Institute of Applied Health Research/School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
Int J Stroke. 2013 Aug;8(6):465-74. doi: 10.1111/ijs.12135.
Recent epidemiological studies have demonstrated an association between perceived psychological stress and ischemic stroke. A feature of stroke is recurrence; 30-40% within five-years following first transient ischemic attack/stroke. Equipping patients with skills and coping strategies to help reduce or manage perceived psychological stress may represent an important secondary prevention intervention. Mindfulness-based interventions are structured, group-based self-management programmes with potential to help people with long-term conditions cope better with physical, psychological, or emotional distress. Review evidence suggests significant benefits across a range of physical and mental health problems. However, we could find no evidence synthesis relating specifically to the benefits of mindfulness-based interventions following transient ischemic attack/stroke.
The review aims to evaluate the benefits of mindfulness-based interventions following transient ischemic attack/stroke.
Six major databases were searched using subject headings and key words. Papers were screened using review-specific criteria. Critical appraisal and data extraction were conducted independently by two reviewers. Statistical meta-analysis was not possible; therefore findings are presented in narrative form.
Four studies involving 160 participants were reviewed. Three papers reported mindfulness-based interventions delivered to groups; one paper reported a mindfulness-based intervention which was delivered one to one. The results demonstrate a positive trend in favor of the benefits of mindfulness-based interventions across a range of psychological, physiological, and psychosocial outcomes including anxiety, depression, mental fatigue, blood pressure, perceived health, and quality of life. No evidence of harm was found.
Following transient ischemic attack/stroke, people may derive a range of benefits from mindfulness-based interventions; however, further methodologically robust trials are required.
最近的流行病学研究表明，心理压力与缺血性中风之间存在关联。中风的一个特征是复发；首次短暂性脑缺血发作/中风后 30-40%会复发。为患者提供技能和应对策略，以帮助减轻或管理感知到的心理压力，可能是一项重要的二级预防干预措施。基于正念的干预是一种结构化的、基于小组的自我管理方案，有可能帮助患有长期疾病的人更好地应对身体、心理或情绪困扰。系统评价证据表明，基于正念的干预在一系列身心健康问题上都有显著的益处。然而，我们没有找到专门针对短暂性脑缺血发作/中风后基于正念的干预益处的证据综合。
本综述旨在评估短暂性脑缺血发作/中风后基于正念的干预的益处。
使用主题词和关键词对六个主要数据库进行了搜索。使用特定于综述的标准筛选论文。两名评审员独立进行批判性评价和数据提取。由于无法进行统计荟萃分析，因此研究结果以叙述形式呈现。
共综述了四项涉及 160 名参与者的研究。三篇论文报告了小组形式的基于正念的干预，一篇论文报告了一对一的基于正念的干预。结果表明，基于正念的干预在一系列心理、生理和心理社会结果方面有积极的趋势，包括焦虑、抑郁、心理疲劳、血压、感知健康和生活质量。没有发现有害的证据。
短暂性脑缺血发作/中风后，人们可能会从基于正念的干预中获得一系列益处；然而，需要进一步进行方法学上更稳健的试验。
