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观察正念冥想对慢性疼痛患者焦虑和抑郁的影响。

Observing the Effects of Mindfulness-Based Meditation on Anxiety and Depression in Chronic Pain Patients.

作者信息

Rod Kim

机构信息

McMaster University, 1280 Main Street West, Hamilton, Ontario L8S 4L8, Canada,

出版信息

Psychiatr Danub. 2015 Sep;27 Suppl 1:S209-11.

PMID:26417764
Abstract

BACKGROUND

People whose chronic pain limits their independence are especially likely to become anxious and depressed. Mindfulness training has shown promise for stress-related disorders.

METHODS

Chronic pain patients who complained of anxiety and depression and who scored higher than moderate in Hamilton Depression Rating Scale (HDRS) and Hospital Anxiety and Depression Scale (HADS) as well as moderate in Quality of Life Scale (QOLS) were observed for eight weeks, three days a week for an hour of Mindfulness Meditation training with an hour daily home Mindfulness Meditation practice. Pain was evaluated on study entry and completion, and patients were given the Patients' Global Impression of Change (PGIC) to score at the end of the training program.

RESULTS

Forty-seven patients (47) completed the Mindfulness Meditation Training program. Over the year-long observation, patients demonstrated noticeable improvement in depression, anxiety, pain, and global impression of change.

CONCLUSION

Chronic pain patients who suffer with anxiety and depression may benefit from incorporating Mindfulness Meditation into their treatment plans.

摘要

背景

慢性疼痛限制其独立性的人群尤其容易变得焦虑和抑郁。正念训练已显示出对与压力相关疾病的治疗前景。

方法

观察那些抱怨焦虑和抑郁、汉密尔顿抑郁量表(HDRS)及医院焦虑抑郁量表(HADS)得分高于中度且生活质量量表(QOLS)得分处于中度的慢性疼痛患者八周,每周三天,进行一小时的正念冥想训练,并每天在家进行一小时的正念冥想练习。在研究开始和结束时评估疼痛情况,并在训练项目结束时让患者进行患者总体变化印象(PGIC)评分。

结果

47名患者完成了正念冥想训练项目。在为期一年的观察中,患者在抑郁、焦虑、疼痛及总体变化印象方面均有显著改善。

结论

患有焦虑和抑郁的慢性疼痛患者可能会从将正念冥想纳入其治疗计划中获益。

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