Smith Brad, Metzker Kathleen, Waite Roberta, Gerrity Patricia
Stephen and Sandra Sheller 11th Street Family Health Services, Drexel University, Philadelphia, Pennsylvania.
Holist Nurs Pract. 2015 Mar-Apr;29(2):70-7. doi: 10.1097/HNP.0000000000000075.
Mindfulness-based stress reduction is a mindfulness-based intervention that is an effective treatment modality for many conditions including stress, anxiety, and depression. Using data from 23 patients who completed a short-form mindfulness-based stress reduction course at a federally qualified health center, a quasi-experimental design was used to assess the impact of participation on self-reported anxiety, stress, mindfulness, and quality of life. Mindfulness and stress showed improvements from pre- to posttests, but neither difference achieved statistical significance. Participants showed statistically significant decreases in anxiety (7-item Generalized Anxiety Disorder scale score: 7.8-4.4; P = .005) and improvements in health-related quality of life including the 36-item Medical Outcomes Study Short Form Health Survey Mental Component Summary (+9.1; P = .001), Physical Functioning (+6.6; P = .039), Vitality (+16.1; P = .001), Social Functioning (+16.9; P = .003), Role Physical (+16.8; P = .016), and Mental Health (+15.6; P < .001) subscales. These findings suggest that an abbreviated mindfulness-based stress reduction course can serve to reduce anxiety and improve quality of life in an underserved population.
基于正念的减压疗法是一种基于正念的干预措施,是治疗包括压力、焦虑和抑郁在内的多种病症的有效治疗方式。利用来自23名在一家联邦合格健康中心完成了简短的基于正念的减压课程的患者的数据,采用了一种准实验设计来评估参与该课程对自我报告的焦虑、压力、正念和生活质量的影响。正念和压力在测试前到测试后有所改善,但两者的差异均未达到统计学显著性。参与者的焦虑有统计学显著下降(7项广泛性焦虑症量表得分:7.8 - 4.4;P = .005),与健康相关的生活质量有所改善,包括36项医学结局研究简表健康调查的心理成分总结(+9.1;P = .001)、身体功能(+6.6;P = .039)、活力(+16.1;P = .001)、社会功能(+16.9;P = .003)、角色身体(+16.8;P = .016)和心理健康(+15.6;P < .001)分量表。这些发现表明,一个简短的基于正念的减压课程可以有助于在服务不足的人群中减轻焦虑并改善生活质量。