.05)。对照组与干预组基线SF-36总分及各个维度分值差异均无统计学意义(均P>0.05)。8周后,干预组SF-36总分及各个维度分值较基线时均升高,除生理功能维度外,差异均有统计学意义(均P<0.05),且明显高于对照组(均P<0.01);而对照组较基线时无明显变化(均P>0.05)。结论:网络MBSR可以减轻严重精神障碍患者照料者的焦虑抑郁水平,提高生活质量。
文摘目的:系统评价正念减压对辅殖助孕患者的干预效果。方法:检索中国知网、中国生物医学文献数据库、万方数据知识服务平台、维普、PubMed、The Cochrane Library、Embase、Web of Science数据库,收集建库至2023年12月发表的有关正念减压在辅助生殖助孕患者中应用的随机对照试验。由两名研究者对文献进行筛选、评价和资料提取,并评价纳入研究的偏倚风险。采用RevMan5.4和Stata17.0软件对纳入文献进行数据分析。结果:共纳入9项研究,1642例患者。Meta分析结果显示:与常规治疗相比,正念减压干预有助于改善辅助生殖助孕患者的心理状态,减轻压力知觉,提高生活质量。以抑郁自评量表(SDS)为评价标准[MD=-8.17,95%CI(-9.16,-7.17),P<0.01],以焦虑自评量表(SAS)为评价标准[MD=-8.71,95%CI(-10.24,-7.18),P<0.01],以压力知觉量表(CPSS)为评价标准[MD=-4.38,95%CI(-5.41,-3.35),P<0.01]。健康状况量表(SF-36量表)的4个评价维度:精神健康[MD=17.50,95%CI(15.67,19.33),P<0.01]、精力[MD=12.05,95%CI(10.18,13.92),P<0.01]、生理职能[MD=8.15,95%CI(6.51,9.79),P<0.01]、生理功能[MD=14.50,95%CI(12.65,16.35),P<0.01]。结论:现有证据表明,正念减压对辅助生殖助孕患者干预效果显著,但受本次纳入研究证据数量、质量限制,尚需开展更多有关辅助生殖助孕患者正念减压干预的高质量研究。
