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正念与绝经后失眠有关吗?

Is mindfulness associated with insomnia after menopause?

机构信息

From the Departament of 1Psychobiology, 2Gynecology, Universidade Federal de São Paulo, São Paulo, Brazil; 3Casa de Saúde Santa Marcelina, São Paulo, Brazil; 4Instituto do Cérebro, Hospital Israelita Albert Einstein, São Paulo, Brazil; and 5Departament of Physiology, Universidade Federal de São Paulo, São Paulo, Brazil.

出版信息

Menopause. 2014 Mar;21(3):301-5. doi: 10.1097/GME.0b013e31829996fc.

Abstract

OBJECTIVE

Mindfulness has been defined as being intentionally aware of internal and external experiences that occur at the present moment, without judgment. Techniques that develop mindfulness, such as meditation, have positive effects on reducing insomnia, a sleep disorder that is common both during and after menopause. Our aim was to establish whether postmenopausal women with insomnia are less mindful than postmenopausal women without sleep disorders.

METHODS

Postmenopausal women aged 50 to 65 years who did not use hormone therapy were recruited for the study. The sample included 14 women with insomnia and 12 women without insomnia or any other sleep disorder. The groups were comparable in age, schooling, and anxiety level. To assess mindfulness, we used the validated Mindful Attention Awareness Scale and the attentiveness domain of the Positive and Negative Affect Schedule-Expanded Form.

RESULTS

Participants with insomnia were less mindful than healthy women. The level of mindfulness was able to discriminate the group with insomnia from the healthy group, with 71.4% accuracy.

CONCLUSIONS

Postmenopausal women with insomnia are less mindful than women without insomnia. Mindfulness-based interventions, such as meditation, may be beneficial for postmenopausal insomnia.

摘要

目的

正念被定义为有意觉察当前时刻发生的内部和外部体验,而不进行评判。培养正念的技巧,如冥想,对减少失眠症有积极影响,失眠症是绝经期间和之后都很常见的睡眠障碍。我们的目的是确定患有失眠症的绝经后妇女是否不如没有睡眠障碍的绝经后妇女更有正念。

方法

招募年龄在 50 至 65 岁之间、不使用激素治疗的绝经后妇女参加这项研究。样本包括 14 名患有失眠症的妇女和 12 名没有失眠或任何其他睡眠障碍的妇女。两组在年龄、教育程度和焦虑程度方面具有可比性。为了评估正念,我们使用了经过验证的正念注意意识量表和积极与消极情绪量表扩展形式的注意力域。

结果

患有失眠症的参与者不如健康女性有正念。正念水平能够以 71.4%的准确率区分失眠组和健康组。

结论

患有失眠症的绝经后妇女不如没有失眠症的妇女有正念。基于正念的干预措施,如冥想,可能对绝经后失眠症有益。

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