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正念疗法对焦虑和抑郁的影响:一项荟萃分析综述。

The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review.

机构信息

Department of Psychology, Boston University, MA 02215-2002, USA.

出版信息

J Consult Clin Psychol. 2010 Apr;78(2):169-83. doi: 10.1037/a0018555.

Abstract

OBJECTIVE

Although mindfulness-based therapy has become a popular treatment, little is known about its efficacy. Therefore, our objective was to conduct an effect size analysis of this popular intervention for anxiety and mood symptoms in clinical samples.

METHOD

We conducted a literature search using PubMed, PsycINFO, the Cochrane Library, and manual searches. Our meta-analysis was based on 39 studies totaling 1,140 participants receiving mindfulness-based therapy for a range of conditions, including cancer, generalized anxiety disorder, depression, and other psychiatric or medical conditions.

RESULTS

Effect size estimates suggest that mindfulness-based therapy was moderately effective for improving anxiety (Hedges's g = 0.63) and mood symptoms (Hedges's g = 0.59) from pre- to posttreatment in the overall sample. In patients with anxiety and mood disorders, this intervention was associated with effect sizes (Hedges's g) of 0.97 and 0.95 for improving anxiety and mood symptoms, respectively. These effect sizes were robust, were unrelated to publication year or number of treatment sessions, and were maintained over follow-up.

CONCLUSIONS

These results suggest that mindfulness-based therapy is a promising intervention for treating anxiety and mood problems in clinical populations.

摘要

目的

尽管基于正念的疗法已成为一种流行的治疗方法,但人们对其疗效知之甚少。因此,我们的目的是对这种针对临床样本中焦虑和情绪症状的流行干预措施进行效应量分析。

方法

我们使用 PubMed、PsycINFO、Cochrane 图书馆和手动搜索进行了文献检索。我们的荟萃分析基于 39 项研究,共有 1140 名参与者接受了基于正念的治疗,这些研究涉及多种病症,包括癌症、广泛性焦虑症、抑郁症和其他精神或医学病症。

结果

效应量估计表明,在总体样本中,从治疗前到治疗后,基于正念的疗法对改善焦虑(Hedges 的 g = 0.63)和情绪症状(Hedges 的 g = 0.59)具有中度疗效。在患有焦虑和情绪障碍的患者中,这种干预措施与改善焦虑和情绪症状的效应量(Hedges 的 g)分别为 0.97 和 0.95。这些效应量是稳健的,与发表年份或治疗次数无关,并在随访中得以维持。

结论

这些结果表明,基于正念的疗法是治疗临床人群中焦虑和情绪问题的一种很有前途的干预措施。

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