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冥想能否影响多发性硬化症患者的生活质量、抑郁状况及疾病转归?一项大型国际网络研究的结果

Can meditation influence quality of life, depression, and disease outcome in multiple sclerosis? Findings from a large international web-based study.

作者信息

Levin Adam B, Hadgkiss Emily J, Weiland Tracey J, Marck Claudia H, van der Meer Dania M, Pereira Naresh G, Jelinek George A

机构信息

School of Medicine,The University of Melbourne, Melbourne, VIC 3010, Australia.

Emergency Practice Innovation Centre, St. Vincent's Hospital, Melbourne, VIC 3065, Australia.

出版信息

Behav Neurol. 2014;2014:916519. doi: 10.1155/2014/916519. Epub 2014 Nov 12.

Abstract

OBJECTIVES

To explore the association between meditation and health related quality of life (HRQOL), depression, fatigue, disability level, relapse rates, and disease activity in a large international sample of people with multiple sclerosis (MS).

METHODS

Participants were invited to take part in an online survey and answer questions relating to HRQOL, depression, fatigue, disability, relapse rates, and their involvement in meditation practices.

RESULTS

Statistically and potentially clinically significant differences between those who meditated once a week or more and participants who never meditated were present for mean mental health composite (MHC) scores, cognitive function scale, and health perception scale. The MHC results remained statistically significant on multivariate regression modelling when covariates were accounted for. Physical health composite (PHC) scores were higher in those that meditated; however, the differences were probably not clinically significant. Among those who meditated, fewer screened positive for depression, but there was no relationship with fatigue or relapse rate. Those with worsened disability levels were more likely to meditate.

DISCUSSION

The study reveals a significant association between meditation, lower risk of depression, and improved HRQOL in people with MS.

摘要

目的

在一个大型国际多发性硬化症(MS)患者样本中,探讨冥想与健康相关生活质量(HRQOL)、抑郁、疲劳、残疾程度、复发率及疾病活动度之间的关联。

方法

邀请参与者参加一项在线调查,并回答与HRQOL、抑郁、疲劳、残疾、复发率以及他们参与冥想练习情况相关的问题。

结果

每周冥想一次或以上的参与者与从未冥想的参与者在平均心理健康综合评分(MHC)、认知功能量表和健康感知量表方面存在统计学上以及潜在临床意义上的显著差异。在考虑协变量的多变量回归模型中,MHC结果仍具有统计学显著性。冥想者的身体健康综合评分(PHC)更高;然而,这些差异可能没有临床意义。在冥想者中,抑郁筛查呈阳性的人数较少,但与疲劳或复发率无关。残疾程度加重的人更有可能进行冥想。

讨论

该研究揭示了冥想与MS患者抑郁风险降低及HRQOL改善之间存在显著关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/271b/4244947/05c2a83ab322/BN2014-916519.001.jpg

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